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~ Zoning By: City: ~ I ~..~ ~ g:O0ava -,: 24 HR. Inspe.~0.on Lin~ 37]~27 FAX <br />[Receipt #: ·^mu,at: S !r 3EP £ 9 1999 <br /> E SCI'I~DULE (emapl,te and enter total INA1) <br />...................................... RlOfil COO " <br /> I. DING IRSpf. :'nm~ <br /> <br />ELECTRICAL PERMIT ApPLIcATION <br />Please complete all Sections, I through $ <br /> <br />1, L..OCATION OF INSTALLATION <br /> <br /> Parcel ID: <br /> <br /> lS NOT STATED WITHIN 180 DAYS O~ I~UANCE OR <br /> WORK IS SUSP~D~D FOR 180 DAYS. I <br /> <br />2A. CONT~CTOR ~TION <br /> <br />~. ~ OWN~ INSTALLA~ON <br /> <br /> Mailing A~a: <br /> <br /> I ~ t~ PROPER~ OWNER a~ own~ ~si~ <br /> <br /> st~ct~ i$ ~old or offend for sate he, re or ~on co~letion. If l <br /> <br /> Contractors Boa~. I will ~di~ety ~:~ Marion Cotm~ of t~ <br /> <br />--Owner's Signature:,. <br /> <br />3. PLAN REVIEW SECTION <br />IMar~on County does not require a pla~ review. We will provide plan <br /> <br /> Items Cost {each) Sum <br />1000$q. ll.c~leas __ x $110.00=$ 4 <br />Each additional 5~) sq, ft, o~ po~ou thereof -- x $20.00 = $ ~ <br />Limited ~nergy __ x $30.00 = $ -- 1 <br /> <br /> Installation, Alteration or Reio~ation t <br /> 200~psorioss / , x ~5.00=$ <br /> Z01~ps~4~ps ~ x $80.~=$ <br /> ~l~psto~0~ ~ X $130.00=$~2 <br /> ~la~tolO~ps ~ x $170,00=$ <br /> Ov~ LO00 ~ps or vo~ ~ x $3~.00 = $ <br /> R~nect~ty ~ x $55.00=$_~2 <br /> <br />D. Bramh C~ <br /> <br />N/C <br /> <br />FEES <br /> Al. Enter total of fe~s lmm Sec. ~ <br /> A2, Add Sta~ Sttrcharge (,07% x Al) <br /> <br />SUBTOTAL <br /> <br />B. Enter 30'~ of line A1 for Plan Re¥iew <br />C. Investigation F~ (if required) <br />D. P. einapec~ort Fee ($~0.00) <br />E, Additional Plan Review ($62.50/hr, <br /> minimum one-half hour) <br />E Inspection for which no fee is specifically indicated, <br /> ($62.50/hr, minimum on~ hour) <br />G, lnspectio~ Outs{de Normal Busi~as House, <br /> ($62.50/hr, minimum two hours) <br />H. Indu~lfial Plant <br /> <br />XOTAL A~VtOUNT DUE <br /> <br />$__ <br /> <br />$__ <br />S <br /> <br />$__ <br />$__ <br /> <br />MC 15-34 R~v. 9,'~9 <br /> <br /> <br />