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OFRCE UEE ONLY <br />R~ceived by: <br /> <br />MARION COUNTY BUILDING INSPEC'~j~ <br /> 220 High S/me~ NE <br /> <br /> Phone 588-5147 8::~ a,,m,, - 4~0 p.m. <br /> ~P~: ~ <br /> F~; ~ <br /> <br />ELECTRICAL PERMIT APPLICATION <br />P,~a,~ c:ornp/ete a//Sect/ons, I through 5 <br /> <br />2B. FOR OWNER ~b-'TALLAllC~S <br />Property Owner <br /> <br />Mailing Address I Phone <br /> <br />The Installation ia t~elng made on property I Own which Js not Intended tee sale, <br /> <br /> Pl..A[q REVIEW SECI1ON <br /> Check appropriate item and enter fee in E~c~n 58. <br /> <br />__ Connected Load over 200 ampe (except single family dwetlinge) <br />__ Building syetem over g~X) ampe (except single family dwellings) <br />__ System over 600 veffe <br />__ Building OVer2 etories <br />__ Building over 10.000 square feet <br />__ Occupant load over 300 persons <br />__ Manufactemd Dwelling Park/~tion Park <br />__ HazanJoue b=ca~ns <br /> <br />Submit 2 sets of plane with any of the above. <br />Temporary conetru~on eerviees do not al:vply. <br /> <br />leeued by: <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br />Number of Inspections per permit allcMed <br /> <br /> Multi-Family per dweltlng unit <br /> ($ervlce indud~d) <br /> 1500 sq. ft, et le~ <br /> <br /> Each M fg.'d Ho~ or M~ular <br /> <br /> ~01 ~ste ~ ~ <br /> ~l~s <br /> ~1 a~ 1o 10~ ~ <br /> <br /> R~nn~t Only <br /> <br />~ Tem~m~ ~wlee~em <br /> <br /> 200 a~ or le~ <br /> <br /> ~er ~ ~s or ;0~ ~1~ (~ <br /> <br /> ~e eimult <br /> <br /> E~h ~d'l ~n simsi~ or posen <br /> <br />E. MJscellaheoua <br /> <br /> ~ch pu~ or kdga~n <br /> ~h s~n or outline ligh~ng <br /> Sign~ clmuit(s) or a limit~ ene~ <br /> ~el. altem~on or ex~n~on <br /> <br />R Esch edd'l Ins~c~on <br /> over the ~low~le in ~y of <br /> <br /> (~eld on~ to e~l cont~o~) <br /> <br />I~ems x Cost = Total <br /> <br /> $85. <br /> $ 15, -- <br /> <br />__ $~,, __ <br /> <br />/ $ <br /> $130. <br /> <br />__$40, 2 <br /> <br />__ $35, __ 2 <br />__$so, 2 <br /> <br />__$36__ 2 <br />__$38__ 2 <br /> <br />Enmr tateJ of feee imm see. <br />Add 5% surchmge (.05 x <br /> <br /> Subtotal <br /> <br />B. Enter 25% of line A~ for Plan Review <br /> (Sec, 3), if required <br />C. Inveetlgabon Fee (if reqJired) <br />D. Re;nspe~ion Fee ($2~.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />