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FOR CITY VALIDATION] <br />Received by: _ <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />MARION COUNTY ~UILDING INS CTIO.I~I_ " <br /> COMMUN Y DEVEL??M N* cE r a <br /> <br /> , Dat~T It~ n .... 'JUl <br /> ~HrInsp~t~nLm~58~7~ Ov~ u ~ t~ <br /> <br /> F~: 588-7948 ~ .... s s <br /> UILDI~ INSPECTIO~ <br /> <br />r ob'lle po r Ir. <br /> <br />1, LOCATION OF INgTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IP WORK IS NOT I <br /> START£~D WITHIN 180 DAYS OF ISSUANCI~ OR IF <br /> WORK IS SUSPENDgD FOR 180 DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br />........... . <br />Maillng Address ~ <br /> <br />FOR OWNBR INSTALLATIONS <br /> <br />Property Owner ~le. aso pr/nO <br /> <br />3. PLAN REVIEW SECTION <br /> <br />Marion County does not require a plan review, <br /> <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application, <br /> <br />4. FEE SCHEDULE (Complete o~ld entex total in Al below) <br /> <br />601 amps Io 1000 amps $I30,00 <br />Over Il×)0 amps or volta --~ $3G0,(X) <br /> <br />b) ~e fe~ toe bmn*h circuits ~ <br />F/mt brmch ci~uit ~ $35,00 <br /> <br />E. Mi~e~llan~van (P~vi~ ~ Faed~ No~ Include) <br /> ~ch pump or i~igat~n elrele ~ $~.00 ~ 2 <br /> ~ ai~ oroutlin* lighting $~,00 ~ 2 <br /> Signal ~imu{~$) ut a limited eaecgy <br /> panel, altcral{oII Or extel/on $~.00 2 <br /> <br /> (~ ~m?ed by Buildi~ OE~ciaO <br /> <br />FEES <br /> <br />A2, Add 5% stn,charge (-05 X Al) <br /> <br />Subtotal <br /> <br />B, Enter 25% of line A 1 for Plan Rev/aw <br />(Sea. 3), if required $__ <br />C, lnveatigatioll Fe~ (ifrequifod) $ ~ <br />D. Rcinsp~ciion ~oc ($25,~) $ <br /> <br />Receipt No. <br /> <br /> <br />