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FOR CITY VALIDATIONI <br />Receiwd by:. ~ <br />Date: I <br /> <br />MARION COUNTY BUILDINO INSP~tCTION~-~/~ ~ ~/7~ ~ <br /> <br /> · <br /> <br /> Date: <br /> 24 hr. Inspection Line 373-4427 ~ION COUNTY <br /> Office: PhOneFAX:588-5147588-79488:00am - 4:30pm <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF rNSTALLATI ON <br /> <br />Bi~aior~ <br /> <br />PERMITS ARE NON-TIL~ISFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK lS SUSP~IDED pOR 180 DAYS. <br /> <br />2A. CONTRACTOR IlXg~ALLATION ONLY <br /> <br />s,gn.,,.,o,-s,,.,..,,lu, ),? m,._.. <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Pmparty Owner (ple~ pri~) <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 />4. F[~ltl S~H~DUL~ (Complete and ent~ total in Al below) <br />A. R~id~tlal Pe~ Unit Number °f lnspecti°ns P~ l~mlit all°weLq <br /> <br />Limited Energy $20.00 I <br /> <br /> lnatallatlun, Alt~atioa or Relo~ation <br /> 200 amps or less / $50.00~/~ .~) <br /> 201 amps to 400 mnps $60.00 <br /> 401 amps to 600 amps $100.00 <br /> 601 amps to 1.00Q ~aps $130J00 <br /> Over 1000 amps or volts $300.00 <br /> Reconnect only $40.00 <br /> <br />C. Temporary Servi~atFe*de~s <br /> <br /> 200 amps or less $35.00 <br /> 2.O1 amps m 400 amps $40.00 <br /> ~O1 amps to 600 amps $80.00 <br /> Owr 600 ~aps or 1000 volts <br /> <br />gl!r0111~ff~elYi0e or feeder fee <br /> <br />$35.00 <br />$ 2.00 <br /> <br />E. Miscellaneous (Service, or Foede~ No~ Included) <br />Each pump or irrigation ciml¢ $40.00 2 <br />Each sign or outEae lighting $40.00 2 <br />Signal circuit(s) or n limited ,nergy <br />panel, alteration or ext¢~ion $40.00 -- 2 <br />F. Each addhional i~peetlon <br />Over the allowable in any of the <br />above, per Impection $35.00 <br />G. Minor lnztellation Labels <br />Pack of [0 labels ~ $5.00 each $50.00 <br />(sold only to electrieM contr,~ctors) <br />H. Other <br />(Ns reqnirvd by Building O~cioO <br /> Amora l)welling Electrical Fee __~q. ft.~$.068= <br /> Dwelling Pem~it Label # of Labels I~C <br /> <br />5. FEES <br /> A 1, Enter total of fees from See. fi4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> ~ubto~al $ <br /> <br /> B. Enter 25% of line Al for Plan Reviow <br /> (See. 3), if requk,,oxl <br /> C. Investigation Fe~ (if required) $.__ <br /> D. Reimpeetion Fe~ ($25.00) <br /> <br /> TOTAL AMOUNT DUB <br /> Receipt No. <br /> <br />MC 15-34 1/96 <br /> <br /> <br />