Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />ow.~i: ~K~ne,. '~'~&'rebs: ..................... <br /> r <br /> <br />Jo~ A~7~ss: bite IN .: <br />775 3Lc~a*Z ~ - 4u~vLZZ* ~72 CrossStreet: <br />' -~ric~J"¢[~; Phone: ~ <br /> <br /> S~perviui~9 El~ctri(:]~n: Phone; ' Address: <br /> ~Lcfiard F. Evan~ 370-9278 /dOd Oa~ 5~*ee~ 5.E. 5aZ~ <br /> EIectncal Conh actor. No, Home Buildor~ RegistratiOn NO: <br /> 2~-/39C 34296. <br />S0'f;;6~,~g ............... ~'-ud~ ........ ~CS~a~ '~ ']-~ ~o~oo ~ oc&~'~ .... <br /> <br /> NO. ~E$1BENTIIL <br /> ResidencewirmglesslhanlOO0sq. ft .......................... u, $ 50,00 <br /> Residencewginolessthan2000sq. ft ............................ {u 8 75.00 ~ <br /> .... Residencewlringover20OOsq. ft ................................... (u $ 105,00 <br /> ....... Electricheatinstaflat[oninexlsting residence .................... ¢a$ 30.00 _ <br /> SERVlCE~ <br /> ~ ....... Tom0oraryConslructio~ ServiOe .................................. S~ $ 30.00 ............. <br /> <br /> Commercial or Industrial: <br /> ServicenotoverlO0amperes ..................................... s, $ 4500 <br /> ....... Service ever ~00 amperes but not more than 200 amperes ............ (,t $ 70.00 <br /> Serviceover20Oamperecbutnotmorethan4OOamperes ............. (a $ 10000 <br /> Service over 400 amperes but eel more than 600 amperes ............ (o $ 15000 .............. <br /> Serviceover60OamporeS ................................ 0, $ 200,00 <br /> Servicoover6OOvolls ...................................... St $ 450.00 <br /> COMMERCIAL AND INOUSTRIAL FEEDERS <br /> Installation of Alterations Or Relocation of Distribution Feeders: <br /> Not more than l00 ampere5 ................................. ~u $ 2500 ............... <br /> <br /> ...... Over 200 ampere5 but eot more than 400 amperes .................. u, $ 70,00 <br /> ..... Over 400 amperes ......................................... ~,~ $ 65.00 <br /> FeederoverC00volts ......................................... o, $ 120.00 <br /> MISCELLANEOUS <br /> ...... A. Each trailer or mobile home space (~e~v~ce equipmen0 .......... ~u $ 2500 ....................... <br /> B, Each ~upply for mo0ile home (Con~oclion~ .................. (~ ~ 25.00 <br /> ........ O. Each irrigation pump (A~tac~ 8 map [howins loc~tion) ................. u, $ <br /> D. E~ch electdc sign oroullinelighting ....................... (u $ 30.00 <br /> E, Each Sw*mmmg pool(bond~n~) ......................... 0, $ 30.00 <br /> BRANCH CIRCUIT5 <br /> <br /> ......... Two or more new circuits; alte~afiOns or extensions .................... u, $ 30,00 ~ <br /> Other (~s per NEC and Building Official) ......................................... <br /> On-Site Technical Review {apply directly at Marion County ~nly) ~ '~ .... ..... <br /> .... Industrial Plato Inspection (a~ply directly et Marion County only) ..................... <br /> ..... Reinspection Fee .......................................... o, $ 20.00 <br /> FEE <br /> STATE SURCHARGE .... <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE ~ <br /> with the indicated ~ee, FLEET SURCHARGE <br /> <br /> .. ...... . .--~ ...... <br /> <br /> HO~EOWNBRg - t hereby certify that I am the owner of the property described above, at which location I propose to make a~ electrical installation <br /> my own use an~ this property is not Deing constructed for sale, lease or rant. <br /> <br />SIGNATURE OF APPLICANT: __ <br /> <br /> <br />