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MARION COUNTY BUILDING INS ,,- <br /> Sa m, Omgon 973o 00 II II <br /> Phone,588-5147 8:0Os. m,-4:30p.m. ~' ~ (~ ~,_ <br /> Cc~;Je-A-Phor~: .5~,-7904 ; ~J~ermit No <br /> <br /> ' °eECrloN <br /> <br />J"a~b NO, <br /> <br />Signature of Supervising Electrician <br />~upervisora8 License No,, I Phone No, <br />2lB. FOR OWNER BISTALLA'nON~ <br /> <br />Phone <br /> <br />city/state/Zip ........ <br /> <br />The Installation Is being made on property I own which i~ not Intended for sale, <br /> <br />O~Vner's Signature <br /> <br />4, FEE SCHEDULE (Complete and enter t~tel in A1 below) <br />Humber of lnspsofton$ per permit allowed <br /> <br />(Se~indud~t) <br />1500~q, ft, urle~ -- $ 85. -- <br />Each add'1500 sq, It, or porlten <br />Each M f~],'d Home or~r I~duldulax <br />Dwelling service o1~1~ / $ 35 ~ <br />B. Service/Feeders <br /> <br /> 10Oampsorle~ __ $ 35. __ <br /> 101 ampste40Oamps __ $ 60. __ <br /> 401 amps ts 600 amps __$80.__ <br /> 6Olampsts 1000amps __ $130. __ <br /> Over 1000 amps or volts $300. __ <br /> Reeenneet Only -- <br /> <br />C. Temporal7 Servlees/Feedere <br />Installation, Al~era~n or <br />200 amps or lea $ 355, __ <br />351amps to 4oo amps $ ,40. __ <br />401amps to 600 amps $ 80, __ <br />Over 65o amps or 10o0 volts (See <br />D. Branch Clmulte <br /> <br /> One circuit <br /> Two ts ten drcults __ $ so. <br /> Eachadd'ltenctmultserporllee __ $15. __ <br /> <br />E, Mlseellaneou~ <br /> <br /> Ea~hpumporlrdga~oncycle __ $ ,36, __ <br /> Eaeh stgn ot outllne llghang -- $ 35, __ <br /> Signal circuit(s) or a IlmJted <br /> panel, alteration or extee~un __ $ 35, __ <br /> <br />F. Each abd'l Inapeeflm-~ <br />over the allowable in any of <br />the above= per inspec~on __ <br /> <br /> Pack of 10 labals @ $5.00 each __ <br /> (~o,~1 only to elec~cal cottttactsl~) <br />H. Other <br /> (AS requit~d by ~i/~ OflldaO <br /> <br />3, PLAN REVIEW SECllON <br /> Chec~ apmte/tern and enter fee k~ <br /> <br /> Conr,~--ted Load over 200 amps (except single family dwellings) <br /> Building system over 200 amps (except single family dwellings) <br />__ System over 600 volts <br />__ Building Over P stslies <br /> Building owr 10,000 square feet <br /> C<x~pant load over 300 per.ns <br /> Manufactured Dwelling Pabd~n Park <br /> Hazardous Locations <br /> <br />Submit 2 sets of plans wi~ any of the above. <br />TempomP/consS~ction services do not apply. <br /> <br />Al. ErJter tolal of fees from Se~. #4 <br />~.. _A~lS%~rdarge (.05xAt) <br /> <br />S. Enter 25% of line A~ for Plan Review <br /> (Sec~ 3), if i'~quired <br />C. Invesligalion Fee (if required) <br />D. Reinspecl~on Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br />75- <br /> <br /> <br />