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2B. FOR OWNER I~TA LLATiC]NS <br /> <br />Property Owner <br /> <br />MalllnQ Addrea~ I Phone <br /> <br />'/'he Ins:aUatlon Is being made on property I own whloh Is not intended for sale. <br />lea~;e or rent, <br /> <br />Owner's Signature <br /> <br /> E~h~'l~O~.ff. or~n ~ $ ~5. ~ <br /> ~h Mfg.'d Ho~ or M~ular <br /> <br />B. <br />(~0~~ <br /> <br />O. ~nch CI~uI~ <br />~, A~m~n ~ E~ Pet P~ <br />Oneelmult ~ $ ~, 2 <br /> <br /> E~itsn~mui~orp~on $ 15, ~ 2 <br /> <br />E~hpu~orlrflgaaon~le ~ S ~. ~ <br />Sign~ ci~ull(S) Or a ~mit~ <br />F. ~h a~q I~on <br /> <br />~. PLAN REVIEW SECTIOH <br /> Chec~ approl~da~e item and enter fee in E~c~n SB. <br /> <br />~ Conn~:~ed ~ over 200 amps (e~=ept single family dwellings) <br />_ Building system over 200 amps (except single family dwellings) <br /> ....... System over 600 volts <br />.... Building over 2 stories <br /> ~Jilding over 10,000 ~uare feet <br />__ Oocupant toad over 300 persons <br /> ~. Manufab"tumd Dwelling Pa,'fi/Resteefion Pa~ <br /> Hazardous Locations <br /> <br />Submit 2 s~s of plans with any of the above, <br />Temporary oonsttuc~on services do n~t apply, <br /> <br />Al, Emer total of fees from Se=, #4 <br />A,~. Add 5% sun:barge (-05 x At) <br /> <br /> Subtotal <br /> <br />B. Enter 25% of line At for Plan Review <br /> (Sec, 3), if required <br />C. Investigatiee Fee (if required) <br />D. Reins~a~on Fee <br /> <br /> TOTAL AMOUNT DUE <br /> <br />$ .~ <br /> <br />$ .5,2 <br /> <br /> <br />