Laserfiche WebLink
F~)R CITY VALIDATION <br />Received by:, <br />Date: <br /> <br />COMMUNITY DEVELOPMENT CENTER <br /> 285 Ch. h st NB. Room t32 <br /> <br /> O~e: .,~,,ION COUNTY <br /> 24 hr. Inspe~on Line 373~27 <br /> Omc~: ~h~Sa~S~47 S:00~m-n:~0~ ISSU~ by: BBtLD[NG INSPECTION <br /> F~: <br /> <br /> ELECTRICAL PERMIT APPLICATION <br />, Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Dke~tio~ <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />I~ope~y Owner (please print) <br /> <br />Mailing Address ~ Phone <br />Ciiy/State/Zip <br />Owner's Signature: <br /> <br />3. PLANREVIEW 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 />4-. ~,]~ S~H~DI.IL~ (Complat~ and enter to,al in At <br /> N~ of~t~ns p~ ~t ~wed <br /> R~dential <br /> Unit <br />~ Inertia: lt~ ~t (~h) <br />1~ ~q. fl. or less $~.~ 4 <br />~ch ~dif~n~ ~ ~. fl, <br /> or ~ion ~e~f $15.~ <br />Dmited E~ $20.~ <br />~ch Manufacm~ Home or Modul~ <br /> ~ell~g S~ieo or Fe~ ~.~ 2 <br /> <br />B. S~vi~ ~ F~e ~ not include brach ~ ~e s~t~n D) <br /> <br />601 am~to 1000 amps $130.00 2 <br />Over 1000 amps or volts $300,00 2 <br />Recotu~ct only $40.00 2 <br /> <br /> 200 amps or le~ $35.00 2 <br /> <br /> a) The fee for branch e~uits ~ <br /> Each branch circuit $ 2.00 -- <br /> <br />b) The fee for branch circuits without <br /> gl~chase of serviea or fee~er fee <br />F~rst branch ckcuit <br />Each additional branch circuit <br /> <br />$35.00 <br />$2.00__ <br /> <br />E. Mis~llan~oua (S~vlc~ or Feeder No~ Included) <br />Each prop ~ ~gatDn ¢~la ~ 2 <br />~¢h si~ or outline li~6ng $~.~ 2 <br />Sign~ ~i~uit(s) or a limit~ ~n~ <br />~nd, altera~on or ~xt*minn $~.~ -- 2 <br />F. ~ch additio~l i~ion <br />~er ~ allowabl~ <br />~vo, p~ ~tion $35.~ <br />G. Min~ lnatalbtion ~beh <br />~ek of 10 labels <br />(~d only to el~tHcM <br />H. Othm <br />(~ required by ~il~ O~ciM) <br />Aurora Dwelling Elee~eal <br />~dling Pe~it <br /> <br />5. FEB$ ~_~ <br /> Al. Enter total of fees from $~c. #4 $ <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br /> B. Enter25% of line Al forPlan Review <br /> (See. 3), if required $__ <br /> C. Investigation Fe~ (if requited) <br /> D. Reinspeetlon Fee ($25.00) $- <br /> TOTAL AMOUNT Dkl~ $~=~ <br /> Receipt No. <br /> <br />MC 15-341~6 <br /> <br /> <br />