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MARION COUNTY BUILDING INSPECTION <br /> <br /> - ' :! Phone 588-5'1.4'~ 8:00 a,m, - 4:30 p,m. <br /> C,~x~,-A-Pheee: 588-7904 SiTE it: /.~ <br /> <br />Issued <br /> <br /> ;entractor', License No, <br /> <br />Contractor"s Board Reg. <br /> <br />2B. FOR OWNER IN~rALLA11ONS <br />Property Owner <br />Mailing A(Idress J Phone <br />CJtylBt~te/Zlp <br /> <br />The installation is being made on property I own which is not Intended for sale~ <br /> <br />Permit No,, <br /> <br />4. FEE SCHEDULE (Complete and enter total in At below) <br />Number of Inspections per permit allowed <br /> <br />A. ResldentlBl~$1ngleor Items x C~st = Total <br /> <br />MultI.Fsmll¥ per dwelling unit <br />(Serv~e,'r, duded) <br />1500sq. ft. orless ~ $ ~,, <br />E~h~q~o~ fl, orpo~on __ $ 15. <br />E~h M~.'d Ho~ ~Mr <br />~lling ~ ~ J $ ~, <br />B. ~le~e~ers <br /> <br /> ~1 ~ste~ ~ $ ~,, <br /> ~1~10~ ~ $130 <br /> <br /> R~nn~Only ~ $ ~, <br /> <br />C. Tem~m~ <br />I~la~, A~em~ or <br />200 a~ or le~ ~ $ ~. <br /> <br /> ~er ~ ~s or 10~ ~1~ (S~ 4B} <br /> <br />D. Bmnab Clmulm <br />N~, A~ e~ E~ Pet P~el <br />One cimult $ ~, <br /> <br /> E~h~d=l~n=i~ui~orpo~on ~ $ 15. <br />E. Mts~leneous <br /> <br /> E~hpu~ortt~ge~on~ele ~ $ ~ <br /> Ea=h s~n or outline Iigh~ng ~ $ ~- <br /> Sign~ simult(s) or a limi~ enemy <br /> <br />F. Each add'l Ins~on <br />over ~ ~l~le tn any of <br />· e~ove=psrln~on ~ $ ~. <br /> <br />G. Ml~r thsmltsflen ~ts <br /> <br />H. ~er <br /> (~ ~u[~ by ~il~ ~idal) <br /> <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br /> <br />2 <br />2 <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />· 3. PLAN REV1EW SECTION <br /> Check appmpdate item and enter ~ in g~tion <br /> <br /> Connected Lced over 200 amps (except single family Avellings) <br />__ Building system over 200 amps (except single family dwellings) <br /> System over 600 volts <br /> Building Over 2 <br /> Building OVer IO,(X]O square feet <br />__ Ocx~pant load over 300 persons <br />__ Manufam'umd Dwelllng Park/P~crea~n Pink <br /> Hazardous i.~ca~ng <br /> <br />Submit 2 sets of plans witfl any of the above, <br />Temporary consffuc~on services do not apply. <br /> <br />Al. Enter total of fees from Sec ~, <br />A,~., Add 5% ~r(:ha~geA (,@5 x Al) <br /> <br />B, E~r ~% of line A~ ~r Plan R~i~ <br /> (~ 3). if ~ui~ <br />C. In~ F~ (iff ~uimd) <br />D ~ns~n F~ ($25,~) <br /> <br /> TOTAL A~UNT DUE <br /> <br />$ <br />$ <br />$ <br /> <br /> <br />