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Received <br /> <br />MARION COUNTY BUILDING INSPIlCTION <br />COMMUNITY DEVELOPMEHT CENTER <br /> <br /> o~ ss~ss4~ s:m~.-4:~.n. Issu~ ~ILDIN~ INSPEOTION <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br /> PERMITS ARE NON-TRANSFERABL~ AND EXPIRE IF WORK 15 NOT <br /> STARTED WITHIN l~0 DAYS OF ISSUA~CI[ OR IF <br /> WORK IS SUS/~NDED FOR 180 DAYS. L <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Signature of S upervish~g Elec~cian <br /> <br />:3. PLANRBVIBW SBCTION <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) se~ of plans and <br />specifications with this application. <br /> <br /> 4. FilB 8C}'II:II)UL1:1 (Complem and enter Ioml i~ Al below) <br /> <br /> A. R~id~tlal Per Unit Number °f lrmlmcti°rm P~r Permit all°w~l '--/ <br /> 8er, d~lstdad~h [t~ans Co~t(eaoh) Sum I <br /> I000 sq. fl. or lena $8~.00 .4 <br /> ~a~h ndditionsl 500 sq. ft. <br /> o~ pot6on thereof $15.00 <br /> Limited Energy $20.00 1 <br /> Fsaeh Mnnufaotured Home or Modular <br />LServioe or Feeder $40.00 2 <br /> <br /> s (Does not in~lu& branch ¢ir~ui~ nee section D) <br /> , ~. $~o.0o <br /> $100.00 <br /> <br /> 601 aml~ ~o 1000 amps <br /> Ov~ 1000 amp~ or ~ <br /> ~n~t ~ly <br /> <br /> ~or 1~ <br /> <br />O. Bran~ Cir~as <br /> <br /> b) ~o f~ f~ ~ch ci~u~ wight <br /> <br /> Flint ~ch ci~t <br /> <br /> ~h p~ or ~g~on <br /> ~h si~ oro~e <br /> <br /> ~r the ~owable ~ an~ of ~e <br /> ~v~ ~ Im~n <br />O, Min~ Inma~tion ~b~ <br /> <br /> 2 <br /> 2 <br />,2 <br /> 2 <br /> 2 <br /> 2 <br /> <br />$35.00 2 <br />$4O.OO 2 <br />$80.00 2 <br /> <br />$ 2.00 <br /> <br />$ 2.00 <br /> <br />$35.00 <br /> <br /># of Labob. N/C <br /> <br />FEES <br />Al. Enter ~otal of fee~ tram S~e.//4 <br />A2. Add 5% sur~hargo (.03 X Al) <br /> <br />~abt~ai <br /> <br />B. ~,xter 25% of Fm~ Al for Plan <br /> (S~. 3), if r~quired <br />C. lnve~tignfion Fee (ifr~quimd) <br />D. Reinsl~ction F~ <br /> <br /> TOTAL AMOUNT DUE <br />Receipt No. <br /> <br />MC 1.$-34 <br /> <br /> <br />