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Received By <br /> <br /> -, "~/ \d~A~R,I~N COU~-TY BflLDING INSPECTION <br /> 220 High Street NE <br /> <br />Date_ <br /> <br /> ELECTRICAL <br /> PERBIT ~PPLICATION <br /> <br />Electrical Contractor's No <br /> <br />Site NO <br /> <br />Phone <br /> <br />Phone:: <br /> <br />Cross Street <br /> <br />Address <br />Address:: <br /> <br />Home Builder's Registration Ne:: <br /> <br />Supervising I Useof Residential I~ New ~ Addition <br />Electricians No ~'~'7'~.~ Building Commercial Alteration ~J Relocation <br /> <br />Occupancy <br />Change [] <br /> <br /> No, RESIDENTIAL <br />.... Residence wiring less than 1000 sq, It, <br /> <br /> @IS 5000 <br />Residence wiring less than 2000 sq ft ~ $ 75,00 <br />___ Residence wiring over 2000 aq ft (~:' $ 10800 <br />__ Electric heat installation in existing residence C~o) $ 3000 <br /> SERVICES <br />__ Temporary C43r~stractiOn Service ...... (~ $ 3000 <br />Service cha~ge only in an ex~8ti~g residence ¢ $ 30 00 <br />Commemial or Industriah <br />~ Service not 0ver l00 amperes ~$ 4500 <br />~ Service over 100 ampe~s but not more than 200 amperes <br />~ Serviceover~00amperesbutnotmorethan400amperes (~'$ 10000 <br />.... Service over 400 amperes but not more than 600 a~peres ~$ 15000 <br />~ Service ever 600 amperes ~4' $ 200,00 <br />~ Service over 600 volts ~) $ 45000 <br /> cOMMERCiAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relo~ation of Distribution Feeders= <br />Notmoreth~nl00amperes <(~ $ 2~00 <br />Overl00amperesbutnotmorethan200amperes ¢~ $ 4000 <br />~ Over 200 amperes but not mo~ tha~ 400 amperes ~ $ 7000 <br />~ _ Over4O0amperes <br />~ Feederever600vot~s ~'$ 12000 <br /> MISCELLANEOUS <br />.... A EachtraiferormobJlehomespace Serviceequpment ~,$ ~5,00 <br />.~ B Eachsupplyformobilehome(Conne~lon) (IS 2500 <br />~ C Each Sngatio~ pump tAttach 8 map showinglocaPo~) <br /> <br />~ D Each electric sign 0r outline lighting <br />~ E Each swimming pool (bondi~g) ~i~ $ 30 00 <br /> BRANCH CIRCUITS <br />~ Onenewcircuit, alterationorextension (8~$ 2000 <br />~.. Twoormoenewcircuis,ateratonsorexe~sons (~f $ 3000 <br />~ Other (as per NEC and Building Official) <br />~_ On,Site Technical Rewew apply directly at M~rion County <br />~ Industrial Plant Inspection (apply directly ~t Marion County only) <br />~ Reinspe¢io~ Fee <br /> FEE <br /> STATE SURCHARG6 <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />7o, O-~ <br /> <br /> INVESTIGATION FEE __ <br />with the ~ndicated fee, FLEETSURCHARGE <br /> <br />SIGNATURE OF APPLICANT <br /> <br />Rev 12/88 <br /> <br /> <br />