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MARION COUNTY BUIL~DIN_~C_~_I~ISPECTION <br />Senalror Bid§, NO.'22~ <br />220 High Street NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />P'~pe~Owner:: Phone Mai~ng Add~essi <br /> f$1te NO,,. J" Cro~ Street' <br />Mea~ical Inslaller:; PhQQe. Address;: <br />Home ~uilder~ ~eglstration No,' <br /> <br />Residential:: Comm'erciak Use of 'Building' <br />New:; ~ ' Alteration:: ~ Addition;; ~ RelOcation <br /> <br /> NO FEE AMOUNT <br />Base Price 10,00 <br />-'~;;)rsed.,¢ir furnace,l~0,g00 BTU or le~s 6 00 <br />Forced air ~urnace over 100,0g0 IBTU ?50 <br />Suspended He;'ter '" 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6,00 <br />',~,ir H~dllng Unit to lO,00g'cu ff 450 <br />Air Ha~?ing U n.!,t over 10,000 cu,, ft 7.50 <br />Evaporativ~ Cooler 4.50 <br />Exhaust 8ystem Commercial., 4,50 <br />Domes, tic Range HoOds 4.50 <br />Do, mastic Exhaust F~ns & Dryer Venbs 3.00 <br />0f each wood stove / 750 '-~- <br /> <br /> I NC)i. FEE AMOUNT <br />'Csmmerslat or Industrial I~tslnera~or 3000 <br />Fire Damper 300 <br />Gas Wczter Heater 7 50 <br />For each gas piping system of up to <br />4 outlets, minimum fee ~,,00 <br />For~ach gas piping System of 5 or m~'~ <br />outlet, per outlet 50 <br />For the i~stafration, reiccetion or <br />replacement of each appliance vent <br />not Included tn an appllan¢ per~it.. 3.00 <br />Appliance or a~essOry to any heating or <br /> <br />-. Comfort cooling system not co?md 4.50 <br /> <br /> On-Si~ Technical R~lew <br /> (Apply at M_~rJ0n CO, only) <br /> Reinspe~ion Fee 15.00 <br /> STATE SURCHARGE <br /> P~N REVIEW FEE <br /> INVESTmGATION FEE $ <br /> FLEET SURCHARGE <br />  C~TY FEE <br /> TOTAL ~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, ~ <br /> <br />I am pertorrning work on a properly I ~wn or occupy ,~. ~, y///,¢.~ ~ ~ <br />Isrn a registered builder OR the authorized re,resentati~e of SIGNATURE OF APPLICAN~,~/~ .~ <br /> <br />The work will be pedormed by a registered builde[ <br /> <br />Rev 3/87 <br /> <br /> <br />