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FOIl CITY VALIDATION <br />Received by: <br />Date: ..... <br /> <br />Pi~so complote ~1 Sections, I through <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DI~VELOPMENT CENTER 1~9 } 1 ~/'~ ~t~ F~ ~,~ r~ ,-._ <br /> Z85 Ctmreh St NE * Room 132 <br /> "' q'lt/I <br /> ~ Hr Ink.mn Lm~ 58~ - <br /> Offic~ 588-$147 8:~ a.m. ~ 4:30 p.m. <br /> <br /> PER MITS ARE NON-TRANSFI~RABLE AND EXPIRE IF WORK iS NOT <br /> STARTE~ WITHIN l ~ DAYS OF ISSUANCE OR XF <br /> WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION ONLY ' <br /> <br />Mailing Address <br /> <br />p~op~rty Owner ~ol~so prlnO <br /> <br />City/Star.Zip <br /> <br />3. PLANREVIiEW SECTION <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 1.~-34 l~ <br /> <br /> or portion the~of $15,00 · -~ <br /> Limited ~,ergy ~ $20,00 ~'~ <br /> Each Maaufactur~ HOm~ m Mo~iar <br /> ~¢llhlg $c~icc or Feeder ~0.~ 2 <br /> ~or F~a (~ not in~lud~ ~nch ~imulm, ~ee ~e~t~n D) <br /> <br /> 2~ a~ or le~ $~,~ 2 <br /> ~1 ampg to ~0 amps $1~.~ <br /> <br /> Owr 10~ amp~ o~ vol~ ~,~ 2 <br /> Rcmnneet only ~,00 . 2 <br /> <br />C, T~p~ary <br /> <br /> 200 maps or I~ ~ $3~.~ ~ 2 <br /> <br /> Over 6~ ~ps or 10~ volta <br /> <br />D, Bran~ Gireuita <br /> <br /> ~urc~ac~ scmlee Of f$¢det f~ <br /> <br /> F~t brach ¢~uit $3~.00 <br /> ~& addMon~ bmoll ¢iguit $ 2,00 <br /> <br /> ~ch pump or i~igat~n cigl¢ ~,00 <br /> <br />Signal ciguit(~) or a limited <br />~n~, altemti~ or ~temi~ $~,00 2 <br />P. Ea~ addttlo~l In~tlon - <br />Owr the allowable ill any <br /> <br /> (~ld only to eloetdeal e~traet~s) <br />~. Oth~ <br /> (~ r~q~d by BuE~ng O~ciaO <br /> Au~m Dwclling Elec~cal F~ ~, <br /> <br />Al. Enter total of fees from S~. #4 ~ ~ <br />A2, Add 5% sur*harg~ (.05 x Al) <br /> $ <br /> <br />{S~. 3), if ~qui~d <br />C. Invesl~ation F¢¢ ({f~qu{md) $~.. <br />D, R~imp~tion ~ ($25.~) $~ <br /> <br /> <br />