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...,~ ~,~. ~ · MARION COUNTY BUILDING iNSPECTION <br />Received By: '" ~ ~ Senator 81dg. No. 225 <br /> ~ 220 High ~l~ NE <br /> <br /> ~ ~ ~ ~'~ ~ , .~ Cod~-Phone4:~RM,-8:~A,M. <br /> <br /> C0l, <br />BtJ[L0I! [¢. INS?F-0 0E CHANiCAL PERMIT APPLICATION <br /> <br />Si~e Nb,: ~ <br /> <br />Phoha: <br /> <br />Residential: ' Commercial: <br />'~'~ I Alteration: [~ Addition; [~ <br /> <br />Address: <br /> <br />Cross Street: <br /> <br />Addreg$; <br /> <br />, , Uae of Building: <br /> Relocation: [~ <br /> <br />0ccupascyChange: [] <br /> <br /> NO, FEE AMOUNT <br />Base Price 10.00 <br />Forced air furn~'ce 100,000 BTU or lass <br />Forced air fu(nace over 100,.q00 BTU 7.50 <br />Floor Furnace 5.00 <br />Suspended H. eater 6.00 <br />Wall Heater 6.00 <br />Floor Mou~lted Unit Heater 6.00 <br />, Heat Pump 6,00 <br />Air Handling Unit io 10,0,00 ca, ft:" 4,50 <br />Air Hasdling Un!t over 10,000 cu, ft. <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 Exh~,u,~t Fans & Dryer Vem~' ,, 3.00 <br />Domestic Wood,Stove , 7.50 <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial,.!~inerator 30.00 <br />Fire Damper 3.00 <br />Gas Water Heater 7.50 <br />Gas C~r~ect[o~ w/o Appliance (i-4 each) 2.00 <br />Over 4- $8,00 plus ea. addnl, ,50 <br />'-Appliance or accessory to any heating or <br />Comto~ cooling syetem not covered 4.50 <br />Other (a~,per Mechanical Code): _ <br />On-Site Technical Review <br />(Apply at Marion Co, only) ....... <br />Re nsPe ias ..... "l <br /> <br /> STATE SURCHARGE ,~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET~URCHARGEciTYToTALFEE $~,J-,-~$ ' ' ' <br /> <br />PieaBe return COMPLETE APPLICATION with the indicated fee, <br /> <br />( ) I am 0er forming work on a pmperty Iown or e~upy, <br /> I am a registered builder OR ~ the authorized representative of SIGNATURE OF APPLICAN1~ <br /> <br /> Other <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />