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Received By <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO. 225 <br /> 220 High Street NE <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Job A d~.r e~.~ <br /> <br />S upe r vi/s/hg/E)leotrioiar <br /> <br />Supervising <br />Electricians No <br /> <br />~___¢_ _,'~. ~,ft,) Phone:: Mailing Address:: <br />_ _~_,,~.~ ' Site No Cross Street ....... <br />&~ Phone Address <br />~ --%~' '- Phone Address:: <br /> <br />---~ "~e of .... Residential ~ New ~ Addition ~ Occupancy <br />Commercial ~ Alteration ~ Relocation ~ Change <br /> <br /> No. RESIDENTIAL <br /> Residence wiring lees than 1000 sq tt ¢¢~ $ 5000 <br /> _~_._ Residence wiring less than 2000 eq ft$ 7500 <br /> Residence wiring over 2000 sq ft ~, $ 105 00 <br /> Electric heat installation in existing reeidence (:4~ $ 30 00 <br /> SERVICES <br /> ___ TemporaryConstruction Service ([~, $ 3000 <br />..... Service change only in an ex~etmg reeidence e,' $ 30 00 <br /> Commercial or Industrial:: <br /> Service not over 100 amperes g,, $ 45,00 <br />..... SerwceoverlOOemperesbutnotmorethan2OOamperes o. $ 7000 <br />__ Service over 200 amperos but not more than 400 amperes r~ $ 100 O0 <br />___ Service over 400 amperes but not more than 600 amperes gu $ 150 O0 <br /> Service ever 600 amperes g,, $ 200 O0 <br /> .... @erwce over 600 volts r(~, $ 450 O0 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />.... Not more than 100 amperes _ _ ___ Lg:$ ~500 <br />.... Overl00amperaebutnotmorethsng00amperes ii ii (<~$ 4000 <br />__ Overg00amperesbutnotmorethan400amperee ,:ic¢$ 7000 <br /> Over400amperee ~ $ 8500 <br />__ Feederover600volts g¢ $ 120 00 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile home space (Service equipmen g~ $ 25 00 <br /> B Each supply for mobile home (Conneot~on~ (b~ $ 28 00 <br />__ C Each irrigation pumptAttach a map sh(~win9Ideation) (i¢$ 3000 <br /> D Eachelectncsignorout[inelighting ¢~ $ 3000 __ <br />__ E Eechewimmingpool(bonding ¢¢~$ 3000 <br /> BRANCH CIRCUITS <br />One new cimui = a era on or extens on ~ $ 20 00 <br />__ Twoormorenewcircuits alteratio~eore×tensions (,.i:$ @000 <br />__ Other (as per NEC and Building Official) <br />On-Site Technical Review lapply directly at Marion County only) <br />.... IndtJstriaf Plant Inspection (apply d~reetly at Marion County only) <br />Reinspectien Fee (~f $ ~0 00 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />--?5;o0 <br /> <br /> with the indicated fee INVESTIGATION FEE <br /> FLEET SURCHARGE ~ ..... <br /> <br /> C _ /~ ~~ _ ........ '- _ ' <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner of the property 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 />SI¢NATURE OF APPLICANT <br /> <br /> <br />