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~M~,A~.~Q~ COUNTY BUILDING INSPECTION <br /> - ' ~,.~ ~ t NE · Room 132 <br />FOR <br /> CITY <br />R ee, e, ived by: <br /> <br /> qq- r) D MARION COUNTY F~: <br /> <br /> BUiLDiNG iN~F~:~;I Iron <br /> MECHANICAL PERMIT APPLICATION }' <br /> Please complete all Sections, I through 5 ] <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> Lo. ne <br /> <br />{ <br /> <br />WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />218. FOK OWNER IN'STALLATIONS <br /> <br />Property Owner (pleasepriva) <br /> <br />Mailing Addr~s Phone <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />Agent's Signature: <br /> <br />4. lal~E ~R~HEDUL~ (Complet~ and ent~r to~l M A1 below) <br /> ~SIDE~I~ ~ ~OMM~CI~ ~ <br /> USE OF STRU~: d~ ~ ,~l ~ ~ ~ <br /> ~W ~ AL~RATION ~/~D~ION~TION ~ <br /> GAS ~ or ~E~IC~ ~ <br />No. X F~ = Sum <br />BASE FEE $1~ <br /> <br />FORCED AIR FURNACE <br />up to 100,000 BTU $ 6.00 <br />ovex 100,000 B~U $ 7.00 <br /> <br />Fioor Furnace $ 6.00 <br />Suspended Heater $ 6.00 -- <br />Wall H~ater $ 6.00 <br />Floor Motmtod Heater $ 6,00 <br /> <br />HEATPUMP ~ $ 6.50 ~_~'~ <br />under 3 Ton <br /> 3 Ton and up $11.00 <br /> <br />AIR CONDITIOI~R <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 <br /> <br />EvaporativeCooler $ 4.50 <br /> <br />and Dryer Vents $ 3.00 -- <br />Woad Stov¢/Fir~phce $ 7.50 -- <br /> <br /> Gaa Barbeque $ 7.50 <br /> <br />5. FEES <br /> <br />3. PLAN RIiVIEW SECTION <br /> <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 />specifications with this application. <br /> <br />MC 15-41 <br />REV 8/96 <br /> <br />A 1. Enter total of fees flom Sec, #4 <br />A2. Add 5% surcharge (.05 x Al) <br /> <br />.%btotal $ <br /> <br />B. Enter 25% of line A l for Plan Review <br />(Al + .25), if required $.__ <br />C. Investigation Fee (if required) $.__ <br />D. Reinspection F¢o ($15.00) $.__ <br /> <br />Rea¢ipt No. <br /> <br /> <br />