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ReceiYed By' <br />Date __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Sldg,, No. 225 <br />220 High ~$tw,.~ NE <br /> <br /> Phone 588-5147 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Phone, Meiling Addngss:; <br /> Address;; <br /> <br />Residential <br />New [] <br /> <br />Addition:: <br /> <br /> Use of Suilding~ <br />Relocation:: [] Occupancy Change;: [] <br /> <br /> NO,, FEE AMOUNT <br />Base Price tO00 <br />Forced air furnace 100,000'BTU or le~s 6,00 <br />Forced air furnace ov~r 100,000 BTU 750 <br />PIoor Furnace 600 <br />Susp~nde~ H~ste~' 6.60 <br />Wall Heater 600 <br />.,,Heat Pump 6.00 <br />Air Handling Unit to 10.000cu ft, 4.50 <br />Air Handling Unit over 10.00.0 cuft 750 <br />.,Evaporative Cooler 450 <br />Exhaust System Commercial 4,50 <br />Hoed and Exhaust Commercial 4,50 <br /> Domestic Raege Hoods ...... 4,~0 <br /> Domestic Exhaust Fans & Dryer Vents 300 <br /> of each wood stove 750 <br /> <br />CommeFcial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas pipi~J system of up to <br /> 4 outlets, minimum fee <br />For each gas piping system of $ or more <br /> cutlets= per cutlet <br />For the installation= relocation or <br /> replacement of each appliance vent <br />not included in an appliaace permff <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Otb. er (as per Mechanical Code), <br />On-Site Technical Review <br /> (Apply at Marion Co only) <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />pLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />C1~'~ FEE <br /> TOTAL <br /> <br />I AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />~amperfo~mi~gwc~ko~pr~.~tylownorOCCupy . ~z /~ -,. <br />I am a registereS builder OF{ ~'~Fthe ~uthorized representative Cf SI~NATU RE OF APPLICANI': _~ ~~ .-, _ <br /> <br /> <br />