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MARION COUNTY BUILDING INSPECTION <br /> ~J~UN,~Y,~DE~VELOPMENT CENTER <br />FOR CITY VALIDATION[ ly//~r~m 132 PERMIT NO: <br /> <br />~se <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Cross Street/Directions: <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. CONTRACTOR INSTALLATION ONLY <br /> <br /> 2B. FOR OWNBR INSTALLATIONS <br /> <br /> Prope~y Owner (ple~s~print) <br /> <br /> City/State/Zip <br /> <br /> Owner's Signature: <br /> <br /> 3. PLAN RBVIBW 8BCTION <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 1/96 <br /> <br />A. R~sldential P~ Unit Number of Inspections per permit allowed -~ <br /> S~rvic~ Included: ltema Cost (each) Su <br /> m~ <br />1000 sq. fl. or less $85.00 4 <br />Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy ~ $20.00 ~ <br />Each Manufactured Henna or Modular <br /> Dwelling Service or Feeder $40.00 -- 2 <br /> <br />B. ~h*rviees or F~d*r a (Do~a not include branch uireuits. ~ ~eetion D) <br /> <br />Installation, Alt~ation or Relocation <br />200 amps or les~ $50.00 2 <br />201 amps to 400 amps $60.00 -- 2 <br />401 amps to 600 amps $100.00 -- 2 <br />601 amps to 1000 amps $130.00 __2 <br />Over 1000 amps orvolts $300.00 -- 2 <br />Reconnect only $40.00 2 <br /> <br />Tzmporary <br />Installation, Alt~ation, or Releontion <br />200 amps or less $35.00 -- 2 <br />201 amps to 400 amps $40.00 -- 2 <br />401 amps to 600 amps $80,00 2 <br />Over 600 amps or 1000 volts <br />see "~ above <br />Branch C/reuits <br />New, Alterations, or llxte~aion per Panel <br />a) The fee for brnnch cimuits ~ <br />nurcha~¢ of service of feeder tee <br />EaCh branch circuit $ 2.00 <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 />E, Miaoollan~, (8ervie~ or Fo~dor No~ lnehd~d) <br />~eh pump or i~igation clinic ~,ffi 2 <br />~eh si~ or outline li~t~g ~,~ 2 <br />Si~al c~t(s) ora l~i~d <br />~nd, al~afi~ or ext~inn ~ 2 <br /> <br /> Over the allowable in any of ~e <br /> above, ~r Impect~n $35.~ <br /> <br /> Pack of 10 labe~ ~ $5.~ ~eh $~.~ <br /> (sold only to electricM co.actors) <br />H. Oth~ <br /> (~ requi~d by ~il~ O~wiaO <br /> <br />Al. Enter total of fees from S~c.//4 <br />A2. Add 5% surcharge (.05 x Al) <br /> Subtatal $.__ <br /> <br />B. Enter 25% of line A 1 for Plan Review <br />(See. 3), if required $.__ <br />C. Investigation Fee (if required) $.__ <br />D. Reimpeetion Fee ($25,00) $.__ <br /> <br /> TOTAL AMOUNT DUE <br />Receipt No. ~- <br /> <br /> <br />