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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITy DEVELOPMENT CENTER <br /> 85 Church St NE · Room 132 <br /> FOR CITY VALIDATION I <br /> Received by: I <br />I Date. -~ I <br /> -~ <br /> <br /> ELEOTRIOAL PERMIt APPLIOATION I <br /> P/ease complete mi Sections, I through5,I 4. FE~ SCH~ (~mpleteandent~to~linAl <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Directions <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br />Electrical Contractor 9]~ ~/~]~ ) <br /> <br />Con,actor's Board Reg. No. q4~/ Job No.. <br />Signal ~e o f Supe~ising Elec~ici~'~'~ <br />Supe. isor's License No. t~%g% Phone <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner (please prinO <br /> <br />Mailing Address Phone <br /> <br /> City/State/Zip <br /> <br /> Owner's Signature: <br /> <br />3. PLAN RRVIRW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-34 12/94 <br /> <br /> Number of Inspections per permit allowed ~ <br /> Residential <br /> Pe~ <br /> Unit <br /> ! <br />Service Included: Items Coat (each) Sum I <br />1000 sq. ft. or less $85.00 4 <br />Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy $20.00 1 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 ~ 2 <br /> <br />B. Services or Feeders (Does not include branch circuits, see section D) <br /> Installation, Alt*ration or Relocation I /~/~ <br /> 200 amps or less I $50.00~ 2 <br /> 201 amps to 400 amps $60.00 __ 2 <br /> 401 amps to 600 amps $100.00 __ 2 <br /> 601 amps to 1000 amps $130.00 __ 2 <br /> Over 1000 amps or volts $300.00 __ 2 <br /> Reconnect only $40.00 __ 2 <br /> <br />C. Temporary Services/Feed*rs <br />Installation, Alt*ration, or Relocation <br />200 amps or less $35.00 __ <br />201 amps to 400 amps $40.00 __ <br />401 amps to 600 amps $80.00 __ <br />Over 600 amps or 1000 volts <br />see 'B" above <br />D. Branch Circuits <br />Now, Alt*rations, or Extension P*r Panel <br />a) The fee for branch circuits with <br />purchase of service of feeder fee <br /> Each branch circuit "~ $ 2.00 <br /> <br />I0 <br /> <br />b) The fee for branch circuits without <br /> purchase of service or feeder fee <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35.00 <br />$ 2.0o <br /> <br />E. Miscellaneous (Service or Feeder No~ Included) <br />Each pump or irrigation circle $40.00 <br />Each sign or outline lighting $40.00 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 __ <br />F. Each additional Inspection <br />Over the allowable in any of the <br />above, per Inspection $35.00 __ <br />G. Minor Installation Labels <br />Pack of I0 labels @ $5.00 each $50.00 <br />(sold only to electrical contractors) <br />H. Other <br />(As required by Building OtticiaD <br />Aurora Dwelling Electrical Fee <br /> Dwelling Permit Label <br /> <br />__sq. fl. x $.06 =__ <br /># of Labels <br /> <br />N/C <br /> <br />5. FEES Al. Enter total of fees from Sec.//4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. Enter 25% of line A 1 for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (if required) <br />D. Reinspection Fee ($25.00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />Receipt No. <br /> <br /> <br />