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· ' ' MARION ~I[lYY BUILDING INSPECTION <br /> .. ..--, ca~}~lt DEVEL??MENT CE~R <br /> hS~NE R~m132 <br />FOR CI D ~ PERMff NO: <br />R~eiv~ b~ ~1 ~l~ /I / / <br /> <br /> ~, 3~~ o~ '--24hr. lnspectionLine37~27 <br /> . CO~Phon~;~?~;~Oam'4:3Opm [''U~ by: <br /> PI~e complem ~1 ~tlo~)c~rough 5 / 4. ~ ~H~ (~mplete ~d ~t~ total ~ A l below) <br /> <br />1. LOCATION OF I~STALLATION <br /> <br />Job Address <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR iF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. COHTRACTOR INSTALLATION ONLY <br /> <br />Electrical Contractor <br /> <br />Address <br /> <br />Phone~ <br /> <br />Property Owner <br /> <br />Contractors LicemeNo. <br /> <br />Fax# <br /> <br />Job No. <br /> <br />[Phone# <br /> <br />liB. FOR OWNI~ INSTALLATIONS <br /> <br />3. PLAN RBVIEW 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 /> Nmnber of Inspections per l~rmit allowed -~ <br /> A. <br /> Re~id~minl <br /> per <br /> Unit <br /> Service Ineinded: Items Cost (ench) Sum l <br /> 100O sq. fl. or less $85.1)0 4 <br /> Each additional 500 sq. fL <br /> ~r portion Ihereof $15.00 <br /> Limited Energy $20.00 1 <br /> Each ManufaeRtred Home or Modular <br /> Dwelling Service or Feeder $40.00 -- 2 <br />~B.~nstvice~ or Feeders (Does not include blanch circuits, see section D) <br /> allation, Alteration or Relo~atlon <br /> 200 amps or less I <br /> 201 amps to 400 amps <br /> <br />401 amps to 600 amps <br />601 amps to 100O maps <br />Over 1000 amps or volts <br />Reoonnect only <br /> <br /> EaCh branch circuit <br /> <br /> $60.0O <br />$100.00 __2 <br />$130.0O 2 <br /> <br /> $40.00 -- 2 <br /> <br />$35.0O __2 <br />~.0O 2 <br /> 2 <br /> <br />2.0o 2-q',00 <br /> <br />$35,0O <br />$ zoO __ <br /> <br />$40.0O 2 <br />$40.00 2 <br /> <br />$35.00 -- <br />$50,00 <br /> <br /> sq.fi, x $.068 = <br /># Of Labels N/C <br /> <br />5. FEES <br /> Al. Enter total of fees from Sec. #4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br /> B. Enter 25% of line A1 for Plnn Review <br /> (Sec. 3), if required <br /> C. Investigation Fee (if required) <br /> D. Reimpecfon Fee ($25.0O) <br /> <br /> , TOTAL AMOUNT DUE <br /> Receipt No, 0/n/~7 ~ <br /> <br />77'7( <br /> <br />MC 15-34 1/96 <br /> <br /> <br />