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MARION DIN INSPECTION <br />Received By, enator Bldg,, NO, 225 <br /> <br /> Phone $88-S147 <br /> Code-A-Phone 4::$0 P,M, - $::00 A.M <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone <br /> <br />Site NO <br /> <br />Phone <br /> <br />Phone <br /> <br />Mailing Address:: <br /> <br />Address:: <br /> <br />Address <br /> <br /> Home Builder's Registration No,;: <br /> <br /> Use of Residential [] New [] Addition [] Occupancy <br />Electricians No Building Commercial [] Alteration ~ Relocation [~ Change LJ <br /> <br /> No,, RESIDENTIAL <br /> Residence w~ring less than 1000 sq ft (~ $ 50 00 <br />--7 Residencewidnglessthan2000sq ft ¢~$ 7500 <br />__ Residence wiring over 2000 sq ft (~¢ $ 10500 <br />__ Electric heat installation in exishng residence (m$ 30 00 <br /> SERVICES <br />__ Temporary Construction Service (~, $ 30,00 <br />Service change only in an existing residence (_~¢ $ 0000 <br />Commercial or Industrial;; <br />__ Service not over 100 amperes (~* $ 4500 <br />__ Service ever l00 emperes but net more then 200 amperes (~?$ 7000 <br />___. Serviceover200amperesbutnotmorethan400amperes r~$ 10000 <br />Servise over 400 amperes but not more then 600 emperes ¢_i~$ 15000 <br />__ Service over 600 amperes (~ $ 200 00 <br />Service over 800 volts (~= $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDFRS <br />installation of Alterations or ReloCation of Distribution Feeders; <br />....... Not more than 100 amperes (~ $ 25 00 <br />__ ©verl00emperesdutnotmorethen~00emperes (b $ 4000 __ <br />____ Over200amperesbutnetmorethan400amperes ¢~$ 7000 <br />Over400amperes (~ $ 8500 <br />___ Feederover600volts (?~: $ 120 00 <br /> MISCELLANEOUS <br />A Each trailer or mobile home space tSer~ice equipmentl Lr~~ $ 25 00 <br />__ B Each supply for mobile home,Connection) (~= $ 25 00 <br />C Each irrigation pump (Attach a map showing Iocationl (¢i~ $ 30 00 <br />__ D EacheIectricsignoroutlinelighting (i~=$ 3000 <br />...... E Each swimming pool(bonding) ¢i~ $ 30 00 <br /> BRANCH CIRCUITS <br />__ One new circuit= alteration or extension ~¢~ $ 20 00 <br />___ Twoormorenewctrcuits, alteratioesore×tensions (~i $ gO00 <br />__ OIher (as per NEC and Building Official) <br />.... On-Site Technical Review (apply directly at Marion County only} <br />.__ Industdal Plant Inspection (apply directly at Marion County only) <br />__ Reinspemi0n Fee (i~: $ 20 O0 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br />with the indicated fee,, INVESTIGATION FEE __ <br /> FLEET SURCHARGE <br /> <br /> TOTAL __ <br /> <br />BIG NATg g E O~' APPLICANT <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the propert~ described above: at which location I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent <br /> <br />8fGNATUPE OF APPLICANT <br /> <br /> <br />