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Date: <br /> <br />MARION COUN'rY BUILDING INSPEC'nON <br /> 220H~h~NE <br /> <br /> Phone 588~147 8.'00 a,,m. - 4~0 p.m. <br /> <br />ELECTRICAL PERltffr APPUCA'IION <br />P/ease comp/eta a// Sections, I through 5 <br /> <br />SITE #: Permit No. <br />Date: <br />Issued by: <br /> <br /> FOR OWNER INSTALLA'nONS <br /> <br />Property Owner <br /> <br />Clty/~.te/Zip <br /> <br />The I~etallation is being made on property I own whi¢h is not intended for <br />lea~e or rent. <br /> <br />PlAN REVIEW SECTION <br /> C, hec, k appmpfia~ ism and en~r fee in Sec~on SB. ~ ~ <br /> Connected Load over 200 amps (exc, ept ~i le ~[~\~ <br /> Buildlng system over 200 amps (except s:T~ fan~llin~gs))~'~ <br /> Buil~ng over ~ s~)des <br /> Building over 10,000 square feet <br /> <br /> Manufactured Dwelling Park/Recmal~on Park <br /> Hazardous LocaCx~s <br /> <br />Tempora~ construction services do not apply. <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br />Number of Inspe,=flene per permit altewed <br /> <br />A. Restdentlat, ~n~t~t' Ibm~a X C¢~t ~ Tet~l <br /> <br />Multi-Family per dwelling unit <br /> <br /> 1500 sq. #,, er le~ <br /> <br /> E~h Mfg.'d H~ or M~I~ <br /> D~lllng ~ <br /> <br /> (~0 ~ ~ <br /> <br /> l~or~ <br /> <br /> ~t ~to~ <br /> ~1 a~lO~ <br /> <br /> R~n~t On~ <br /> <br /> C. Tem~m~ <br /> <br /> ~er ~ ~s or ~0~ volts <br /> <br /> D. Bm~h Clrgul~ <br /> N~, A~m~ <br /> One¢imuti <br /> <br /> E~h ~d'l ~n ~ul= or posen <br /> <br /> E. <br /> <br /> ~h pu~ ruination ~le <br /> ~h s~n or omline llgh0ng <br /> Si~ clm~t(s) or a iimi~ <br /> ~1= a~m~ or ex~on <br /> <br /> F. ~h ~d'l tes~on <br /> ovm ~e Nl~le in any of <br /> <br />~G. Miner Ins~llaflon <br />~ ~ (SoMon~el~l~) <br /> <br /> (~ ~ui~ by ~J~flg ~i~al) <br /> <br />Enter total of fees from Sec. ~.4 <br />Add 5% surcease (.05 x A0 <br /> <br /> SubtotaJ <br /> <br />B. Enter 25% of lin~ A~ for Plan Review <br /> (See. 3). if required <br />C. Invesliga~ Fee (if required) <br />D, ReinsPm~on Fee ($25,00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />$ <br />$__ <br /> <br /> <br />