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Date;;
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />
<br />High Stl~ NE
<br />
<br /> ~ f~AR/ON
<br /> I~UtLDING
<br />MECHANICAL PERMIT APPLICATION l'~lSp/~;,/~/__.,~
<br />
<br />Phoee;;
<br />
<br />Site No, ::
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<br />Phone;:
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<br />Mailing Address;;
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<br />Cross Street:;
<br />
<br />Address::
<br />
<br />Use of Building::
<br />
<br />Oacupancy Change;: 0
<br />
<br />Property Owner::
<br />
<br />Home BuJJder~ ~egistrllJon ,~u-
<br /> /?//
<br /> Commemial:
<br />Resident~ ,,
<br /> Alteration', ~
<br />New:: ~ ~ditlon: ~
<br />
<br />Relocation;; []
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<br /> NO,, FEE AMOUNT
<br />Base Pri~a 10,,00
<br />~rced air furnace 100.000 0TU er less' .,, / 6.00
<br />Forced a!r turtle, ce over 100,000~TU,, 7.,50
<br />Floor Furnace '6,00
<br />Suspended Heater 6.00
<br />Wall Heater 600
<br />Floor Mounted Unit Heater 6,,00
<br />Heat Pump 600
<br />Air Handiieg Unit to 10,,000 cu, it:, 4,,50
<br />~Ai.r, Nandling Unit o.v? 10,000 cu It,, 750
<br />Evr~porative Cooler 4,50
<br />Exhaust System Comn~ercial 450
<br />Hood and Exhaust Commercial 4,,50
<br />Dom.eS'tic Range Hoods 4,50
<br />,Domestic Exhaust Fans.,& Dryer. Vents / ~ 00
<br />For pre-i~stalletloe or installation
<br /> ., of each wood stove 7.50
<br />
<br /> NO I FEE AMOUNT
<br /> Commercial or industrial Incinerator ' 3b O0
<br /> Fire O~mper 3 O0
<br /> Gas Water Hearer 7 50
<br /> For each gas piping system of up to
<br />4 out,ets, minimum fee / 200
<br />For each gas piping system of $ or more
<br />eutlets~ per outlet ,50
<br />replacement of each appliance vent
<br />not included in an a,.ppliaece.permlt ,, 3,00
<br />Appliance or accessory to any heating or
<br />.Comfort ce. cling system not covered 4 50
<br />Other (es per Me.Chanlcal .Code) .,,
<br />On-Site Technical Review
<br />... (Apply at Marion Co on!y)
<br />Re!pspestion Fee 15~00
<br />
<br /> STATE SURCHARGE ,.~
<br /> PLAN REVIEW FEE $
<br /> INVESTIGATION FEE
<br /> FLEET SURCHARGE ~";7~-~_
<br /> CiTY FEE $
<br /> TOTAL
<br />
<br /> Please return COMPLETE APPLICATION with the indicated fee,,
<br />
<br />) lamperf~rmlngworl<o~apropsrtylownoroc~py
<br />~' lamareglsteredbullderOR( )theauthorizedmpresentativeof SlGNATUREOFAPPLICANT:--.~"~'"'""~N,
<br />
<br />MC 1S-44
<br />Rev S187
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