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Received By: <br /> <br />MAR ON COUNTY BUILD NG INSPECTION <br /> il Senator Bldg. NO. 225 <br /> ~ ~ i i 2'~0 High street NE <br /> .. <br /> <br />property Owner: .... Phone: Mailing Address: <br />~s. C Har,e 678-2742 <br />,Job AddreSS': Site No.: Cross Street; <br /> <br />Mechanical Installer: . Phone: Address'. <br />J~ren's ~{eatina 370-7640 2355 Hyacin%h N.E,. ................. <br />Home Builder~J Registration No.'. <br /> <br />Residential: Commercial: Use of I~ui[ding; <br />......... ¥e8 ..... <br />New: [] ............ Alteration: ~ AdditiOn; [] Relocatbn: [] OccupancyOhange: [] <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />Forced air furnace 100,000 BTU or less 6.00 <br />Forced air furnace over 1{~0,000 BTU 7.50 <br />Floor Furnace 6,00 <br />Suspended Heater 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6,00 <br />Heat Pump ~ 6,00 6. ~ <br />Air Handling Unit to 10,000 cu. ft. 4.50 <br />Air Handling Unit over 10,000 cu. ft. 7.50 <br />Evaporative Cooter 4.50 <br />Exhaust System Commerci~[ ..... 4.50 <br />Hood and Exhaust Commercial 4,5(~ <br />Domestic Range Hoods 4.50 <br />Domest. icEx__h_austFans&DryerVe, nts. .' .... .. :~$.00' ' <br />For pre-Installation or installation <br />of each wood stove 7.$0 <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 ga~ piping system of 5 or more <br /> outlets, per outlet <br /> <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 heating or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Coda); <br />On-Site Technical Review <br /> (Apply at Marion Co- only) <br />Reinspectlon Fee <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br /> NO. FEE AMOUNT <br /> 2.00 <br /> <br /> FI~E $ <br />STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br />NVESTIGATION FEE <br />FLEET SURCHARGE $ <br />CITY FEE $ <br />TOTAL $ <br /> <br /> em performing work on a properly ] own or o~upy. Af~~~~ <br />, The work will be performed by a registered builder. % <br /> <br />MC 15-41 <br />Re~ 3/87 <br /> <br /> <br />