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1. LOCA~N~INSTALLA"rION <br /> <br />MARION COUNTY~0 High Saeet NEBUILDING INSPEC'II~ ~ l~;~" it <br /> <br /> Phone 588~5147 6.'00 ~m. - 4:30 p.m, <br /> <br />· SITE #:: Permit No, <br /> <br />~omramor ~_ ~ <br />Ma ng Address · <br />Proper~ ~ner ~ ~ / I/ ~ <br /> <br />2~ ~ ~ER ~A~ <br />Ptoper~ Owner <br />M~illng Ad'dress ~ Phone <br /> I <br /> <br />The Installation ts being m~do on prope~[~ I OWn wh[ch is not intended for sale, <br /> <br />~, FEE SCHEDULE (Complete a~ld enter total in A~ below) <br />Number o4'lnspe~Uons per permit allowed <br /> <br />A. ~esldentlaI, E;Ingleor Items x Cote _- Total <br /> <br />Multi-Family per dwelling unit <br />($e'vlselnduded) <br /> <br /> 1500 sq. ft orle~ <br /> Ea~,h add'[ 500 eq, ft,, or por~on <br /> Each M fg,'d Home <br /> Dwelling service <br /> <br />,S..SerHceA~ee¢ler~ <br />(~o 8~anch C/~u/m <br />~n~tsga~. A~eratet~ or Re~oc. atlen <br /> I00 arum or less <br /> 1oI amps te 40o amp~ <br /> 4Ol amps te 6oo amps <br /> 6Ol amp~ te 1ooo aml~ <br /> Over 10~0 <br /> Reconnect Only <br /> <br />InstaJlation, Altemlton or Relese#on <br /> <br /> 200 artll~ ar less <br /> ~01 <br /> 401 am~ to 600 ampe <br /> Over 600 ar~s c~ 1000 volts (See <br /> <br />D. Branch Clmult~ <br />New, ARera~on or Ex~n~on Per Panel <br /> One clmal! <br /> Two to ten <br /> Each add~l ten circuits or portion <br /> <br />E. Miscellaneous <br />( Servlss or Feeder not [nclu dad) <br /> Each pump or Irdgation cycle <br /> <br /> ,signeJ circuit(s) or a limited energy <br /> panel, altera~on et extension <br /> <br />F. Each add'l InspeetlOI1 <br /> over the allowable in any o! <br /> the above, per inspection <br /> <br />G. Miner Inatelletlon Labels <br /> Pack o! 10 labels @ $5.00 each <br /> (Sold ofl~y to ele~ical sentracfo~) <br /> <br /> (As required by Bui/ding Official) <br /> <br />__$85 4 <br />__$15 ~ <br /> <br /> _/ $ 3S, ,3'-5~. '~) 2 <br /> <br /> $35 2 <br />__ $60.__ 2 <br />~ $ 80,, __ 2 <br />$130. -- 2 <br />$300,, 2 <br /> <br />~$40. 2 <br />~ $ 80,, 2 <br /> <br />~$35, 2 <br />~ $ ,50,, 2 <br />__ $15.__ 2 <br /> <br />$36 2 <br /> <br />~$~,__ <br />$50, <br /> <br />.3. PLAN REVIEW SECTK3N <br /> Check appropria~ ~m and en~er fee in Section <br /> <br />Connected Load over 20O amps (except single family dwellings) <br />Building system over 200 amps (except single family dwellings) <br />,system over 800 volts <br />Building over2 stories <br />Buliding over 10,000 square feet <br />C~x~pant load ever 300 pemons <br />Manufactured Dwelling Park/Recreation Park <br />Hazardous Loca~ons <br /> <br />,submit g sets of plans with any of the above. <br />Tempm'e~y c~nst~uc~n sew~es d~ r~t ~ppTy, <br /> <br />A~_ Enter tetei of fees from Sec, #4 <br />A~. Add 5% surcharge (,05 x A~) <br /> ~ Subtotal <br /> <br />~, Enter 25% of line A~ for Plan Review <br /> (Se~ 3), if required <br />C. Investigation Fee (if required) <br />D. ReJnspec~on Fee ($25.00) <br /> <br />TOTAL AMOUNT D~JE <br /> <br />$ <br /> <br /> <br />