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Received 8y <br />Date:: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Property Owner Phone;: Mailing Address <br /> Crass Street:: <br /> <br />Job ACdress. <br /> <br />Mechanical Installer <br /> <br />Address:: <br /> <br />Home Builder's Registration No :: <br /> <br />Residential <br /> <br />New' [] <br /> <br />Commercial. <br /> <br />Alteration [] Addition:: [] <br /> <br />Use of Building:: <br /> <br />Relocation [] <br /> <br />Occupancy Change:: [] <br /> <br /> NO FEE ~I~(~U NT <br />Base Price k. 1000 <br />Forced air furnace 100,000 BTU or Jess 6 00 ' -"'~'-~-' <br />. Fomed air furnace over 100,000 BTU 7.50 <br />FlOor Furnace 600 <br />Suspended Heater 600 <br />Wall Heater ~-~ / 600 <br />Fleer Mounted Unit Heate~ 6,00 <br />~at Pump 6,00 <br />Air Handling Uni~ to 10,000 cuft 4,80 <br />~ir Handling ,Unit over 10,000 ~ ft 7 50 <br />Evaporative Cooler,, 4,50 <br />H~d and ExhBust Com~erci~ 450 <br />Domes~io Range Needs ~ 4,50 ~ <br />~,~,stic Exhaus[~an~[yer Vent¢~~ 3,00 /~ <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <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 5 or more <br /> outlets, per outlet <br /> relocation or <br /> replacement of each appliance vent <br /> not included in an appliance permit <br />Appliance or accessory to any heating or <br /> Comfort coOting system not covered <br />Other (es per Mechanical Code) <br /> <br /> (Apply at Marion Co only) <br />Reinspection Fee <br /> FEE <br /> STATE SURCHARGE <br /> <br />AMOUNT <br /> <br />FLEET SURCHARGE <br /> CITY FEE <br /> TOTAL <br /> <br />Please return COMPLETE APPLiCATiON with the indicated fee, <br /> <br /> <br />