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LOCATION OF INSTALLATION <br /> <br />........ <br /> ST~ ~ 1~ DAYS OF ISSU~ OR WO~ IS SUS~ FO~ 1~ DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> I <br /> <br />City/S[a~/Zip <br /> <br /> 3. PLAN REVIEW SECTION <br />/Marion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> speciticafions with this ap,~[i_c~tion, <br />MC 1.5-4 I <br />R~v, 12/94 <br /> <br />USE OF STRUCTUR]]: , <br />N~W' CJ ALTeRATiON r~ ADDiTION~KI~LOCATION O <br />GAS m or ELECTRIC L~ <br /> <br /> No. X F~ = Sam <br />BASE FEE $ IO,00 <br /> <br />FORCED AIR FURNACE <br />up to 100,000 BTU $ 6,00 -- <br />over 100,000 BTO $ 7.00 <br /> <br />Floor l~umace $ 6,00 <br />Su~ndo;i Hcatet $ 6,00 __ <br />Wall Heater $ 6,00 __ <br />Floor Mounted H~IWr $ <br /> <br />HEAT pUMF <br />under 3 Ton $ 6.50 __ <br />$ Ton ~tt[ up $11.00 <br /> <br /> AIR CONDITIONER <br /> undex 3 Ton $ 6.50 __ <br /> 3 Ton and up $11.00 __ <br /> <br /> EvnpOtativeCooler , $ 4.50 ,,. <br /> <br /> Fuma¢~ Duels (~lterntion/Ext~si~~tmelt'~ $ 7.50 <br /> <br /> Gas Log Lighter $ 7,50 <br /> Om Baebeque $ 7.50 <br /> <br /> 5. FEBS <br /> <br /> ~a. Add ~ s~ha~* (,os ~ A0 <br /> $ /~,~ <br /> <br /> <br />