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Phone saab147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Phone <br />~',~'"- ~"#~ .~ Site NO <br /> <br />:el Firm <br /> <br /> Supervising Electrician Phone:: Address <br /> <br /> Electrical Contractor's Ne Home Builder's Registration NO <br /> <br /> Supervising <br /> Use of ,~ . ~ ' / Residential ~¢' New ~ Addition [] Occupancy <br /> Electrician's No B u lid i n g ~.~#~J~.q/t¢ ~t~, ¢~. Cc m m e rcial [] Alteration r..~ Relocation ~J Change [] <br /> <br /> NO, RESIDENTIAL <br /> ____ Residence wiring lessthan 1000 sq ft (~:; $ 50,00 <br /> ___ Residence wiring less then 8000 sq, ft ([~ $ 7500 <br /> __ Residence wiring over 2000 sq ft ..... ~d) $ 108 00 <br /> Electrichaatinetallationinexistingresidence ~[~$ 3000 __ <br /> SERVICES <br /> ! <br /> Temporary Construction Service ....... (~z~ $ 30,00 <br /> Service change only in an existing residence ~:' $ 8000 <br /> Commercial or Industrial: <br /> _ Service not over 100 amperes (~, $ 4500 <br /> __ Servieeoverl00amperesbutnotmorethan2g0amperee ((¢$ 7000 <br /> __ Service over 200 amperes but not more than 400 amperes 4¢~ $ 100 00 <br /> __ Service over 400 amperee but not more than 600 amperes (g,$ 18000 <br /> Service over 600 amperes ('_~ $ <br /> .... Serwce over 600 volts ¢~> $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ NoImorethanl00amperes ~,$ 2800 <br /> Over 100 amperes but not more than 200 amperes (& $ 40 00 <br /> __ Over gOO amperes but not mere than 400 amperes Ch $ 70 0g <br /> ..... Over 40g amperes ~,,$ 8500 <br /> __ Feeder over 600 volts (~]~ $ 12000 .... <br /> MISCELLANEOUS <br /> __ A Each trailer or mobile home space Servi~e equipmen) (~t~ $ 28 00 <br /> B Eachsupplyformob ehome!Oonne¢ on) ('~'$ 2500 <br /> __ C Each irrigation pumplAttach a map showing Iocation) ~ $ 3000 <br /> ___ D Eachelectricsignor outline fighting ~,~: $ 30 00 _, <br /> ___ E Each swimming pool (bonding) ~ $ 3000 ..... <br /> BRANCH CIRCUITS <br /> One new ciroUt: el era on or extens on (~ $ 20 00 <br /> Two or more new circuits:; alterations or extensions (~: $ g000 <br /> ___ Other asperNECRndBuildingOf ce) <br /> On-Site Technical Review (apply directly at Marion Coumy only) ,~_ <br /> Induetnel Plant Inspection (apply directly at Marion County only) <br /> __ Reinspection Fee ~ $ 20 00 <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION ,,~- ._ PLAN REVIEW FEE <br /> "~-'~,¢' '~'''*-' ............... ~E <br /> with the indicated fee,, FLEET SURCHARGE --:~¢~'(,/ ..... <br /> <br /> I agree o make t~e eec ca ns a a on according ~o the submitted plan~ and spec~fica ions: he awe o ho 8 a e o O eson and he O d nance$ o Marion Country <br /> <br /> SIGNATURE OF APPLICANT L~O.~ NO <br />H~'~MOMEOWNERS - I hereby certify t.~,t I em .t.'/~0/wner of the property described above, at which location I-propose to make an electrical installation for <br /> mY °wn use a nd this prop~bein?.,,,~P4:?tr/)~',dcted for sale, lease or rent <br />81G NATU R E OF AP PLICJ~/~/~/~/.,,,¢V~'~ <br /> <br /> <br />