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' Date: <br /> <br />MARIO,~I COUNTy, BUILDING INSPECTION <br /> <br />· 220 High Sffeet NE <br /> <br /> JUL 3 1991 <br /> Issued by: <br /> MARION OOUNT¥' <br /> <br />PermitNo. <br /> <br />BUILDING IN: <br /> <br />"PEm.1~ ARE IIO~'MAJ~q~ABLE aND NON-Re~NOABLE AND I~!1~ IF WORK IS NOT I <br /> <br />Prope[~ ~ner <br /> <br /> ., <br />Contrac~a~d Rog. N~. I Job No, <br />Sign& ' f Supe~lsln <br /> ,, <br /> <br />Property Owner <br /> <br />Mailing Addresa I Phone <br /> I <br /> <br />The Installetlen 18 being made on property I own which is not intended for sale. <br /> <br />4. FEE SCHEDULE (Complete and e~tor tot~ in Au below) <br />Number ~ Inspections per permit allowed., <br /> <br />A, Residential, $1r~gle or <br />Multi-Family per dwelling unit <br /> <br /> 1500 ~,'fL <br /> ~ a~l ~0 <br /> E~h M~/d H~ or M~u~r <br /> Dwelling ~ or ~r <br /> <br />(1o ~ <br /> <br /> 101 <br /> <br /> ~1 a~ <br /> <br /> R~n~l Only <br /> <br />C. Tem~m~ <br /> <br /> ~r ~ ~s or I0~ volta (S~ 4B) <br /> One digit <br /> <br />Item= x <br /> <br />Cost = Total <br />$ <br /> <br /> Each pump or lrrigalion cycle ~ $ 36 __ <br /> Each sign or outline lighgng $ 36, __ <br /> Signal ~ircalt(s) or a limited energy <br /> panel, alteration or exten~Jon $ 36. __ <br /> <br />F, Each add'l Inspection <br />lhe above, per Iospec~en ~ $ 35. -- <br />G. Minor Inetalletlon Labele <br />Packofl01abels@$5.00each __ $ ~0 ~ <br />(Sold only ~o elco/r/cai con/~ac~o~) <br /> <br />H. Olher <br /> (A~ ~q~ir~d by Building Offl~al) <br /> <br />2 <br />2 <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />PLAN REVIEW SECTION <br /> Cheek appropriate item and enter f~e in gec~ion SB. <br /> <br /> Connected Load over ~X) amps (except single family dwstlings) <br /> Bui~ng system over 200 amps (except single lamily dwellings) <br /> System over 600 volts <br /> Building over 2 stories <br /> Building over 10,000 square feet <br /> <br />~ Occupant lead over 300 pemans <br />__ Manufactured Dwelling P~n Pad~ <br /> H .a~zan:bus bx;atlens <br /> <br />Submit 2 sets of plans with any of the above. <br />Temp~rar~ cansm~..-~on sen/ices do n~t apply,, <br /> <br />Al. Enter total of fees from Sec. ~ $. <br />A~. Add 5% sur~'a~e (.05 x <br /> <br /> Subtotal $ <br /> <br />B_ Enter 25% ofllne At for Plan Review <br />(Sec, 3), if required $. <br />O. ]nvesttgalian Fee (if required) $. <br />D, Relnspm~on Fee ($~5.o0) $. <br /> <br />TOTAL AMOUNT DUE e-~ $ <br /> <br /> <br />