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ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />L LOCATION OF INSTALLATION <br /> <br />pERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 1 ~0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />~. FOR owNER INSTALLATIONS <br /> <br />_ProPertY Owner (p/case prim) . ~ ~ ~t~' ~_ <br /> <br />~Mailing Add~s ~ Phone <br />City/State/Zip J <br /> <br />3. PLAN REVIEW SECTION <br /> <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br /> <br />~ 15-34 12/94 <br /> <br /> 200 amps or lees $50.00 2 <br /> 201 amps to 400 amps $60.00 2 <br /> 401 amps to 600 amps $100.00 2 <br /> 601 amps IO I000 amps $130.00 2 <br /> ffvur 1000 amps or vdta $300.00 - 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Temperary hrvle~/Fed~ri <br />Installation. Alte~al}on, or Relocation <br />200 amps or le~ $35.00 2 <br />201 amps to 400 amps $40.00 2 <br />401 amps to 600 amps $80.00 2 <br />Over 600 amps or 1000 volut <br /> <br />D. Braneh Cireuita <br /> Ne.v. Alterations, ~ I{xtenalon Per Pand <br /> s) The fee for bt~nch clr0uit~ ~ <br /> <br /> ~ach branch circuit $ 2.00 -- <br /> b) The tee for branch ¢iroui~ w/about <br /> <br /> First brach c~uit $35.00 <br /> E~ch additional brnneh ci~uit $ 2.00 -- <br /> <br /> Mis~llan~ous (~ervlae ~' Peadet Not ~d~) <br /> ~ch p~p ~ i~sat~ ckk ~.~ 2 <br /> ~ ~ or ou~ [i~fmg ~.~ 2 <br />S~n~ cimui~s) or a limited <br />~el. ~t~t~ or extemi~ ~.~ ~ 2 <br />~ a~R~l In~ <br />Over the nllownb~ in any of ~e <br /> <br /> M~ In~ti~ <br /> Pnck of 10 I~ ~ $5.~ ~ch $~.~ <br /> <br /> (~ ~uiwd by Buildi~ O~kl) <br /> <br /> ~dling P~it ~bel <br /> <br />FEB$ <br />Al, EnteT Iotalof f~ imm S~. ~4 <br />A2. Add 5% surchar~ 605 x At) <br /> <br />~ubtotll <br /> <br />B. Enter 25% of lin~ Al for Plan R~iew <br /> (Sec. 3). if r~quirad <br />C. Investigation Fern (if requirad) <br />D, R~h~p4~tiou Fee (~5,~) <br /> <br /> ~ ~0~ D~ <br /> R~lpt N~ <br /> <br />$. <br />$. <br />$ <br /> <br /> <br />