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MARION COUNTY BUILDING INSPECTION <br />Receired By:: Senator Bid9, No,, 225 <br /> <br />pervismg Electrician <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone <br /> <br />"~ailing Address <br /> <br />Site No Cross Street <br />Phone Address <br /> <br />Phone <br /> <br />Address <br /> <br />Electrical Contractors No <br /> <br />Supervising Useof [ Residential Fq I New L~ <br />Electricians No Building Commercial ¢q Alteration <br /> <br />Home Suilders Registration NO <br /> <br />Addition ~ ..... O~c~ancy <br />Relocation ~ Change [] <br /> <br /> No, RESIDENTIAL <br />...... Residence wiring less than 1000 sq ft <br /> Residence wiring less than 2000 sq ft <br /> ..... Residence wiring over 2000 sq ft <br /> Electric heat installation in existing residence <br /> SERVICES <br /> lempOrary Construction Service <br /> <br /> · Service change ontyin an existing residence <br /> Commercial or Industrial: <br /> ..... Service not ove~ 100 amperes <br />..... Ser',ire over 100 amperes but not more than 200 amperes <br /> ....... Service over 200 amperes but not more than 400 amperes <br /> Service over 400 amperes but not more than 600 amperes <br /> Service over 600 amperes <br />..... Service over 600 volts <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders:: <br /> Not more. than 100 amperes <br /> Over 100 amperes but not more than 2]00 amperes <br /> Over 200 amperes but not more than 400 amperes <br />....... Over 400 amperes <br /> <br /> Feeder aver 600 volts <br /> MISCELLANEOUS <br /> A Each trailer or mobile home space tSerwce equipment~ <br /> B Each supply for mobiJs home fConneot~on) <br />..... C Eacl~ irnga~ion pump (^t~acn a map showing location~ <br /> D Each electric sign or outline lighting <br /> E Each swimming pool (bonding) <br /> BRANCH CIRCUITS <br /> <br />(~¢ $ <br /> <br />25 00 <br />25 00 <br />3000 <br />3000 <br />30 00 <br /> <br /> 5000 <br /> <br />105 00 <br /> 30 00 <br /> <br /> 30 00 <br /> 30 00 <br /> <br />4500 <br />70 00 <br />100 00 <br />150 00 <br />200 00 <br />450 00 <br /> <br />2500 <br />40 00 <br />7000 <br />85 00 ........ <br />12000 <br /> <br /> Z. 7F- <br /> <br /> .... Onenewcircuit;alterationorextension f~ $ 2000 <br /> Two or more new circuds: alters ions or ex ess one (~ $ 3000 <br /> ..... Other (as per NEC and Building Official <br /> .... On-Site Technical Review t~pply d~rectly at Mason County on~y) <br /> __ Industrial Plant Inspection (apply directly at Marion County only <br /> Reinspection Fee ¢ $ 20 00 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee INVESTIGATION FEE <br /> E' ETSURCHAR E <br /> <br />I J HeM EOWN ER~ - I hereby certify that f am the owner of the property described above, at which Iocacon 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 /> <br />