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Received S e Senator Bldg. No,, 22S <br /> ~ ~;~0 High Street NB <br /> <br /> ~D~NG ~~AL PERMIT APPLICATION <br /> <br />Situs Address <br /> <br />Mecbanicel I~staller <br /> <br />Home Builder~ Registration No:: <br /> <br />Phone:: <br /> <br />Site No.:: <br /> <br />Phone <br /> <br />/Alteration [] Addition:: [] <br /> <br /> Use~f~Buildin9' <br />"' Relocatior~ [] <br /> <br />/~"~/~'7/~/Occu eec C <br /> i p y henge;; [] <br /> <br /> NO FEE AMOUNT <br />Base Price 1000 <br />Fomed air furnace 100,000 BTU or less 6.00 <br />Fomed a!r...f~!.nace over 100:000 BTU 750 <br />Floor Furnace 600 <br />Suspended Heater 6.00 <br />Well Heater 600 <br />Floor Mounted Unit Heater 6 00 <br />Heat Pump ............ 600 <br />Air Handling Unit to 10,000 cu. ff. 450 <br />Air Handling Unit over.l.0,000 cuft 7.50 <br />Evaporative Cooler ... 450 <br />Exhaust System Commemial 4.50 <br />Hood and Exhaust Commercial 450 <br />Domestic Range Hoods <br />Domestic Exhaust Fans & Dryer,,Vents <br />Domestic Wood Stove 7 50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Wafer Heater <br />Gee Connection w/o Appliance (1-4 each) <br />over 4.. $800 plus ea addnl <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (as per Mechenicel Code):: <br />On-Site Technical Review <br /> (Apply at Marion Co only) <br />Reinepec~ion Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />Other <br /> <br /> <br />