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MARION_C_Q.I, il~y BUILDING INSPItCTION <br /> (~~DE¥ EL~.PMEHT CHNTBR <br /> I ~hStNE Room 132 . <br /> <br />R~ by:, ~~ D~O: <br />~to: 2&~tlo~ Line 373~427 <br /> ~R~e~ ~!~147 8:00am - 4:30pm <br /> <br />PI~~~ ~~h AI be~w) <br /> A. R~identhl P~ Unit Nmn~ of~et~ p~ ~it al~ ~ <br />1. LOCATION OF ~TION lt~ Cml (e~h) Sm I <br /> <br />Cro~ $1reet/Directior~: <br />]obDesctiption: ~'¥., ~_~ ~, <br /> <br />PEI~ MIT8 ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHEq 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />FOR OWHER INSTALLATIONS <br /> <br />Property Own=r (pl~sol~rint) <br />Mailing Addr~s J Phone <br />~3hy/Sixte/Zip <br />Owner's Signature: <br /> <br />3. PLANREVIEW SECTION <br /> <br />Section 5B and submit two (2) sets of p{ans and <br />specifications with this application. <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br /> <br />MC 15-341/96 <br /> <br />8er vice Included: <br />I000 sq. fi. or leu $8S.00 4 <br />Each additional 500 sq. E, <br /> or portion thereof $5.00 <br />Limiled Energy ~ $20.00 r~0tt~ 1 <br />Ellch Mane factured Home or Modular <br /> D~dlka Service or l~ler $40.100 2 <br /> <br />B. Services or Feed~s (Does not io¢lude banch circulis, ~ section D) <br /> <br /> 200 amps or le,~ $50.00 2 <br /> 201 mnps to 400 sml~ $60.00 2 <br /> 401 ~mps to 600 stops $100.00 2 <br /> 601 amps to 1000 nmp~ $130.00 2 <br /> Over 1000 ampa or voll~ $300.00 2 <br /> Reconn~t only $40.00 2 <br /> <br />{2. T~mp~ary 8orviee~Feede, <br />Inatallation, Alieeation, ~r Reioeation <br />200 amps or less $35.00 2 <br />201 nmps to 400 ~mln $40.00 2 <br />401 amps to C~O amps ...... $80.00 2 <br />Over 600 amps or 1000 voll~ <br /> <br />D. Branch Circuits <br /> <br /> a) The fee f~' branch eircuils ~ <br /> purcl~c of service of feeder fee <br /> I~¢h brnnch ci~ult .... $ 2.00 <br /> <br /> b) The fe~ fc~ branch circult~ without <br /> p~t'e.~lse of s~rvlae or f~e. der fee <br /> Firat branch circuit $35.00 <br /> Each additional branch circuit $ 2,00 <br /> <br /> ~q-fl. x $.068 = <br /># Of Latnb <br /> <br />5. PEGS <br /> A I. Enter Iotal of fees from Szc. #4 <br /> Al. Add 5% Su~hat~(.05xAI.) <br /> <br />8ubto{al <br /> <br />B. Enler 25% of line Al for Plan Review <br />(Sec. 3), if required $.__ <br />C. lnvesligation Fee (if required) $ <br />D. Relmpection Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUB $.2 <br /> Receipt No. <br /> <br /> <br />