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................................... ] MARION COLt <br />.~ou c~' usz ONLY ~ <br />Kex:eived By: Date: 315 ' · ' <br /> <br />....................................C~iCAL PER}lIT APP ON ] <br /> <br />Parcel ID <br /> <br />CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS <br /> <br />Prope~y Owne~ (please prmO <br /> <br />I am the PROPERTY OWNER a~d own. reside in. or will reside in the <br /> <br />offered for sale before or upon completion If[ hire subcontractors, I will <br />[fl change my mind and do hire a general contractor who ~ registered with <br />of the name of the con~ractor <br /> <br />Owner's Si~amre: <br /> <br /> I <br /> <br />4_ FEE SCHEDULE |complete ud eater total ia Al) <br /> <br /> ( COMMERCIAL <br /> <br /> ( ) REPLACEMENT <br /> <br />Forced Air ug to I00,000 BTU <br />Focccd Air over 100,000 BTU <br /> <br />Duc~ (Al temtions/Extesio~) <br /> <br />)GAS ( )ELECTRIC <br />) ALTERATION <br /> <br />x 5; 12.00 <br />x $15.00 <br />x $12.00 <br />x'$15.00 <br /> <br />x 5;15.00 <br /> <br />x $15.00 <br /> <br />x $ 4.00=3 <br /> <br />Sustx~aded Heater <br />Wall Heater <br /> <br />x $12.00 <br />x 5; 12.00 <br />x $12.00 <br /> <br />x $22.00 = $ <br /> <br />Air Coedifoa¢r <br /> <br />Unde~ 3 Ton <br />3 To~ and More <br />Evaptn'ative Cooler <br /> <br />g 15.00 = <br />$22.00 = <br />5900= <br /> <br />Domest/c Drffer Veras <br />Applia~c~ Veals invalid ami <br />not included ~ aa applian~ permit <br /> <br />A dditlo rs al Apptia n c eSt~.n ll~/ <br /> <br />x $9.00 - $ <br /> <br />X $ 6.00 = $ <br />x $ 6.00 = $ <br /> <br />x.$ 6.00 = $ <br /> <br /> 6.00 <br />$60.00 <br /> <br />Oi~?~a~ req~'m:a by ~ Bu~in~ omc~ai) -- -- <br /> <br />B. Enter.30%oflineAl for Plan Rcvlffw <br /> <br />(mmu~numone hour) $ "~ <br /> <br /> <br />