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Received By; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> :~ :/" ~e~ator Egdg. No, 225 <br /> · 220 High Street NE <br /> <br /> GOad-A-PhOne 4:30 RM, - 8:00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />~__...,~. ,, /~ ~ ~1/~ Phone: Mailing Address: <br /> <br />Address: ¢::¢¢ _/ Site No,; Cress Street; <br /> <br />ervising Electrician; Phone; Address: <br />drical Cont~actor~ No,; Home Builder~ Registration No.: <br /> <br />:trioian~ No.: Building; , Oommemial-- ~ Alteration ~ Relocation ~ Change <br /> <br /> NO. RESIDENTIAL <br />..... Residence wiring less than 1000 sq. ft ................................. @ $ 50.00 <br />/ Residence wiring less than 2000 eq, ft ................................. @ $ 75,00 <br />....... Residence wiring over 2000 sq. ft .................................... @ $ 105.00 <br />__ Electric heat installation in existing residence ........................... @ $ 30,00 <br /> SERVICES <br />__ TemporaryConstructtonService ..................................... @ $ 00.00 <br />..... Service change only in an existing residence ........................... @ $ 30.00 <br /> Commercial or Industrial; <br />....... Service not over 100 amperes ....................................... @ $ 4.5,00 <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ 70.00 <br />.... Service over 200 amperes but not more then e00 amperes ................. @ $ 100.00 <br />.--- Servieeover400amperesbutnotmorethan600amperes ................. (~¢ $ 150,00 <br />__ ServiceoverS00amperes ......................................... @ $ 200.00 <br />__ Service over 600 volts ............................................. @ $ 450,00 <br /> COMMERCIAL AND iNDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />..... Not more than 100 amperes ........................................ @$ 25,00 <br />__ Over 100 amperes but not more than 200 amperes ....................... @ $ 40.00 <br />........ Over 200 amperes but not more then 400 amperes ....................... @ $ 70.00 <br />__ Over400amperes ............................................... ((~ $ 85.00 <br />__ Feederover600volts ............................................. @$ 120,00 <br /> MISCELLANEOUS <br />__ A, Eachtrailerormobilehomespace(Serviceequlpment) ................. ~;.~$ 25,00 <br /> B. Each supply for mobile home (Connection) ........................... @ $ 25.00 <br /> C. Eachirrigetionpump(Attacharnapshowinglocation) ..................... @$ 30,00 <br />__ D, Each electric sign or outline lighting ................................ @ $ 30,00 <br />.... E. Eachswimming pool (bonding) ................................... @ $ 30.00 <br /> BRANCH CIRCUITS <br />-- Onenewctreuit;alterationorextension ............................... ¢~$ 20,00 <br />......... Two er more new circuits; alterations or extensions ....................... @$ 30.00 <br />__ Other (as per NEC end Building Official) ......................................... <br />-- On-Site Technical Review (apply directly at Marion County only) ...................... <br />.... Industrial Plant Inspection (apply directly at Marion County only) ...................... <br />.... Reinepdction Fee ................................................ @ $ 20,00 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br /> with the indicated fee. INVESTIGATION FEE <br /> TOTAL $ <br /> <br />~ HOMEOWNER0 - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical inotallation for <br /> my own use and this property is not being constructed for sale, Ieee or rent· <br /> <br />S/GNA'CURE OF APPLICANT:_ <br /> <br />Rev. 1~/88 <br /> <br /> <br />