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Received By ~_/~],_~'-~_> <br />Date:: <br /> <br />ll/iARI(~'N COUNTY BUILDING iNSPECTION <br /> Senator Bleg,, NO. 225 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> [/?:.~lr:7'~-~.~ Phone Mc)lng Ad. Cross' <br /> Phone Addre~ <br /> Phone;; Address;; <br /> <br />4o Home Builder~ Registration NO:: <br /> U~~ ~.. ~ Residential ~"New ~ ¢ Addition ~ O~upancy <br /> --...-Building d~/E ~¢,~ Commercial-- <br /> <br />Owner~ <br /> <br />Job Address:: <br /> <br />Supervising Electrician <br /> <br />Electrical Contractors No <br /> <br />Supervising <br />ElectricJan=s NO <br /> <br /> No. RESIDENTIAL <br />____ Residence wiring less than 1000 sq ft .................. ('¢? $ 50,00 <br />___ Residence wiring lessthan 2000 sq ft ................ @ $ 75 00 <br />__ Residencewiringover2000sq ft .... @~$ 10500 <br /> Electric heat installation in existing residence @$ 30,00 <br /> SERVICES <br />/ Temporary Construction Service ......................... @ $ 30.00 <br />....... Service change only in an existing residence @ $ 3000 <br />Commercial or Industrial: <br />___ Servicenot over 100amperes @ $ 4500 <br />..... Service over 100 amperes but not more than 200 amperes @$ 70,00 <br />__ Service over 200 amperes but not more than 400 amperes ........... @ $ 100 00 <br />__ Serviceover400amperesbutnotmorethan600ernperes ............... ~$ 150,00 <br />__ Service over 600 amperes ................... @ $ 20000 <br />..... Service over 600 volts @ $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alteratioe$ or Reloaatlon of Distribution Feeders: <br />__ Not morethan 100amperes ........... @ $ 25 00 <br />Over 100 amperes but not mere than 200 amperes .... @ $ 40 00 <br />Over g00 smperes but not more than 400 amperes ...... Ca)$ 70,00 <br />__ Over400amperes ........ @$ 8500 <br />__ Feederover600volts ............ ('¢$ 120,00 <br /> MISCELLANEOUS <br />..... A Each trailer or mobile home space (Serviceequipment) ............ ('~ $ 25 00 <br />__ 13 Eaohsupplyfor mobile home(ConneBtion) ............ L~. $ 2800 <br />___ C Each irrigation pump(Attach a mapshowinglocation) @ $ 30.00 <br />.___ D Each eleotricsignoroutlinelighting ~l~ $ 3000 <br />__ E, Eachswimmingpeol(bonding) @$ 30,,00 <br /> SRANCH CIRCUITS <br />__ Onenewoircuit;alterationorextension ..... @$ 2000 <br />__ Twoormorenewcimuits;alterstionsorextensions ¢' $ 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 direcuy at Marion County only) <br />__ Reinspectlon Fee .... ('d~ $ 2000 <br /> FEE __ <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION ,,~ n PLAN REVIEW FEE <br />with the indicated fee. <br /> ~NMEST~C A-T4C.%' <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />SIGNATURE OF APPLICANT .~../. <br /> <br /> my own use and this property is net being const ru~:¢ for sale, le.~e er r~_t <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />