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ReCeived By: <br />Data: <br /> <br />MARION C'OuNTY BUILDING INSPECTION <br /> <br />Senator Bldg, No, 22~ <br />p.~e High $[n~t NE <br /> <br /> Phone 688-6147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: Phone: Address: <br />Electrical Firm: , -- Phone: . Address: <br />~u0ervi~in~Ele~rician:~ ' Phone: Address: <br /> <br />.,e~rician~.o.: ~F S Building: ~. Alteration= Additlo. ~ Occupan~ <br />Relo~tlon <br /> <br /> No. RESIDENTIAL <br /> Residence wiring lees than 1000 sq. ff ................................ @$ 30.00 <br />__ Residence wiring less than 2000 sq, ft ................................. @ $ 50,00 <br /> r~esldence widng over 200O sq. ff .................................... @ $ 70.00 <br /> Electric heat icetallatiPn in existing residence ........................... @ $ 20.00 <br /> BERVICE~ <br /> Temporary Construction Service .................................... @ $ 20.00 <br /> Service change only in an existing residence ........................... @ $ 20,00 <br /> Commerelel or Industrial: <br /> Service not over lOO amperes ...................................... @ $ 30.00 <br /> Service over 100 amperes but not more than 20o amperes ................. @ $ 50,00 <br /> Service over 200 amperes but not more than 400 amperes ................. @ $ 70.00 <br /> Service over 400 amperes ~out not more than 600 amperes ................. @ $ 100,00 <br /> Service over 6oo amperes ....................................... @$ 130,00 <br /> Service over 600 volts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ @ $ 20,00 <br /> Over 100 amperes but not more than 200 amperes ....................... @ $ 30.00 <br /> Over 200 amceres but not more than 400 amperes ....................... @ $ 50.00 <br /> Over 400 amperes ............................................... @ $ 60.00 <br /> Feeder over 800 volts ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br /> ~ A. Each trailer or mobile home space (Service equipment) .................. @ $ 20.00 <br />__ B. EachsuppryformobilehomafOonne~ton) ........................... @$ 20,00 <br /> C, Each irrigation pump (Aaaoh a map showing location) .................... @ $ 20,00 <br /> D. Each electric sign or outline lighting ................................ @ $ 20.00 <br />__ E. Each residential swimming peel .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ Onenewcircuit:altarationorextension ............................. @$ 15,00 <br />__ Twoormorenewcimui~;alterationsorextenstons ...................... @$ 20.00 <br />__ Other jasper NECandBulidlngOfficial) ...... , ................................... <br /> On-Site Technical Review (apply directly at Marion County only] ..................... <br /> Industrial Plant Inspection (apply directly at Marion County only) ...................... <br /> Reinspection Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br />with the indicated fee. FLEET SURCHARGE <br /> TOTAL <br /> <br />~iGNATU RE OF APPLrOAN"~ <br /> <br />MO <br />Rev. 3/87 <br /> <br />[] HOMEOWNERS - hereby cart fy that am the owner of the prepeny described above, at which location I propose to make an electrical installation for <br /> my own use and this preperiy is not being constructed for sale. lease or rent. <br /> <br /> <br />