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Received By:: __ <br />Date __ <br /> <br />MARION'COUNTY BUILDING INSPECTION <br /> <br />Property Owner Phone:: Address' <br />Job Address:: <br />Mechanical Installer Phone:; Addreee;; <br />Home Builder's Registration No, <br /> <br />?594 <br /> <br />ResideetJak Commercial:: Use of Buildi~lg:: <br />_:fiLO.L6 yes <br />New ::~f_ A[teratlon:: [] Addition;; I~ I Relocation:: [~ <br /> <br />' Occupancy Change:: [] <br /> <br /> NO. [ FEE AMOUNT <br /> Base PriCeI 1000 <br />Fumed air furng.ce 100,000 Bq-U 0,r less -- '~00 <br />Forced a r furnace over 100:000 BTU 750 <br />Floor Furnace 6 00 <br />'"'~pend~c~ Heater 600 ..... <br />Wall Heater 600 <br />Fl~r Mounted Unit Heater 6 o0 <br />Heat Pump ] , 600 6, O( <br />~Air Haedli'n~ Unit to 10,000 cuf{'" 1 450 a_ ~(3 <br />Air Handling Unit over 10!000 cuft. 750 <br />Evapor~.t.i.ve Cooler 4.50 <br />Exhau st Sya.tem Commercial 4,50 <br />Hood and Exhaust Commemial 450 <br />Domestic Range Hoods 450 <br />Domestic Exhgust Fans & D~er Ven!s 300 ...... <br />For pre-installation or installation <br />of each wood stove 7 50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets= minimum fee <br />For each gas piping system of 5 or more <br /> outlets, per outlet <br />For the installation, relocation or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliance or accessory to any hearing or <br /> Comfort coollnq system not covered <br />Other (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 />CiTY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee,, <br /> <br />Iarn performing work on a property, own or occupy ~~,'I~ I ~ ~.. <br />~ ~m a registered builder OR ( ×J~le ~uthorized representative of SIGNATURE OF APPLICA~ ~;~ )~l~ ~} ~!~z:~L~"~ <br /> <br /> <br />