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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVEL_{~PMENT CENTER <br />.......... I 285 Church St NE'~ Room 132 PEFIMff NO' <br /> <br /> Office: Pho~J~794~8 am- 4:30pm kqsu~d by:, <br /> <br />ELECTRICAL PERIdlTAPPLICATION 5~P 1 4 ~l" '-~ <br />Plea~e complete all ,.eections, 1 throu§h 5 ~ --" "1 I~'![~l~ESCHEDULE(c°mplaa"'a~'~tocal~^lboin'~) <br /> - - -~MA, RIUI~ ~, ...,~tqAM Numberofinsl~bons per permit allowed <br /> flfllLDIlffi IN. a:~,~,i. Pe~ u~t <br />I. LOCATION OF I~STALLATION -- ~' Se~vioelneluded: Itenm Co~t(each) Sum <br /> <br />P~PJvlII'S ARE NON-TRANSFERABLI~ AND ~ IF WORK IS NOT <br />STARTED WiTHI~ 180 DAYS OF ISSUANC~ OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />:gA. CONTRACTOR INSTALLATION ONLY <br /> <br /> FOR OWN~ I~STALLATIONS <br />Pmpe~y Owner (please print) <br /> <br />Malru~ Addre~ I Phone <br />City/State, zip <br />Owner's Si~ture: <br /> <br />3. PLANREVlBW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review se~ice if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br /> 1000 sq. fl, or less $85,00 4 <br /> Each additional 5~0 sq. fi. <br /> or portion the~of $15.00 <br /> Limiled Ener~ ~ $~p.O0 ~ <br /> Each Manufactor~d Home or Moduinr <br /> Dwelling Service or Feeder $40.00 2 <br /> <br /> B. -qe~viees or Feeders (Doe~ not include branch circuits, see se~tinn D) <br /> <br /> 201 amps to 400 sral~ $~0.00 2 <br /> 401 amp~ to 600 sml~ $100.00 2 <br /> 601 amp~ to 1000 mnps $130.00 2 <br />i Over 1000 amp~ or volts $300.00 2 <br /> Reconnect only $40.00 2 <br /> C. T~mpor~ry 8ervioe~/Feeder~ <br /> <br /> 200 ~mps or le~ $35.00 2 <br /> 201 aml~ to 400 ~mp~ $40.00 2 <br /> 401 amps to 600 amps $80,00 <br /> rover 600 amp~ or 1000 volts <br /> <br /> 1~, Alte~ationt, or llxtaaalon P~ Panel <br /> i) The fe~ for branch circuits ~gikh <br /> ourchase of ae~vice of feeder fee <br /> Each branch circuit $ 2,00 -- <br /> <br /> b) The fe~ for branch ~ircuits without <br /> purchase of aervice or feeder fee <br /> First brmch 0iguit $35.00 -- <br /> Each additional branch circuit $ 2.00 -- <br /> <br /> E. Miao~llan~ou~ (l~vloo or Fo~d~ Hot Ineludmt) <br /> Each pump or irrigation ciroin $40.00 2 <br /> Each sign or outline lighting $40.00 -- 2 <br /> Signal clrcuit(a) or a limited <br /> pane. l, alteration or <br /> ~. Each additional lmtugtioa - · <br /> Over the allowable in any of the <br /> above, p~r Impection $35.00 -- <br /> G. Minor lnst. allation Labui~ <br /> Peek of 10 lal~l~ @ $5,00 e~ch $50.00 <br /> (sotd only to electrical contractors) <br /> H. Othgr <br /> (As t~quirod by Building <br /> Aurora Dwelling Electrical Pe~ __~q. fl. x $.068=__ <br /> Dwelling Permit Label # of Lal~l~. N/C <br /> <br /> 5. FEES <br /> <br /> A2. Add 5% sur~ha~ COS x Al) <br /> Subwtal <br /> <br /> B. ].~ate~ 2~' of liac Al for Pla~ Review <br /> (Sec. 3), i~rcquired <br /> C. ]nv~gatin~ ~eo (i~ required) <br /> D. Re~poctlon Fee ($25.00) $ ~ .'-Z-~-~3, ~ <br /> 'rOT,ad~ AMOUNT DU~ $C~'-'~-''~ <br /> Receipt No. ~ <br /> <br /> <br />