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R~cersed e~: ~ ~ ~'-J- MARION COUNTYse.m,BUILDING,,d;. No.~2s INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Prope~t,¥Owner' .,/, Phoee~ Mailing Address;; ...... <br /> Site NO.; ;C ro~,.~ Street:: <br /> ........ <br />Mechanical installer:: Phone; ~dress:: / <br />Home Builder~ Registration <br /> <br />NEW:; ~ A~eralion;; ~ Addition;; ~ } Rel~catio~ ~ / OccupancyChange <br /> <br /> NO, FEE AMOUNT <br /> Sase Price 10.00 <br /> For~ed air furnace 100,000 Bq-U or less 6,00 <br /> <br /> Fomed air furnace over 100,000 B]'U 7,5,(~, <br /> Suspended Heater'" 600 <br /> Wall Heater 6,00 <br /> Floor Mounted Unit Heater 6,00 <br /> Heat Pump 6.00 <br /> Air Handling Unit to 10,000"~s fl, 450 <br /> Air Handling Unit over 10,000 cu f~i 7.50 <br /> Evaporative Cooler 4,50 <br /> Exhaust System Com,merclel { 4,50 <br />Hood and Exhaust Commercial~ 4,,50 <br />.Domestic Range Hoods Z' 4,50 ~..5'"~ <br />Domestic Exhaust Fans & Dryer Vents ,~ 3.00 ~ ~ <br />of each wood stove 7,50 <br /> <br />Commemial or Industrial Incinerator 3006 <br />Eire e 'pe "' I ''1 3,00 <br />Gas Water He~ter .... I I 7,50 <br />For each gas piping' system of up to ' <br />4 outlets, minimum fee 2,00 <br />FO~ each g'ae piping system ~ 5 or more <br />outlets, per outlet I I ,50 <br />For th~]~stallation, ml~ati'0~ or <br />m~a~ment of e~ch a~ia~e v~I <br />notincludedinanapplienceperm~t ~ ~ 300 <br />Applian~ ~r a~e~'sory to any heating or <br /> <br />Other (as per Mechanice~ Code);; <br />~n-Site T~hnlcel Review / ' / <br />(App~ at Ma~on Co only) <br />Rei~spe~Mn F~e / / 1500 <br /> <br /> ~TATE SURCHARGE <br /> P~N REVIEW FEE <br /> iNVESTiGATiON FEE <br /> FLEET SURCHARGE <br /> CI~ FEE <br /> <br /> AMOUNT <br /> <br /> $ <br />~$ <br /> <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee ~.- <br /> <br />( ~,~. I em a registered builder OR ) tho authorized representative Of SIG NA?U R E OF AppI.~'~AN T <br /> Other <br /> <br />MC 15-41 <br />Rev 3ia7 <br /> <br /> <br />