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MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> Pr¢4~ Ownf~ <br />,, <br /> <br /> Job ~.ddress: <br />., 13 <br /> ~echanic~nstaller: <br /> c.,/,¢- <br /> <br />Phone:: <br /> <br />$1~ No,, <br /> <br />Phone:: <br /> <br />Mai~ing Address <br /> <br />Address <br /> <br />Home Builder,s Registration No:: <br />Residential ~ <br /> <br /> Use of Building;; <br /> <br />Relocation [] -- <br /> <br />Occupancy Change' ~ " <br /> <br />Commercial:: <br /> <br />Arteration;: f'"] Addition:: [] <br /> <br /> NO, FEE AMOUNT <br />Base Price 1000 <br />__F.orced air furn.ace I'OO,000.Bq-U ~; less 600 .... <br />Forced air furnace over 100:000 BTU 7,,50 <br />Floor Furnace 600 <br />Suspended Heater 6.00 <br />Wail Heater 600 <br />Floor MOunted Unit Heaier 600 <br />Heat P..Fmp 6.00 <br />Air Handling Unit to 10=000 cuft <br />.... Ai__- [.Handling' Unit over 10,000 cuft 7.50 <br />Evaporative Cooler 4.50 <br /> <br />.....Exhaust System Commercial 4.50 <br />Hood and Exhaust Commercial 450 <br />~omestic Range Hoods / 450 <br />D~Omestlc Exhau,st Fans & Dryer Vents .~ 3,00 '~, <br />For pre-installation or installation <br />of each wood stove 7,50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Camper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outIets~ minimum fee <br />For each gas piping system of 5 or more <br /> outlets, per outlet <br />For the installatfon, relocatio~ or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Code):: <br />On.Site Technicst Review <br /> (Apply at Marion Co.. only) <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <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 />% la::g~rt:~i;~eb~ddbe~ilder OR{ )tho authorized representati, of ,,GNATURE OF AP~ ~' <br /> <br />Rev 3/87 <br /> <br /> <br />