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MARION~Y BUILDING INSPECTION <br /> ~'~ ~1~ DEVELOPMENT CENTER .~, <br /> ~ rch St NE · Room 132 r~n~H <br /> <br />R~oiv~b~ ~1~ ~.., ~ ~ ,~. ~- Dine: <br /> JUN 2 <br /> ~ 24 hr. lnspecUon Line 373~7 <br /> O~ce: Phone 588-5147 8:00am - 4:30pm I~u~ <br /> <br /> M .... ~uiLD i',iG <br /> ~-UHANICAL PERMIT APPLICATION <br /> Please complete all Sections, I through $ <br /> <br />L LOCATION OF INSTALLATION <br /> <br />Cross Sir eeL/D,r ections: ~/~ i [ I ~-~O/~ <br /> <br /> ~ ~ 1 ~ DAYS OF ~SU~ OR IF <br /> WO~ ~ SUS~ FOR 1~ DAYS. <br /> <br />~ CONTRACTOR ~LATION O~Y <br /> <br />~n~c~r's ~a~ Reg. No.~ Job No. <br />~. FOR O~ ~ST~MTIONS <br /> <br />Pwpen'y Owner ~/e~$e prir~) <br /> <br />City/State/Zip <br /> <br />Agent's Signature: <br /> <br />4. F~It SCHt~)UL]~ (Complete and eoter totallo Al below) <br /> <br /> USE OF STRUCTURE: <br /> NEW [2 ALTERATION [2 ADDrrI~i~i~flf[FJ~CATION C2 <br /> GAS i2 or ELECTRIC~ <br /> No. X Fe~ = Sum <br />BASE FEE $10.00 <br /> <br />FORCED AIR FURNACE <br />up to lO0,O00 BTU $ 6.00 -- <br />over 100,000 BTU $ 7.00 <br /> <br />FloorFurnace $ 6.00 -- <br />Susl~nd~d Heater $ <br />Wall Heater $ 6.00 -- <br />FloorMountedHeater $ 6.00 -- <br /> <br />HEAT PUMp <br />under 3 Ton ~ $ 6.50 <br />3 Ton and up $11,00 -- <br /> <br />AIR CONDmOI, atR <br />under 3 Ton $ 6.50 -- <br />3 Ton and up $11.00 -- <br /> <br />EvaporatiwCooler $ 4.50 -- <br />Commercial Exhaust System $ 4.S0 -- <br />Commercial Hood and Exhaust $ 4.50 <br />Domestic Range Hood $ 4.50 <br />Domestic Exhaust Faro <br />and Dr~er Vents $ 3.00 -- <br />Fire Damper $ 3.00 -- <br />Wood S~vdFireplnco $ 7.50 -- <br />Furnace Ducts (Alteratio~Ext~naion) $ 7.J0 -- <br />Commercial ! Indus~ial Incinerator $30.00 -- <br /> <br />ADDITIONAL APPLIANCES <br />Gas Water Heater $ 7.50 <br />Gas Log Lighter $ 7,50 -- <br />O~ Bntbeqtn $ 7,30 -- <br />O~r $7.5O <br /> <br />GAS PIPING SYffrEM <br /> 1-4 outlets (per GUile0 <br /> 4 and up outlets (f~r outlet) <br /> <br />Appliance Vents not included in <br />an appliance permit <br /> <br />OTHER (as required by B~ildiq~ OBicial) <br /> <br />DWELLING PERMIT LABEL # of Labels <br /> <br />$ 2.00 <br /> <br />$ 3,00 -- <br /> <br /> 3. PLAN RBVIBW 8BCTION <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 />I specifications with this application. <br /> <br />MC 15-41 <br />REV 8/~ <br /> <br />5. FEES <br /> Al. Enter total of fees from Sec./M <br /> A2. Add 5% smcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. Enter 25% of line A 1 for Plan Review <br /> (Al + ~5), if r~quired <br />C. Investigation Fee (if rgquirod) <br />D, Reinspectinn Fee ($'25.00) <br /> <br /> TOTAL AMOUNT DUE <br />Receipt No. <br /> <br />NIC <br /> <br /> <br />