Laserfiche WebLink
I~ ti~~ ~O~FY BUILDING INSPECTION <br /> ]~'~ ~ COM~'~' DEVELOPMENT CENTER <br /> .... 28Y~glYirch St ~' R~m 132 <br />FORC~YV~ID~.~ ~ ~ ~:~ . <br /> <br /> M~RION COUNTY ~Hr I.~. L~: <br /> BUILDING INSPEC~ ~ss-~ s:~.-4nop~. <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Pl~aso ¢omploto ~ll Soation$, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> P~I~y Owner (~le~so print) <br /> Mailing Ad&ess Phone <br /> City/State/Z/p <br /> Owner's Signature: <br /> Agent's Signature: <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service if you completo <br /> Section SB and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br />MC 15-41 <br /> <br />4. F~E SCHEDUI~ (Complete and enter total in Al <br /> <br /> emS~Du~rri,~..l/I COMMm~O_~ Q <br /> USE OF ~RU~: <br /> ~ ~ AL~ON ~ ~D~ON ~ ~OCATION <br /> GAS ~ or ~EC~IC ~ <br /> <br />B~E FEE $1~ <br /> <br />FORCED AIR FURNACE <br />up ~o 100,000 BTU S 6.00 __ <br />over 1O0,000 BTU $ 7.00 <br /> <br />F]oor Furnace $ 6.00 <br /> <br />HEAT PUMP <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 -- <br /> <br />AIR CONDITIONER <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 -- <br /> <br />EvaporativeCooler S 4.50 -- <br /> <br />$7.50 <br />$7.50 <br />$ 7.50 <br /> <br />Gas BaCocquc <br /> <br />zoo <br /> .50 <br /> <br />$ 3.00 <br /> <br />N/C <br /> <br />OAS PIPING SY~'TEM <br /> 14 outlets (l~r outl~l) <br /> 4 and up o~tlem (per outlet) <br /> <br />Appliance Veins not included in <br />an applianc~ permit <br /> <br />OTHER (as cequir~d by B~ldi~ Oi~cial) <br /> <br />DWELLINO PERMIT LABEL #of Labels <br /> <br />5. FFdZS <br /> Al. Enler total of t'~¢s from Sec.//4 <br /> A2, Add 5% sm~harge (.05 x Al) <br /> <br />B. Enter25% of lineAl for Plan Review <br /> (Al + .25), if required <br />C. Investigation Fee (if required) <br />D. Roimpecfion Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br />Receipt No. <br /> <br />$ <br />$ <br />$__ <br /> <br /> <br />