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MARION COUNTY BUILDING INSPI~iCTION <br /> <br />I~OR CITY V AL]~q~D~[ ~ ~ ~J ~'~ ~'Zh;ra~eh2to~E~,3R0~°m 132 PERMIT NO: , , <br />{ Received by: I~l | -K-NUr ' Omo: <br /> <br /> Issu~ by: <br /> <br /> .~l~ffic~: 555-5147 $;00 a.m. - 4;30 p.m. <br /> MECHANICAL PER~IgXTION <br /> Ple~e complete ~l Sectioos, I t~rou~ 5 <br /> <br /> L LO~ATIO~ OF ~ST~LATiO~ <br /> <br /> P~ A~ NON-~ANS~B~ AND ~ IF WORK i~ NOT <br /> ~TAR~ ~IN 1 ~ DAYS OF ISSU~ OR ~ <br /> WO~ IS SUSP~ND~ FOR 1 B0 DAYS, <br /> <br /> ~, CO~RACTOR ~ST~LATION O~Y <br /> <br />:.~ ~OROW~ ~STgATION8 <br /> <br />1 <br /> <br />3. PLAN RttVIBW SECTION <br /> <br />Marion C0tlnty riot require a plaR <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-41 <br />R~v. 12/~4 <br /> <br />4, FEE SCHEDUIJ~ (Complete and enter total in Al below) <br /> <br /> USE OF STRUCTURE~ ' t~ D.$.0~ ~L~kJ}x ~ <br /> NEW ~q ALTERATION ~. ADDITION IZI REL0~CATION <br /> GAS [~ et ELECTRIC ~ <br /> No. X P~ ~- Sum <br /> <br />FORCED AIR FURNACE <br />~p to 100,000 BTU $ 6.00 <br />over 100.000 BTU $ 7.00 <br /> <br />Floor Furnace $ 6,00 <br />Suspended Rearer $ 6.00 __ <br />Wall Heater $ 6,00 <br />Floor Mounted Healer $ 6,00 __ <br /> <br />HEAT PUMP <br />tmder3Ton I $ 6.50 /.,q ~'0 <br />3 Ton and up $11,00 __ <br /> <br />AIR CONDITIONER <br />~d~r 3 TOIl $ 6.50 <br />3 Ton and up $11,00 __ <br /> <br />Evapotative¢oolor $ 4.50 __ <br />Comme~ial Exhaust System $ 4.50 __ <br />Comme~ial Hood and Exhaust $ 4,50 <br />Domes0c Range Hood $ 4.50 <br /> <br /> and Dryer Vents $ 3,00 <br /> <br />Wood StovedFireplaee $ 7.50 ...... <br />Furaage Duets (Alteration/Extension) $ 7.50 <br /> <br />ADDITIONAL APPLIANCES <br />G~ Water Heater $ 7.50 <br />Gu~ Log Lighter $ 7,50 ---- <br />Ga~ Barbeque $ 7,30 <br />Oil)er $ 7,50 <br /> <br />GAS PIPING SYSTEM 1-4 ouileta (per outlet) <br /> 4 and up outlets (per oatlet) <br /> <br />Appliance Ventq not included in <br />an appliance peonit <br /> <br />OTHER (3~s ceqlJit~d by Buildiqff OI~clal) <br /> <br />DWELLING PERMIT LABEL # of Labels <br /> <br />$ <br />$ .50 <br /> <br />$ 3,00 <br /> <br />5. FEES <br />A I, Enter total of lbcs £rotn Sec.//4 <br />A2, Add 5% surcharge (,05 x Al) <br /> Subtotal $~-~ <br /> E. Enter 25% of lin~ Al lbr Plan Review <br /> (A 1 * ,25), il'required $ __ <br /> C. lnveafigafion Fee (if required) $ <br /> D. Reinspecilon Fee ($25.00) $ <br /> <br /> · <br /> Receipt No. <br /> <br /> <br />