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MARION COUNTY BUILDING INSPIICTION <br /> COMMUNITY DEVI~-LOPMIqNT CENTF.,R <br /> 285 Church St NE · Room 132 <br /> FOR CITY VALIDATION .......... <br /> Received by-. [ ~ - f//"'~ ,~0~ ~ ~/alem, ~K ~/.~Ul <br /> Date: ~ ~,~.~)~f ~L~ 24 Hr lnepecfioa Line: 588-7904 <br /> I'~X~A t~9' L~fr~e: 5885147 8:00a.m.-4:30p.m. <br /> <br />I ELECTRICAL PERMIT APPLICATION I <br /> Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PER,firs ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DA YS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Pwperty Owner (p/e~sepri~) <br /> <br /> Mailing Addreas I <br /> City/State/Zip <br /> <br /> Owner's Signature: <br /> <br /> 3. PLAN RBVIBW $1~CTION <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 />Issued by:MARION COUNTY <br /> BUILDING INSPECTION <br /> <br />4. ~E ~CH]~DUL~ (C~mpleta and eatg~ ~ml h Al ~bw) <br /> N~er of ~do~ p~ ~it al~ ~ <br /> R~d~ial <br /> P~ <br /> UnR <br /> <br />1~ ~. fl. ~ las $85.~ 4 <br /> <br /> ~ ~n ~f $15.~ <br />~ited ~ $20,~ 1 <br /> <br /> ~l~g ~ or ~ ~.ffi 2 <br /> <br />· ~ P~s not ~el~ ~neh elRult~ see se~D) <br /> <br /> 200 amps or less $50.00 2 <br /> 201 aml~ to 400 amps $60,00 2 <br /> 401 tala to @ amps $100.00 2 <br /> 601 amis to 1000 a-aps $1~0,00 2 <br /> Over 1000 amps o~ rolls ~100.00 - 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Temp~nry Se~viees;Fecde~s <br /> <br /> 200 amps or I~ $35.00 :2 <br /> 201 nmps to 400 amps $40.00 __2 <br /> 401 amps to 600 amps $80.00 2 <br /> <br /> a) The fee f~ branoh circuits ~ <br /> Each branch ¢~uit $ 2.00 <br /> <br /> b) Thc fee fec [nan~h ~inuita without <br /> <br /> First branch ¢i~ult [ <br /> ~ ad~al b~ch c~t ~ <br /> <br />E. M~n~s (~v~ ~ F~ ~ Include) <br /> <br />F. ~ch edditio~l I~n <br /> ~r ~c ~ow~lo ~ ~y of ~ <br /> <br />O. Min~ ~a~t~n ~b~ <br /> ~ck of 10 I~ ~ $5.~ ~h <br /> (~d ~y ~o ~l~i~I ~cto~) <br />H. ~ <br /> (~ required by ~il~ O~ial) <br /> <br /> ~elling Pe~it ~ <br /> <br /> $40.00 2 <br /> $40.00 2 <br /> <br />$40.00 2 <br /> <br />$35.00 <br /> <br />$~o.0o <br /> <br />I.a/.t/.x$.06 =__ <br />#ofLche~ NIC <br /> <br />5. PEE8 <br /> A 1. ~nter total of t~e~ from Sec, g4 <br /> A2. Add 5% s~har~ (.05 x A 1) <br /> ~bt~al <br /> <br /> B. ~r 25% oFline Al ~r Plan Renew <br /> (~. 3), <br /> C. Inv~tigat~n ~ (ifmq~d) <br /> D. ~p~t~n Fcc ($~.~) <br /> <br /> ~ ~O~ D~ <br /> Re~i No. <br /> <br /> <br />