Laserfiche WebLink
FOR CITY VALIDATIOI~ <br /> Received by: <br /> Date: <br /> <br />IELECTRICAL PERMIT APPLIG'~II~i~_Ii~SPECTION <br />Please complete all Sections, I through <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> m 132 <br /> <br /> Office: Phone 588-5147 8:00am- 4=$Opm <br /> MARION C0UI~f~= 588-7948 <br /> <br />1. LOCATION OF RqSTALLATION <br /> <br /> ST~ ~ I~ DAYS OF ISSU~ OR IF <br /> WO~ IS SUS~ FOR I~ DAYS. <br /> <br />~ CO~CTOR ~TION O~Y <br /> <br />Elcctrlcal Contractor <br /> <br />Address <br /> <br />Phoneff Faxg <br /> <br />Property Owner <br /> <br /> Phone~ <br /> <br />FOR OWNBR INSTALLATIONS <br /> <br />Mailing Address '~--~'~ I one <br /> <br /> City/State/Zip <br /> <br /> Owner's Signature: <br /> <br /> 3. PLAN ILEVIBW 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 />MC 15-34 1/96 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FEE $CHEDUL~ (Complete and enter total in Al below) <br /> <br />Limited Energy $20.00 <br />Each Manufactured Home or Modular <br />Dwelling Service or Feoder $40,00 2 <br /> <br />B. ~ ~r Feed~m (Doe~ m}t inoludo bra~h ~ita, ~o ~tlon D) <br /> <br />Each sign or outline lighting <br />Signal circuit(a) or a limited energy <br /> <br />$35.00 <br /> <br />$40,00 2 <br />$40.00 2 <br /> <br />$35.00 <br /> <br />$50.00 <br /> <br /># Of Lab~l~ N/C <br /> <br /> Subtotal <br />TOTAL AMOUNT DUE <br /> <br />$ <br />$ <br /> <br />$ <br /> <br /> <br />