Laserfiche WebLink
BUILD'lNG INSP N <br /> ~HANICAL PERMIT APPLICATION <br /> <br />JobAddre~ <br /> <br />Residentlal: Commercial: <br />New: ~3 Alteration: [] Addition: <br /> <br />Phone: <br /> <br />Address: <br /> <br />Address: <br /> <br />, ,, Use °f Buil~ting:(~___..~ '(~,,.~[~ <br /> Relocation: [~ OooupancyOhange; [] <br /> <br /> NO, FEE AMOUNT <br />Base Price 10.00 <br />Forced air furn0ce 100,0~)~ BTU or 10ss 6,00 <br />Forced air furnace ov~r 100,000 BTU 7,50 <br />Floor Furnace 6,00 <br />Suspended Heater, "~.00 <br />Wa~l Heater 6.00 <br />Floor Mounted Unit Heate~ 6,00 <br />Heat Pump 6.00 <br />Air Handling Unit. ever 10,000 cu, ft.. .... 7.50 <br />Evaporative Cooler 4.50 <br />ExhaUst System Comnl'eroial 4,50 <br />Hood and ~xheust Commemlal 4.50 <br />_Domestic Rsnge Hoods ..... 4,50 <br />Domestic Exhaust Fa?ts & Dry?r Vents 3.00 <br />For pre-installation or installation <br />..... of aaoh wood stove J 7,50 ~. <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets, minimum fee <br />For each gas piping system of 5 or more <br /> outlets, per outlet <br />For the installation, relocstlon or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliance or accessory to any heating or <br /> <br />Other (as per Mechanical Code); <br />(Apply at Marion Co, only) <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />Cl~r~ FEE <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee,..., _ ,~, (_.~, <br />( ~ ~ ~m performing work on a p~peny I own or o~¢upy, ~/ ,~ . /) ~ //].~. <br /> ) lamareglsteredbuilderOR( )theauthorizedrepresentativeof SIGNATUREOFAPPLICANT,.~ ~ <br /> <br />MC t5-41 <br />RQ~ 3/87 <br /> <br /> <br />