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 BUILDING INSPECTION <br />Received <br /> By: <br /> Bldg. No. ~_5 <br /> 8treat <br /> NE <br /> ~ ~ ,~ 'C':ode~A-Phone 4:30 EM - 8:00 A M <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> <br />Owner; Phone: Address: <br />BETh'S. BAPTIST CHURCH , 7~9T~1.28 645 CLEY. EiAND <br />Situs Address: Site No.: Cross Stree~t: ,~ <br />645 CLEVELAND AUMSVILLE ~~~ <br />Mechanical Installer: Phone; Address: <br />STAYTON R~'RIGERATI,0~ CO. 769-3495 207 ,N,- 3rd <br />Home Builder's Regrstration No,: <br />2347 <br />Residential: Commeroiah U~e of Building; <br />New: [] Alteration: ~ Addition: [] Relocation; [] .......... OccupancyChange; [] <br /> <br /> NO. FEE AMOUNT <br /> Base Price 10,00 <br /> Forced air furnace 100,000 Bq-U or less ,/ 6.00 ~,~ <br /> Famed air furnace over lOO,OOO BTU 7,50 <br /> Floor Furnace 6.00 <br /> ......... .oo <br /> wall Heater 6.00 <br /> FJoor Mounted Unit Heater $.00 <br />.... Air Handling Unit to 10,000 cu. ft. 4.50 ...... <br /> Air Handling Unit over 10,000 cu. fi- 7.50 <br /> Evaporative Cooler 4.$0 <br /> Exhaust System Commemlal ....................... 4.50 <br /> Hood and Exhaust Commercial 4.50 <br /> Domestic Range Hoods 4.50 <br /> Domestic Exhaust Fans & O~jer Vents 3,00 <br /> Domestic Wood Stove 7,,50 <br /> <br /> NO. FEE AMOUNT <br />Commemial or Industrial li~inerator 30.00 <br />Fire Damps! ......... :3.00 <br />Gas Water Heater 7.50 <br />"Gas Connection w/o App~iai~,~ (1-4 each) / 2,00 ~.~, ~7~S) .... <br />over 4- $8.00 plu~ ea. addnl, .50 .......... <br />Appliance or accessory to any heating or <br />Comfort, cooling system not covered 4,50 <br />Other (as per Mechanical.Code); <br />On-Site Technical ReView <br />(Apply at Marion Co. only) .... <br />'Relcepection Faa <br /> FEIE' ' ""~c~.~, <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ ~ '"1 <br /> FLEET SURCHARGE <br /> CITY FEE $ <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />( ) Other <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />