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MARl <br />FOR CITY VALIDATIO~.,~ <br />Received by: <br />Date: <br /> <br /> --~ O,~q 0~ 070 MAF <br /> <br />Please complete al~ Sections, I through <br /> <br />; ~/~]~UILDING INSPECTION <br /> ~ ~'~ 2~ Ghm NE. Room 132 pi: IT · <br /> <br /> ~ hr. In=~on L~e 373~27 <br /> ~l~ne 58~5147 8:00am - 4:30pm <br /> <br /> PERMITS ARE NON-TP, ANSFERABLE AND EXPIRE IF WORX IS NOT <br /> STARTED WITHIN 1 ~0 DAYS OF ISSUANCE OR IF <br /> WORK I~ SUSPBNDED FOR 180 DAYS, <br /> <br />2A. COHTRACTOR INSTALLATION ONLY <br /> <br /> FOR OWNER INSTALLATIONS <br /> <br />Propmy Owner ~p/~as~ prat) <br /> <br />Mailing Addr~s [ Ph~c <br />City/State/Zip <br />Owner's Signature: <br /> <br />3. PLAN RBVIEW SECTION <br /> <br />IMarion 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 phns and <br /> specifications with this application. <br /> <br />MC 15-341/96 <br /> <br />4. FEE $CHEDUL~ (Complete and ente~ total in Al below) <br /> Nmnb~r of ]nspectinns per permit allowed <br />A. <br /> Reeidentinl <br /> per <br /> Unit <br /> Sefv~e~ Ineluded: Items Co~t (esch) Sum <br /> lO00 sq. ~. or ~e~ SS&OB <br /> .Bach additional 500 ~.* ...... <br /> or portion thereof $15.00 <br /> <br /> Each M~nufactor~d Home or Modular <br /> Dwellin~ ~'vico or ~ $40.00 <br /> <br />B. Se~vinea or Feeder ~ (Dees not include branch cimuita, see section D) <br /> <br />201 aml~ to 400 amps $60.00 2 <br />601 nmp~ to 1000 ~np~ $1~0.00 , 2 <br />Recormeet only ~0.00 2 <br /> <br />C, T~¥ ~vin~l~tu~k~ <br /> Ins~aaatio~ Alteeati~, or Reloeation~ ~ <br /> 2~ n~ or 1~ ~ ,$35.~ <br /> ~l am~ to ~ ~ ~ 2 <br /> ~1 ~ W ~ ~ $~.~ 2 <br /> ~er 6~ ~ps or I~ vol~ <br /> <br />D. Bran~ Cir~ <br /> <br /> a) ~e fee for brach ~ ~ <br /> p~se of semite of fe~ fee <br /> ~ch brach ~i~uit ~ $ 2.~ ~ <br /> b) ~e f~ f~ ~h ~xta wight <br /> <br /> F~t b~ch c~uit $35.~ <br /> ~ch addition~ brmch c~t $ 2.~ <br /> <br />5. FEES <br /> A 1. Emer total of fees fmm Seo, #4 ~ <br /> A2. Add 5% surchnrg~ (.05 x Al) <br /> ~ubtotal $__ <br /> <br /> <br />