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FOR CITY VALIDATIONI <br />Received by: .... <br />Date: <br /> <br />MARION COI.)IqTY BUILDING INSPECTION <br /> COMMUN~Y DEVELOPMENT CE~R <br /> 2S5 Church St NE <br /> <br /> O~c~ 588-5147 3:~ <br /> <br />ELECTRICAL'PERMIT A PPLIC3,TION ' <br />P/ea.$e complete ~// Se?Eons, 1 through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />j/ob No. <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />3. PLAN RttVIEW SI~CTION <br /> <br />Marion County does not require a plan review~ <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 />Mc IS-.14/2/~ <br /> <br />4. FEB ,SCH~DULIi (Complete and enter total in Al below) <br /> Nuxnbcr oflnsl~tlons <br /> p~it <br /> <br /> ~0 am~ or I~s ~ $50.00 ~ 2 <br /> ~1 am~ to ~ amps .... $~.00 2 <br /> <br /> ~I amps ~o I000 ~ps ~ $130.00 2 <br /> <br /> ~ ~ps oe le~ ., $35,00 2 <br /> ~1 amps ~ ~0 am~ $~.00 2 <br /> <br /> ~ se~icaof t~cr fee <br /> <br /> ~¢h sign or outllae lighting ~ $~.00 ~ 2 <br /> <br />Fack of 10 labe~ ~ $5.00 ~eh ~ $~.~ <br />(s~ d oaly to electrica I co~tracturs) <br />H. Oth~ <br /> <br /> Dwelling Pe~k ~bcl g of ~bels ~_C <br /> <br />5. <br /> Al, Enter tolal of fees from Se~. #4 $~ <br /> A~. Add ~% su~harg~ (.05 x Al ) $~, <br />~ubtotal <br /> <br /> B. ~tet 2~% of llne A 1 ~o~ Plan Review <br /> (Sec, 3), if ~quJmd $ .... <br /> C, ~ves~iga~oa F~e (if~q~d) $_ <br /> <br /> ~..- <br /> TOT~ ~OU~ DUE <br /> <br /> <br />