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Received By: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Situs Address: ~ '~te NO.:- Cross ~treet; '' ~, <br /> <br />Mechanical Installer: ~,-., , ~ Phone':" Address: ,, <br /> <br />H~F1~ Builder~ Registration NO.: <br /> <br />Residential: L....,~,..~.- Commercial: Use Of Building; <br />New: [] Alteration: [] Addition; [] Relocation: [] OcoupancyChange: [] <br /> <br /> NO, i FEE AMOUNT <br /> Base PriceI 10,00 <br />.,.F.°rced air f ~i~.ce 100,000 BTU or less 6,00 " <br />Forced air furnaco,~ver 160,000 Bq-U 7.50 <br />Floor Furnace 6.00 <br />Suspende. d. Heater 6.00 <br />Wail Heater 6.00 <br />Floor Mounted Unit Heater' 6.00 <br /> Heat Pump , 6.00 . <br /> Air Handling Unit to 10,000 cu. ft. 4.50 <br /> Air Handling Un,it ever 10,000 cu. ft. 7.50 <br /> Evaporative Cooler 4.50, <br /> Exhaust System Commercial 4.50 { <br /> Hood and Exhaust Commercial 4.50 <br />.Domestic Range Hoods 4.50 <br />Domestic Exhaust Fans & D~er Vents $.00 <br /> Domestic Wood Stove 7,50 .I <br /> <br /> NO. FEE AMOUNT <br />Commercial or Industffal Incinerator 30,oo <br />Fire Damper 3,00 <br />Gas Water Heater 7,50 <br />Gas Connection w/o Appliance (1-4 each) 2.00 <br />over 4- $8.00 plus ea. addnl. ,50 <br />Appliance or accessory to any heating or <br />Comfort cooling system not covered _ 4,50 <br />Other (as per Mechanical Code):, <br />On-Site Technical Review <br />(Apply at Marion Co, only) <br />Reinspection Fee . ~ <br /> <br /> ; STATE SURCHARGE ,~0 <br /> ,_, PLAN REVIEW FEE $ <br /> t) ~ ~ ~,~ ,- - , iNVESTiGATiON FEE $ <br /> FLEETSURCHARGE $3,~A~ <br /> ...... , CITY FEE $ <br /> <br /> UIL01 <br /> <br />Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I am pedormlng work on a property I own or occupy. <br />~ sm s registered builder OR ~ , the authorl.~es representative of <br />~ reglsteteu Cullcer. <br />The work will be performed by <br />Other <br /> <br />MC 15-41 <br />Rev. 3/87 ~' <br /> <br /> <br />