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MARION COUNTY BUILDING INSPECTION
<br />Senator Blrlg,, No. 225
<br />220 High Street NE
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<br />MECHANICAL PERMIT APPLICATION
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<br />Pro · wner:: ~ Phone:: lY~lilieg,~,ddressi "~---~'~, -~"'~' ......
<br />Job Address:: -
<br />~' ~7~'2 Site No, ;: Cross Street::
<br /> , , / ,":,. /: :
<br />Mechanical Installer:: Phon~:: Address::
<br />Home Builder~ Registretioe No:
<br />
<br />Residential;; Commemial:: Use of Buildingi: ..........
<br />New:: y ........... Alteration:; [] Addition:: [] , ................. Relocation;;/[] ~)~cupan'~C~'ange:: []
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<br /> NO FEE AMOUNT
<br /> Forced air furnace 100,000 BT'~J"or less 6,00
<br />.... _F'erced air furnace over 1000000 BTU ........ 7,50
<br />Floor Furnace 6,00
<br />
<br />......~us,pended Heater ....... 600
<br />Wall Heater 6,00
<br />Floor Mounted Unit Heater 6.00
<br />,Heat Pump 6,00
<br />Air H,~dling Unit to 10=000 cuft,, 450
<br />Air Hendling,,U~it over 10,000 cu It 750
<br />Evaporative Cooler 4,50
<br />Exhaust Sy~!em Commercial 4 5'~'"
<br />Hood and Exhaust Commercial 4,50
<br />..Domestic Range Hoods ,/ 4 50 ~.,~'~
<br />Domestic Exhaust Fan~,& Dryer Vents . ~ 3,,,00 ~..'~'~
<br />Far pre-installation or installation
<br />of each wood stove 7,50
<br />
<br /> NO FEE AMOUNT
<br />Corn m~-~'i~l"~'r industrial Incinerator 3000
<br />Fire Damper 3,00
<br />Gas Water Heater 750
<br />For each gas piping system of up to
<br />4 outlets, minimum fee 200
<br />For each gas piping system of $ or mor~ '
<br />outlets, per ou~!,e.t ......
<br />For the installation, relocation or
<br />replacement of each appliance vent
<br />eot inc.,!,~d~d,in an appliance permit :3 _0_0
<br />Appliance or accessory to any heating or
<br />Comfort coo.,l!,ng ~ystem not covered ,,.4.,,~?
<br />Other (as per Mechanical Code ' , .......
<br />On-Site Technical Review
<br />(Apply at Marion Co, only) ........
<br />Reinspection Fee, ..... 1__5,,00
<br />
<br /> STATE SURCHARGE
<br /> PLAN REVIEW FEE .,,,$
<br /> INVESTIGATION FEE $
<br /> FLEET SURCHARGE
<br /> CITY FEE $ /
<br /> /2 TOTAL
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<br /> Please return COMPLETE APPLICATION with the indicate~- ~//
<br />
<br />~..~ I am a registered b~ll~er OR( )tl~e authorized representative of ~I~NATURE OF APPL CANI~T
<br />The ~ork wilt be performed by a registered builder,
<br />Other.__
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<br />MC t5-41
<br />Rev 3/87
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