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F' ':,in.oN Cgq !y taLDmG mSP CT:ON <br /> t:~i~' /¢~5~t NE' R~m 132 PERM~NO' <br />FOR CITY V~IDA~ f::~:~ 9 [ ~/, :~/~R 97301 ' <br />R~eiv~by:, J ~ ~ ~' c ~':~ D~O: <br />Date: ~,~.,~ ~,,.,~hr. Insp~tion Line3734427 <br /> ~IU~ ~:~ho~e $88-$147 8:O0am- 4;3Opm <br /> BU[LDING INSPECTION v~: S88-7~8 Issu~ by: <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> Please complete all Sections, I through <br /> <br />t. LOCATION OF INSTALLATION <br /> <br />$obAddres$14452 ARNDT ROAD N.E, <br />ci~ AURORA <br /> <br />Cross Street/Directions: <br /> <br />]ob Description: ~OLUMBIA HELICOPTFR <br /> <br />q7-o2 <br /> <br />4. FEll SCHEDULE (Complete and cnt~ total in Al below) <br /> <br />2 CIRCUITS <br /> <br /> Installation, Alt*ratlon of Relocation <br /> 200 amps or le,~ $50.00 2 <br /> 201 amps to 400 amps $60.00 2 <br /> 401 amps to 600 amps $100.00 2 <br /> 601 amps to 1000 amps $130,00 2 <br /> Over 1000 amps or volts $300.00 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Temporary ,%rvioedFeedera <br />Installatinn, Alteration, ~r Relocation <br />200 amps or less $35.00 2 <br />20 [ amps [o 400 amps $40.00 2 <br />401 amps to 600 amps $80.00 2 <br />Over 600 amps or 1000 volta <br /> <br />D. Branch Circuits <br /> <br /> PERrvflTS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED V~TI'HHq 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br /> CONTRACTOR INffI'ALLATION ONLY <br /> <br /> ElectricalContracto....~r FRAHLE.~____~R E__~LECTRI.___~C CO_~: <br />[p:'ii:s l18~039S_W46~EENBURG ROAD. FTaI~GA~D3;~673 <br /> Proper~ Owner I Phon~ <br /> <br />Contractors License No. 3 4 - ] 3 C <br /> <br />Con~aetor'~Bo~raR¢ZNO. 37410 1 ~o~o. 57090 <br /> <br />$ 2.00 <br /> <br />su~,~i~o,'s L~as, Uo.I, ~'ff:~.%1-6+8~ {p~o~ 639-46271 <br />:ZB. FOR OWNI]R INSTALLATIONS <br />I~opert¥ Owner (p/e~s~ prin0 <br /> <br />Mailing Addr~s ] Phone <br /> <br />City/State/Zip <br /> <br />Owtxer'a Signature: <br /> <br />E. Miscellanea (Service ~ Fe~der Nei Include) <br /> ~ pump or i~gation cimle ~.~ 2 <br /> <br /> Signal circuits) or a I~ited <br /> <br />F. Each additional [n~p~ion <br />Over the allowable <br />a~ve, ~r ~pectlon $35.~ . <br /> <br /> Pack of 10 <br /> (~d only to el~tdca I co,reactors) <br /> <br /> (~ c~ui~d by Buildi~ O~ciaO <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> __xq. fi. x $.068 = -- <br />Dwelling Permit Label g of Labels <br /> <br />5. FEES <br /> <br />tMarion 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 15-34 1/96 <br /> <br />A 1. Enter Iotal of fees from Sec. #4 <br />A2. Add 5% surcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. Enler 25% of line A 1 for Plan Review <br />(Sec. 3), if requited $ <br />C. Investigation Foe (if required) $ -- <br />D. Reinspection F~c ($25.00) <br /> <br /> TOTAL AMOUNT DUE $ <br />Receipt No. <br /> <br />S 37.fl0 <br />$ 1 .gB <br /> <br />gg.85 <br /> <br />b) The fee for branch circuits without <br />ggl~:hase of service or feeder fee <br />First branch circuit ] $35.00 35.00 <br />Each additinaai branch circuit ~ $ 2.~0 ~, 00 <br /> <br /> <br />