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~, f~ ON COI~Ty I~UILDING INSPEC'~ON <br />Received By: ~ ~ Senator Bldg. No, 225 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Ete~~ """ ~ Home Builder's RegJ n NO.: <br />p ''ng ~- ~ '" U~eof Residential ~ New ~ Addition ~ Occupancy <br />Electrician~ No,;~ ~ J Building: Commercial ~ Alteration ~ Relocation ~ Change <br /> <br /> NO, RESIDENTIAL <br /> .... Residencewlring less than 1000 sci, ft ................................. @_ $ 50.00 <br /> __ Residence wiring less than 2000 sq. ft ................................. @ $ 75,00 . <br /> .... Residence wiring over 2000 sq. ft .................................... @ $ 105,00 <br /> ____ Electric heat installation in existing residence ........................... @ $ 30.00 <br /> SERVICES <br /> Temporary Construction Sea/Ice ..................................... @ $ 30.00 <br /> __ Service change only in an existing residence ........................... {~ $ 00,00 <br /> Commercial or Industrial: <br /> __ Servicenotoverl00amperes ....................................... @$ 45,00 <br /> ,, Service over 100 amperes but not more than 200 amperes ................. @ $ 70,00 <br /> .... Service aver 200 amperes but not more than 400 amperes ................. ~-~} $ 100.00 <br />-- Serviceover4OOamperesbutnotmorethanGOOamperes ................. @ $ 1,50,00 <br />__ Service aver G00 amperes ......................................... @_ $ 200.00 <br />__ Service over 600 volts ............................................. @ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterationa or Relocation of Distribution Feeders: <br />_,__ Not mom than 100 amperes ........................................ 6) $ 25.00 __ <br />__ Over 100 amperes but not more than 200 amperes ....................... @ $ 40,00 <br />__ Over 200 amperes but not mom than 400 amperes ....................... @ $ 70.00 <br />__ Over400ampetes ............................................... @ $ 85,00 <br />_,__ Feederover600volts ............................................. @ $ 120,00 <br /> MISCELLANEOUS <br />__ A, Eachtrailerormobilehomespace(Serviceequipment) .................. ~.)$ 25.00 <br />__ B, Each supply for mobile home (Connemlon) ........................... @ $ 25.00 <br />__ C, EachJrdgationpump(At~achernasshowing[oeation) ..................... @$ ;30.00 <br />__ D. Eachelectricsignorourllnellghtlng ................................ @$ 30.00 <br />....... E. Eachswimmingpool(bonding) ................................... @ $ 30,00 <br /> BRANCH CIRCUITS <br />__ Onenewctmuit;alterationorexrension ............................... ~lb$ 20.00 <br />--,__ TwootmorenewcimuJts;alteratJonsorextensions ....................... @$ 30,00 <br />__ Other (as per NEC and Building Official) ......................................... <br /> On-Site Technical Review (apply din~atly at Marion County only) ...................... <br />__ Industrial Plant Inspectlon (apply directly at Marion County only) ...................... <br />___ Reinspectlon Fee ................................................ @ $ 20,00 <br /> FEE __ <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN R[dViEW FEE <br /> <br /> with the indicated fee. INVESTIGATION FEE , <br /> ELEET SURCHARGE J,~ '~7. <br /> TOTAL I$ _~,~ " <br /> <br />SIGNATU~ OF APPLICANt__ ~ . ~ ~ ~Ob <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner of ~ p~per~ described above, at which location I propose to make an electrical inst~lletion for <br /> my own use and this p~perty is not being constructed for sale, lease or rent. <br /> <br /> <br />