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MARION COUNTY BUILDING INSPECTION <br /> ~Cnator Bldg No 225 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Supervising <br />Electrician s No <br /> <br />Site NO <br />Phone <br />Phone 'Addre5~ <br /> <br />Home Builder~ Reglstrahon No <br /> <br />Use of ~sidenbal [] New ~ <br />Budd]n9 Commercial ..... F~ J Alteration LJ <br /> <br />Mai]lng Address <br />Cross Street <br />Address <br /> <br />Addition ~] Occupancy <br />Relocabon ~ Change ~-] <br /> <br /> No RESIDENTIAL <br /> Residenco winng less than 1000 sq ft ar, $ 30 00 <br />I . Re~idencewlring lessthan 2.000 sq fl (i,, $ 50 00 <br />.... Residencewiring over 2000 sq ft (q $ 70 00 __ <br />..... Electric heatinstallahon in ex,stun9 res,dance (?~' $ 20 00 <br /> SERVICES <br /> ...... TompomryConstruvt~en Serwce (m$ 2.000 <br />.... Service change only m an existing residence [~,, $ 20 00 <br /> Commercial or Industrial: <br />....... Service not over 100 amperes s~ $ 30 00 <br />.... Serwce over 100 amperes hut not more Ihan 200 amperes vr~ $ 50 00 <br /> Service over 200 ampo~es but not moro than 400 amperos ,~ $ '70 00 <br />.... Ser~ee over 400 emperes but not more then 600 amperes (:~ $ 10000 <br /> Service over 600 arnpores (~ $ 13b 00 <br /> Service o'~er 600 voll5 I<~ $ 300 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders:: <br />.... NotmOrethanl00amperes r=, $ 2000 <br /> Over tOO amperes but not r~oro than 200 amperes ,¢ $ 30 00 <br /> Ove~ 200 amperes but not mo~e titan 400 on, polos ~ .50 00 <br />.... Over400arnpere$ ,. $ 6000 <br /> Feeder over 600volts ¢~ $ 80 00 <br /> MISCELLANEOUS <br /> <br /> O Eachelectncs~gnorouflinehghtmg <=, $ 2000 <br /> BRANCH CIRCUITS <br /> <br /> Other (as per NEC 8r~d Burldmg Ofhcial) <br /> On-Site Technical Rewow fapply directly at Manon County only <br />__ InduStrial Plarli Inspechor~ lapply directly at Mar~on County only) <br /> Remspection Fee <br /> <br />Please return COMPLETE APPLICATION <br /> <br />FEE <br /> <br /> with the indicated fee FLEET SURCHARGE .... <br /> /,~ TOTAL $ <br /> / ...... .......... <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property descrrbed above, at which Iocabon I propose to make an electscal installation for <br /> my own use and this propert~ ~s not bern§ constructed for sale, lease or rent <br /> <br /> SIGNATURE Of APPLICANT (~w~ r'~oir;g i~l~; ~ ~] I WO~I - <br /> MC 15-34 <br /> Rev 3~a8 <br /> <br /> <br />