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FOR CITY VALIDATION ] Received by.' Date: MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER PI::RMIT NO: 2t~ C'=;::;L--~ NE X .... 132 Date: MECHANICAL PERMIT APPLICATION Please complete all ~ections, I through 5 1. LOCATION OF INaTALLATION ~4 hr. Inspection Line 373-4427 Office: Phone 588-5147 8:00am - 4:30pm FAX: 588-7948 Cross Street/Directions: 2A. CONTRACTOR INfTALLATION ONLY Contra¢~r's Board Rag. No, } Job No. 2B. FOR OWNER INSTALLATIONS Property Owner ~o/easeprim) Mailing Address Phone City/Stata/Zip Owner's Signature: Agent's Signature: Issued by: 4. bBB SCHEDULE (Complet~ and enter total ~n Al below) RESIDENTIAL I--I COMMERCIAL I~ USE OF STRUCTURE: NEW ~l ALTERATION D ADDITION I~l RELOCATION GAS ~3 or ELECTRIC m Nb X Feo = Sum BASE FEE $10.00 FORCED AIR FURNACE up to 100,000 BTU $ 6.00 -- over 100,000 BTU $ 7.00 Floor Furnace $ 6.00 -- Suspended Healer $ 6.00 -- Wall Heater $ 6.00 -- Floor Mounted Heater $ 6.00 -- HEAT PUMP under 3 Ton $ 6.50 3 Ton and up $11.00 AIR CONDITIONER under 3 Ton $ 6.50 3 Ton and up $11.00 EvaporativeCooler $ 4.50 Commercial Exhaust System $ 4.50 Commercial Hood and Exhaust $ 4.50 Domestic Range Hood $ 4.50 Domestic Exhaust Fans and Dryer Vents $ 3.00 Fire Damper $ 3.00 * wo~d Stov~place- O~Ld- $ 7.~0 Furnace Duets (Alteration/Extension) $ 7.50 Conunercial / Indus~ial Incinerator $30,00 ADDITIONAL APPLIANCES Gas Water Heater $ 7.50 -- Gas Log Lighter $ 7.50 -- Gas Barbeque $ 7.50 -- Other $ 7.50 -- GAS PIPING SYSTEM 1-4 outie~ (per outle0 4 and up oufleta (per outlet) Appliance Vents not included in an appliance permit OTHER (as required by B~dldirgg Or'ciao DWELLING PERMIT LABEL g of Labels $ 2.00 -- $ .50 -- $ 3,00 -- N/C 3. PLAN REVIBW SECTION Marion County does not require a plan review. We will pwvide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. REV 8/96 5. FF~S A 1. Enter total of fees from Sec. A2. Add 5% surcharge (.05 x A 1) ~ubtotal $ $__ $ B. Enter 25% of line A 1 for PLan Review (Al + .25), if required $ __ C. Investigation Fee (if requirud) $ D. Reinspeetion Fee ($~5.00) $ ~.__~___~ TOTAL AMOUNT DUE $ Receipt No.