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FOR CITY VALIDATION] <br />Received~by: ~ C [ <br />Dat : ] <br /> <br />24 Hr Im~ction Linc: 588-7904 <br />Offico: 588~5147 8:00 a.m. - 4:30 p.m. <br />FAX: 588-7948 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St NE · Room 132 PERMIT NO~' ~--. v~.) v~7~; ~ ~ ~'~ <br /> <br />ELECTRICAL PERMIT APPLICATION ] <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <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. CoIWrRACTOR INSTALLATION ONLY <br />Electrical Contractor ] Phone <br />Mailing Address <br /> I <br />Property Owner Phone <br /> <br />Contractor's License No. <br />Contractor's Board Reg. No. Job No. <br /> <br />Signature of Supervising Electrician <br />Supervisor's License No. [ Phone <br /> <br />2B. FOR OWNBR INSTALLATIONS <br /> <br />3. PLANREVIBW 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 /> ~VlARION coUNTY <br /> .qglLo~gG INS?~t.;'lUl'~ <br />4. FEE SCHEDULE (Complete and ~r~-total in Al below) <br /> Number of Inspections per permit allowed .=~ <br /> Residential <br /> Per <br /> Unit <br />Service Included: Items Cost (each) Sum <br />1000 sq. ft. or less $85.00 <br />Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy $20.00 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 ~ <br /> <br />B. Services or Feeders (Does not include branch circuitn, see section D) <br /> Installation, Alteration or Relocation <br /> 200 amps or less [ $50.00 :~O.~O2 <br /> 201 amps to 400 amps $60.00 ~ <br /> 401 amps to 600 amps $100.00 __2 <br /> 601 amps to 1000 amps $130.00 <br /> Over 1000 amps or volts $300.00 __ <br /> Reconnect only $40.00 ~ <br /> <br />C. Temporary Services/Feeders <br /> Installation, Alteration, or Relocation <br /> 200 amps or less <br /> 201 amps to 400 amps <br /> 401 amps to 600 amps <br /> Over 600 amps or 1000 veils <br /> see "B" above <br />D. Branch Circuits <br /> H~w, Alterations, or Extension Per Panel <br /> a) The fee for branch circuits with <br /> p~rchase of service of feeder fee <br /> Each branch circuit <br /> <br />$35.~ __2 <br />$4o.~2 <br />$~.~2 <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 />$ 2.00 ,,~~° <br /> <br />$35.00 <br />$ 2.0o <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br />Each pump or in'igation circle $40.00 ~ 2 <br />Each sign or outline lighting $40.00 __ 2 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 ~ 2 <br />F. Each additional ln~p~tion <br />Over the allowable in any of the <br />above, per Inspection $35.00 ~ <br />O. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 __ <br />(sold only to electrical cot~tr~ctors) <br />H. Other <br />(As required by Building O[ticiM) <br /> Aurora Dwelling Electrical Fee sq. ~ x$.06 = __ <br /> Dwelling Permit Label # of Labels N/C <br /> <br />5. FEES ec.~'~ <br /> A 1. Enter total of fees from S . <br /> A2. Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br />B. Enter 25% of line Al for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (i f required) <br />D. Reinspection Fee ($25.00) <br /> <br />Receipt No. <br /> <br />TOTAL AMOUHT DUE <br /> <br />$ <br />$ <br />$ <br /> <br />MC 1.~-34 12./94 <br /> <br /> <br />