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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, Ne. 225 <br /> 220 High l~tnaet NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />P~o~rty Ow*% Photo:: <br />Job Address ./! n ' Cross/~ <br /> <br />New:: ,~'"" Alteration:: [] Addition: [] <br /> <br />use~t ~uildln~:: <br />I <br />Relocation' ~ Occupancy Change [] <br /> <br /> NO FEE AMOUNT <br />Rase Price 10.00 <br />air furnace,,100,000 BTU or less 600 <br />_Forced <br />Forced sir furnace over 100,000 BTU 7 50 <br />Floor Furnace 600 <br />--Suspended Heate~. 6.00 <br />wall Heater 600 <br />Floor Mounted Unit Heater 6.00 <br />..Heat Pu.rnp ] .6.00 <br />Air Handling Unit to 10.000 cu. ft 450 <br />~'ir Handling Unit over 10:000 c~.. ft I 7.50 <br />....Evaporative Cooler 450 <br />Exhaust System commemla[ 4.50 <br />Hood ~nd Exh,aust Commercial 450 ,, J <br />Domestic Range ~oods ,/ 4,~g ~0 <br />Do..?nestic Exhaus~ Fa.ns & Dryer Vents .~ 3.00 ~ 4~ <br />For pre-installation or installation <br />of each wood stove ?.50 <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 />For the installation, relocation or <br /> replacement of each appliance eeot <br />not irscluded in an appliance permit <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />C~TY FEE <br /> <br /> ./~ TOTAL <br /> Please return COMPLETE APPLICATION with the indicated fee,, / / <br /> <br /> ) , am pedorming wo~ o~ a property, own or o~cup~ <br />~. J atn a registered builder OR ( ) the authorized mp~sontati~ of SIGNATURE OF APPMCAN~ ~ //~/ <br /> <br /> ) ~her. ~ <br /> <br />Rev 3!67 <br /> <br /> <br />