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Received By: <br />Date; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. No. 225 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />fOARION ¢OUt~/Ty <br />~U!LDIIVG INSPECTION <br /> <br />Site NO.: <br /> <br />Phone: <br /> <br />Mailing Address; <br />, %q me <br />Cross Street: <br /> <br />,, . o X' ?3.97 <br /> <br />' Use of Building; <br /> <br />New; f"'1 ' Alteration; ~] Addition: [] <br /> <br />Relocation: I~ OccupancyChange: ~ <br /> <br /> NO. FEE AMOUNT <br />Base Prise t0.00 <br />_..Forded a~r furnace, t 00,000 BTU or les~ '~ 8.00 <br />Forced air furnace over 100,009. BTU . 7.50 ., <br />Floor Furnace 6~'00 <br />Suspended Heater 6,00 <br />Waif Heater 6,00 <br />FIoo'f Mounte~ Unit H~ater 6.00 <br />Heat ump " (, e: o 6.,0 <br />~A!,[ Handling Unit !o 10,000 cu. ft, 4,50 <br />Ai~r ,Handling Unit over 10,000 cu. fl;., 7.60 <br />'Evaporative Cooler 4.50 <br />Exhaust System uCommercia[ 4,50 <br />Hoed and Exhaust Commemlal 4,50 <br />.?omesd,c Range Hoods ........ <br />IDomestic Exhaust Fans & Dryer Vents 3700 <br />of each wood stove 7.50 <br /> <br /> NO. FEE AMOUNT <br />Commercial er industrial Incinerator ~0,00 <br />Fire Damper 3,00 <br />I Gas"Water R'~ater ...... 7,50 <br />For each gas piping system of Up to <br />4 outlets, minimum, tee 2.00 <br />For each gas piping system of 6 or more <br />outlets, per outlet ,50 <br />For ~'he installatior~, re~'ocatlon ~ <br />replsgement 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 ~.overed 4,~0 <br />Or__her (as per Mechanical Code): <br />On-Site Technical Review <br />~. (Apply at Mado.n, C0. only) <br />_Relnspe.ctlco Fee 15.00 i <br /> FEE <br /> STATE SURCHARGE ~'~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE $ <br /> CITY FEE $ <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />I an1 a registered b~Jildef OR ( ) the authorized representative of SIGNATURE OF APPLICANT: <br />a tegistere~ buitdet, <br />The work will be 13erformed by a registered bulldor. I I <br />Other__ <br /> <br />MC 15-41 <br />ROz 3~87 <br /> <br /> <br />