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neseived <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />SenatOr Bldg.'~lo. 225 ,~ <br />220 High Street NE <br /> <br /> MARION COUNTy <br />MECHANICAL PERMIT APPLICATION BU!LDING iNSPECTION <br /> <br />property <br /> <br />Job Address:" <br /> <br />Home Builder~ Regi'~ration ~.: <br /> <br />Site No,: ' <br /> <br />Mailing Addle se: <br /> <br />Cross Street: <br /> <br />Phone; Address: <br /> <br />Residential: Commercial: Use of Building: <br /> Alteration: [] Addition: [] Relocation: [] <br /> <br />Occupancy Change; [] <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />~'orc'~d ~ir furnace 100,000 BTU Or less 5,00 <br />Forced ak furnace ove~' 100,000 BTU 7.50 <br />~loor Furnace 6.00 <br />.S. ?pended Heater 6,00 <br />Wall Heater 6,00 <br />Floor Mounted Unit Heater 6,00 <br />/~eat Pump 6.00 <br />Air Handling Unit to 10,000 cU, fi, 4.50 <br />Ak Har~dllng Unit over 10,000 cu. ft.' 7.50 <br />Evaporative Cooler 4.50 <br />Exhaust System CommemiaJ 4.50 <br />Hood and Exhaust Commemial 4,50 <br />Domestic Range Hooda ,, 4.50 <br />Domestic Exhe, ust,Fans & Dryer Vents 3,00 · <br />For pre-installation or installation ~ <br /> o ea oedstove_' I *.so -i,gO <br /> <br />Commercial or Industrial Incinerator <br />Fi~e Camper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets, minimum fee <br />FOr each gas piping System of s or mom <br /> outlets, per outlet <br />For the installation, re)ccatlon or <br /> replacement of each appliance vent <br /> not included In an sppllance ~ermlt <br /> <br />Appliance or accessory to any heating or <br /> Comfort cooilqg system not covered <br />Other (as per Mechanical Code): <br /> <br />On-Site Technical Review <br /> (Apply at Marion Co, only) <br />Reinspectlon Fee <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />)lame. re~isteredbullderOR( )theauthorlzedrepressntafiveof SIGNATUREOFAPP~.ICANT: ['~ <br />) Other <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN R~VIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br /> <br />