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Bate: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> <br /> ELECTRICAL PERMIT <br /> <br />Regiatratioe No, J' <br /> <br />Owner/Euilder <br /> <br />Bldg, Permit <br /> <br />Elec, Permit ~ <br /> <br />Electrical Firm: ._~0~,.~_~ Electric <br /> <br />SuPervising Ele¢~rioien~ P_e__~,e Slipper <br /> <br />Phone: <br /> <br />Address: ~- O. ~OX 320 ...... <br />808 E. <br /> <br /> No. RESIDENTIAL <br /> Residence wiring [ess than 1000 sq. ft ....................................................... @ $ 1 <br /> _ _ Resldencewirmglessthan2000sq, ft ....................................................... @ $ 25,00 <br /> Residence wlrmg over 2000 sq, ft ............................................................. @ $ 35.00 <br />__ Electric heat installation in existing residence ............................................ @ $ 10.00 <br /> SERVICES <br /> ~ Temporary Construction Service ............................................................. @ $ 10.00 <br /> Service change only in an existing residence ............................................... @ $ I0,00 <br /> Commercial or industrial: <br /> Service cot over 100 amperes ................................................................. @ $ 15.00 <br />__ Service over 100 amperes but not more than 200 amperes ........................... @ $ 25.00 <br /> Service over 200 amperes out not more than 400 amperes ........................... @ $ 35,00 <br /> Service over 400 amperes but not more than 600 amperes ........................... @ $ 50.00 <br />__ Service over 600 amperes ....................................................................... @ $ 65.00 <br /> Service over 600 volts ........................................................................... @ <br /> COMMERCIAL AND iNDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amoeres ................................................................... @ $ 10.00 <br /> Over 100 amperes but not more than 200 amperes ..................................... @ $ 15.00 <br /> Over 200 amoeres but not more than 400 amperes ..................................... @ $ 26.00 <br /> Over 400 amperes ................................................................................. @ $ 30.00 <br /> Feeder over 600 volts .......................................................................... @ $ 40,00 <br /> MISCELLANEOUS <br /> A $10.00 Label shall apply fOr the following installations: <br />__ 1. Mobile Home InstaIlatlon ..................................................... @ <br />__ a. Each Mobile Homespace in park ..................................................... @ <br /> b. Each supply for Mobile Home (new or replacement) ......................... @ <br /> 2. Each farm building other than residence ............................................. @ <br /> <br /> 3. Each irrigation pump ..................................................................... <br /> 4. Each electric sign or outline lighting .................................................. <br /> 5. Each residential swimming pool ....................................................... <br /> BRANCH CIRCUITS <br />One new c~rcult; alteration or extension ................................................... <br /> <br />20.00 <br />10.00 <br />10,00 <br />10.00 <br />10.00 <br />10.00 <br />10,00 <br /> <br />$ t0,00 <br /> <br /> Amount Received <br />$ <br /> <br />10.00 ' <br /> <br /> Two or more new circuit,~, alterations or extensions ................................... @ $ 1§.00 <br /> <br /> ADD STATUTORY SURCHARGE; 4% of Subtotal $ <br /> TOTAL $ . <br />I agree to make the electrical ~nstallatlon according to the submitted plans and specifications, the laws of the State of <br />Ordinances of Marion Count~ Permit expires if work not commenced within 120 days, <br /> <br />SIGNATURE OF APPLICANT; ~ c~/ ~ <br /> HONIEOWNERS -- I hereby certify that I am the owner he property described above, at which Idb~ti~ ~ <br /> an electrical installation for my own use and this propertV is not being constructed for sale. lease or rent, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />