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Receive~ I~y <br />Oate~ <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg.~No. 22S <br /> 220 High Street NE <br /> tq. 4 <br /> Phone s88-e147 <br /> Code-A-Phone 4:30 F'M. - S:C0 A.M. <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> <br />L!/4RIO~ COUNTY <br />U..DINQ INSPECTION <br /> <br />,~reperty Owner;: ............... ~ ~'~hone:: ~,~i~ Address:: ..... ~ ~. <br /> <br />~'JobAddress ' ~ross St~e~; "' <br />  J~ Site NO.:: <br />~echanical Installer' Phone;: "' Address ' ' ..... <br /> <br /> New ~ Alteration ~ Addition:':'" ~ "Relocation~ .... Occupancy Ch~hge ~ <br /> <br /> NO FEE AMOUNT <br />Base Price 1000 <br />Forced air furnace 100:00~ BTU or ess <br />Forced air furnace over 100,000 BTU 7.50 <br />Floor Furnace 600 <br />_Suspended Heater 6 co <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump . 6.00 <br />Air Handling Unit to 10,000 cuft _ 450 <br />Air Handling Unit over 10,000 cu. ff 7.50 <br />Evaporative Coo!Ar 4.50 <br />Exhaust System Commercial 4.50 <br />Hood and Exhaust Commercial 450 <br />~Do,mestic Range Hoods. .... 450 <br />Domestic Exhaust Fans & Dryer Vents 3 O0 <br /> For pre-installation or installation I <br /> of each wood stove 1 .] 750 7.50 <br /> <br /> NO FEE AMOUNT <br />Commercial or Industrial Incine'retor 30 00 <br />_,.F,j,[e,,Damper 300 <br />Gas Water Heater 7 50 <br />For each gas piping system of up to <br />4 outlets, minimum fee g,00 <br />For each gas piping system of 5 or more <br />outlets, per o~!let 50 <br />For the installation, relocation or <br />replacement of each appliance vent <br />not included in an appliance permit 3.00 <br />Appliance or accessory to any heating or <br />Comfort cooling system not covered 450 <br />Other (as per Mechanical Code <br />On-Site Technical Review <br />(Apply,~t Marion Co only ~., <br />, ,Reinspection Fee 15 00 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE <br /> C~TY FEE $ <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee,, <br />/'l ~) I,rnperfor~ioowo,konapropertyIow~o~occupy ~SiGNATUR, OF APPLiCA~~ <br /> t am a registered builder O~ ( ) the authorized ~p~sentati. ~ '- ~ ~~ . <br /> ~ registered builde~ <br /> <br /> <br />