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~~~DING INSPECTION <br /> <br /> Received by: T- JUN ": t~ I~Ut Dnte: <br /> Date: [ 24Hr Inspeation Line: 588-7904 ' ~ <br />~ MARiONO~514? 8:00a.m.-4:30p.m, 188uod by: <br /> BUff-DING tNSPECTI~Nx: sss-*~,s ~- /~ <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all ~ections, I through 5 <br /> <br />PERMITS ARE NON-TRANSI:~-RABL~ AND EXPIRE IF WORK I~ NOT <br />STARTE~ WITItlN 180 DAYS OF ISSUANCE OR IF <br /> WORK I$ SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Signature of Supervisins Elec~icinn ~ <br /> <br />2B. FOR OWNBR INSTALLATIONS <br />Prol~r~ Owner (pl~ priot) <br /> <br />4. ~1] ~CHI~}UI~ (Complete and e~ ~ ~ Al ~w) <br /> N~er of ~c~m p~~ ~it allow~ ~ <br /> U~ <br /> <br /> R~t ~ly <br /> <br /> Mail~g Addt'ess I Phoue <br /> City/Sta~./Zip <br /> Owner's Signatm-e: <br /> <br />3. PLANREVIBW SBCTION <br /> <br />N~w, Alter atioos, or Extension Per Pand <br />a) Th~ fee fe~ brmch ci~uits llglh <br /> <br />Eadz branch ziivult <br /> <br />b) The fee for branch circuits wilhout <br />Fire I~anch citc~dt <br /> <br /> Marion County does not require a plan review. <br /> We will pwvide 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 12/94 <br /> <br />Each additional branch circuit <br /> <br /> s0o.oo <br />$10O.00 2 I <br />$130.00 2 <br />$3O0.00 <br />$40.00 <br /> <br />$ <br /> <br />$35.0O <br /> <br />B. Miscellaneous (/~vlc~ or Feed~ N~ Inoluded) <br /> Each pump or inigation circle $40.00 <br /> Each sign or ou0~m li~hlin~ ~ , ~40.00 <br /> <br />2 <br />2 <br /> <br />Al. Emer totsl of fee~ fwm Sec. ~4 $ <br />A2. Add 5% surcharge 603 x Al) <br /> Subtotal $ <br /> <br />B. Eme, r 25% of liuo A 1 for Plan R~view <br /> (~c. 3), if required <br />C. Investigation Fao (if required) <br /> <br />D, Reimpectlon F.~ ($25.0O) <br /> <br /> TOTAL AMOUNT DUB <br />Receipt No. <br /> <br /> <br />