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MARION COUNTY <br />FOR CITY~,Y.M.,IDATION I BUn. D~G INSPECTION D~ION <br /> <br /> E~CTRIC~ PERMIT APPLICATION <br /> Pl~se complete all Sections, 1 through 5 <br /> ' <br />1. LOCATION OF ~ST~LA~ON INSPI <br /> <br />CITY <br /> <br />PROJECT DESCRIPTION <br /> <br />PERM]TS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED ~ 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Supervisor <br /> License <br /> i I S <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> City, State, Zip ~'~ ' ~t~, ~'h%. <br /> i i i I l lt <br /> <br />3. PLAN ~W SEC~ON <br /> <br /> M~on County d~s not mqu~ a pl~ review. <br /> We will provide pl~ rev~W ~ice if you comple~ <br /> Section 5B ~d sub~t two (2) sets of plans and <br /> sP~cafions ~ ~is apphc~on. <br /> <br />MC 15-34 7/97 <br /> <br />200 amps or less '~ $50.00 <br /> <br />2 <br />2 <br /> <br />$50.OO <br /> <br />sq. ft. x $.068 =__ <br /> <br />above, per lnsp~fion ' <br /> <br />5. FEES <br />A 1. Enter tool of fees flora Se~, g4 $ ~ <br />A2. ~ 3% s~ {.05 x Al) $ <br /> <br /> <br />