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IFOR CITY VALIDATION <br /> Received by: <br /> Date: <br /> <br />MECHANICAL PERMIT APPLICATION <br />P/ease complete ali Sections, 1 through 5 <br /> <br />L LOCATION OF Rq~TALLATION <br /> <br /> 285 ChurchSt NE' Room 132 II~~'' "~'" ~l~/i <br /> <br />0~ ~S8-5147 8;~a.m.-4:3Op,m, J F~: 588-794g <br /> <br /> 4. ~ ~ (Complet~ and ~nter ~1 i~I Al below) <br /> RESIDE~I~ ~ -- COMM~RCI~ ~ <br /> NEW ~ AL~RATION <br /> GAS ~ ot ELECTRIC <br /> <br />' PERMITS ARI~ NON-TRANS~RABLI~ AND F.~PIR}3 IF WORK IS NOT I <br /> STARTED WITHIN 180 DAYS OF ISSUAINCE OR IF <br /> I <br /> WORK is SUSPENDED FOR 180 DAYS. <br /> <br /> 3. PLAN ~EW S~CTION <br /> <br />lMarion County does not require a plan review, <br /> We will provide plan review se~ice if you complete <br /> Section 5B and submit two (2) sets of pla~ and <br /> specifications w~ ~s application. <br /> <br />ADDITION Gl REL'~)CATION U <br /> <br />BASE FEE <br /> <br />f~ORCED AIR FURNACI~ <br />up to 100,000 BTU $ 6.00 __ <br />oYer 100.000 BTU $ 7.00 <br /> <br />Floor Furnace $ 6,00 __ <br />Suspended lt~ater $ 6,00 <br />Wall Heater $ 6.00 <br /> <br /> 3 Ton ~od up $11,00 ..... <br /> <br />AIR CONDIT[O <br /> mlder3Ton ~ ~ $6.50~~1~ <br /> <br />EvaporativeCooler $ 4,50 ........ <br /> <br />Commercial Hood ami ~a~t $ 4,50 <br />~m~sfic R~ge Hood $ 4.50 <br /> <br />Fi~ Damper $ <br />Wood S~ve~implace $ 7,50 <br />Fuma~ Du~ (Alt er~tio~xtension) $ 7,50 <br /> <br />ADDITIONAL APPLIANCES <br />Gas Water Heater $ 7,50 <br />G~ Log Lighter $ %50 __ <br />G~ Baff:,cquc $ 7,50 <br />Other $ 7.50 <br /> <br />(tAg PIPING SYSTEM <br />14 outleta (per ouSet) $ 2,00 __ <br />4 and up ootlets (per o0tle0 $ ,50 __ <br /> <br />Appliance Vents ~t included in <br />~ appliance peflnit $ 3.~ <br /> <br />DWELLING ~ L~EL g of ~ls <br /> <br />5, F]EBS <br /> <br />Subtotal <br /> <br />B. Enter 25% of line A 1 tbr Plan Review <br />(Al + ,25), if ~qu~eed $___ <br />C, Investigation Fee (if required) $___ <br />D, Reimpeclion Fee ($25,00) $ ...... <br /> TOT~ ~0~ DUE * /733 <br />Receipt No. <br /> <br /> <br />