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//. .~ MARION COUNTY BUILDING INSPECTION <br /> <br />~U]LDING I~~'~I~[~AL PERMIT APPLICATION <br /> <br />Situ~cJ~ S,te No~)/.~ Cross Street <br />Mechanical InS~llcr Phc.e;; ~g <br />Home Builder's Registration No..;; <br />Residential" ¢/~2 ~"' '. I CommemiaI <br /> <br />New ~ Alteration;; ~ "~ddiflon:: ~ <br /> .1, <br /> <br /> U ¢~.~o f ,uildin~:: <br /> <br />.... R~'location: [] ccupancyChange [] <br /> <br /> NO FEE AMOUNT <br />Sase Price 1000 <br />Forced air fure~a.c~ 100,000 BTU or ess ....... 600 <br />Forced air furnace over 100,000 BTU 7,50 <br />Floor Furnace 600 <br />Suspended Heater 600 <br />Wall Heater 6 00 <br />Floor Mounted Unit Heater 6 00 <br />Heat Pump 600 <br />Air Handling U~it t...._o lO,O00cu ft 4.50 <br />Air Handling Unit over 10.000 cuft 7~0 <br />Evaporative Cooler 4 50 <br />Exhaust System Com mer~"i'~.i 4.50~ ..... <br />Hood and Exhaust Commercial 4~0 <br />Domestic Range Hoods 450 <br />Domesti'c Exhaust Fans & D'~er Vents 300 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />Gas Conoeotion w/o Appliance (1-4 each) <br />over 4- $8,00 plus ea addnl <br />Appliance or accessory to any heating or <br /> Comfor~ cooling ~ystem not covered <br />Other (as per Mechanical Code):: <br />On-Site Technical Review <br /> (Apply st Marion Co,, only) <br />Reinspection Fee <br /> <br />Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />AMOUNT <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br /> crrY FEE <br /> TOTAL <br /> <br />Iarn perforrmrlg work on ~ property I own or occupy' <br />I em a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICANT <br />a registered builde£ <br />The work will be performed by a registered builds[ <br /> <br />Rev 3/87 <br /> <br /> <br />