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 MAFI~ON C~.OUNTY BUILDING INSPECTION <br />Received By: _ :;v · ~or Bldg. No. 22S <br /> ~hone 58~147 <br /> <br />MARION COUNTY <br /> <br />Owner: ~ Phone: Address: <br />..... ~,i,t,b S Address: ~V¢, /~ite No~: Cross Street: ...... <br />Meg~nical Installer: Phone: Address: <br />Home ~uilder~ RegistratiOn NO,: <br /> <br /> Residential: ~ ~mercial; Use of~ldi~g:z ~ <br /> New: ~ Alterafi0n~ ~ Addition: ~ Relocation: ~ Ocoupan~Cha~ge: ~ <br /> k'" h. , ...... <br /> <br /> NO, FEE AMOUNT <br /> Ease Price 10,0q <br /> ,, ~Orc~d air furnace 100,000 BTU or leas 6,00 <br /> Fomed air furnace over 100,00015TU 7.50 <br /> Floor Furnace 6.00 <br /> Suspended Heater 6,00 <br /> Wall Heater 6.00 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump 6.00 <br />Air Handling Unit to 10,000 co, ft. 4.50 <br />, Air HsndJJng Unit over 10,000 cu. ft. 7.50 <br />Evaporative Cooler 4,$0 <br />Exhaust System Commercial 4,50 <br />Hood and Exhaust Commemlal 4.50 <br />, , porn~tic I~g~, Hoods 4.50 <br />Domestic Exhaust Fans & Dryer Vents 3.00 <br />Domestic Wood 8t~v,e 7,50 <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial Incinerator 30,00 <br />Fire Damper 3,00 <br />Gas Water Heater 7,50 <br />Gas Connection w/o Appliance (1-4 each) 2.00 <br />.... ',.~.ver 4-$8.00 plus ea. a~ldnl. .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 />R~,!n~p. ec~ion Fee <br /> <br /> STATESU CHA E · <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE $ <br /> CITY FEE $ <br /> TOTAL ~ ~'~, <br /> <br />Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I em ~ registored builder OR ( ) the authorized representative of SIGNATURE OF APPUCANT: <br />Other <br /> <br />Rev, 3/87 ~,' <br /> <br /> <br />