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~~~LDING INSPECTION 1 .D) I E~J~,~]~e~[~OyM ENT CENTER FOR C~y V~IDA~ON I~ ~ ~ ~h~97~m132 PERM~ NO: Ap B 1997 Date: ~[~; m 24 hr. Inmp~tion Line 373-4427 ~U!Lgm~ INSPEO~ 5884948 ELECTRICAL PERMIT APPLICATION Please complete all Sections, I through 5 1. LOCATION OF INSTALLATION Cross Street/Dkections: STARTED wITmN 180 DAYS OF ISSUANCE OR WORK 1S SUSPF~IDND FOR 180 DAYS. 2A. CONTRACTOR INSTALLATION OiqLY 2B. FOR OWI"4'BR INSTALLATIONS Property Owner (please prittt) 3. PLAN RBVIBW SBCTION Marion County does not require a plan review. We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. 4. FEE SCHEDULE (Complete and enter tokai in A1 below) Re~identinl Per UnitNmnber of Inspections per permit allowed -~ Service Included: Items Cost (each) Su 1000 sq. fl. or less $85.00 4 Each additional 500 sq. fL or portion thereof $15.00 -- IAmited Energy $20.00 Each Manufaclared Home or Modular Dwelling ,~rvice or Feeder $40.00 2 Inatallatinn, Alteration or Reloeatinn 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps or volts Reconnect only C. Tmnpcrary 8~'vieo~/Pe~d~s lnatallatinn, Alt~catinn, or Relocation 200 amps or less 201 amps to 400 amps 401 :unps to 600 amps Over 600 amps or 1000 volts see "B" above D. Branch Circuits N~v, Alterations, or Exten~ioa Per Panel a) The fee for branch circuits ~ purchase of service of faeder fee Each branch circuit $50,00 .~2 $60,00 2 $100.00 2 $130.00 2 $300.0O 2 $,40.OO 2 $35.00 2 $40.00 2 $80.OO 2 $ ZOO $35.~ $2.~ E. Miscellaneous (Service or Feeder Not lnoluded) Each pump or irrigation circle Each sign or outline lighting Signal circuit(s) ora limited energy N. Each additional inap~ctlon Over the allowable in any of the above, per lmpection O. Minor Inataflation Labels Pack of 10 labels @ $5.00 each $40.OO 2 $4O.OO 2 $35.00 $50.OO __sq.fi. x $.068 =__ # of Labels N/C 5. FEES A 1. Enter total of fees from Sec. I/4 A2. Add 5% surcharge (.05 x Al) Subtotal B. Eater 25% of line A 1 for Plan Review (See. 3), if required C. Investigation Fee (ifreqdired) D. Reimpeetlon Fee ($25.00) TOTAL AMOUNT DUE Receipt No.