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IFOR CITY VALIDATION <br /> Received by:_ ~ <br /> Date: <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete all Sections, I through 5 <br /> <br />t. LOCATION OF LNSTALLATION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 285 Church St NE' R~m132 l~~ ~-~ <br /> <br /> Off~ 588-S147 8:~....-4:30p.m. ISS~ <br /> , ,,~lll!DINO }NSPF~'[~ON <br /> <br /> ' RESlDE~I~ ~ coMMBRCI~ ~ <br /> US~ OF ~RU~URR: <br /> NEW ~ AL~RATION ~ ADDfflOH ~ ~ATIOH O <br /> OAS ~ ~ ELE~IC~ <br /> <br />I PERIVilT3 ARE NON-TRANSFERABLE AND EXPIRE IF WORK I$ NOT <br /> STARTED W1TmN I ~0 DAYS OF ISSUANCE OR IF <br /> WORK 1S SUSPI~DED POE 1 S0 DAYS, . <br /> CONTRACTOR INSTALLATION ONLY <br /> <br /> FOR OWNtiR INSTALLATIONS <br /> <br />t)./Stat¢/Zip <br /> <br />BASE FEE <br /> <br />~p to lO0.O00 BTU <br /> <br /> $ 6100 .... <br />~ ~d[d ~ ~ ~i~ [ .... <br /> $ 6,00 __ <br />Floor MoUnled II.let $ 6,00 .... <br /> <br />3, PLANRiIVIEW SECTION <br /> <br />Matron County does not requi[e a plan rev}ew. , <br />We will provide plan review sen, ice if you complete <br />Section 5B and submit two (2) sets of plans aad <br />specifications with this appl'cat'on. <br /> <br />HRAT POMP <br /> <br /> 3 Ton nad up <br /> <br />~R CONDITIONER <br />under 3 Ton $ 6,50 , <br />3Toe and up $11,~ ..... <br /> <br />Colnme~ial E~sust ~y~tem $ 4,~ <br />~eeti¢ Rmge H~ $ <br />~d ~ Ventl $ 3l~ ........ <br /> <br />OTIIER (ss ~quimd by B~I&~ O~dalJ <br /> <br /> DWE~IHO PERMITLAB~L ~of~ls <br /> <br /> F~ES <br /> <br />A2. Add 5% $m~harsc (.05 x Al) <br /> <br />B, Enter 25% Of lioe A i lot Plan Review <br />(A I * ,25), if rgquircd $.__ <br />C, lnvcstigatlon F¢~ (if~qui~d) $.~ <br />D, Reimp~llOn Fee ($25.~) $11 <br /> TOT~ ~OU~ DUE ~,~, ~ ,~ <br /> <br /> <br />