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1. LOCATION OB INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK I$ NOT <br /> ~FARTED W1TH[N 1~0 DAYS OF ISSUANCE OR 1F <br /> WORK 1S SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />PIop~r~ Owtler (please print) <br /> <br />Mailing Address j Phone <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />Agent's Si~ture: <br /> <br />4. FEB SCHEDULE (Complete and ente~ total & Al be~w) <br /> ~DE~ COMMERCI~ ~ <br /> USE OB ~R~: ~ / <br /> N~ ~ ~RA~ON ~ ~D~ON~CATION ~ <br /> GAS ~ or ELE~IC ~ <br /> <br />BASE FEE $10.~ <br /> <br />FORCED AIR FURNACE <br />up to 100,000 BTU $ 6,00 <br />ovurl00~00BTU ,i, .~ ~ $ 7~0 <br /> <br />Floor Furnace $ 6.00 <br />~uspeuded Hester $ 6.00 <br />Wall Heater $ 6.00 <br />Floor Mounted Heater $ 6.00 <br /> <br />HEAT pUMp <br />trader 3 Ton $ 6.50 <br />3Tonand up $31.00 <br /> <br />AIR CONDITIOI~R <br />un&r 3 Ton $ 6.50 <br />3Tonand up $31.00 <br /> <br />Evaporativ¢Cooler $ 4.50 <br />Commercial Ex'ual Systam $ 4.50 <br />Commercial Hood and Exhaust $ 4.50 <br />Domestic Range Hood $ 4.50 <br />Domesli¢ Exhaust Fans <br />md D~Ter Vents $ 3.~0 <br />Fire Damppr~$/-~/mJq'- ~- ~ $ 3.00 <br />~i~l$~ove/Fir~l~ee~ -- -t~-- -- $7.50 ~'2 <br />Furnace Duets (AIt ~tat io~E xt ~fPf $ 7.50 <br />Commen:ial / Industrial Incinerator $30.00 <br /> <br />ADDITIONAL APPLIANCES <br />Oea Water Heater $ 7.50 <br />Gas Log Lishter $ 7.50 <br />Gas Barbeque $ 7.50 <br />Other $ 7.50 <br /> <br />OAS PIPING SYSTEM <br />1-4 outlets (per outlet) $ 2.00 <br />4 and up outlets (per outlet) $ .50 <br /> <br />Appliance Vents not included in <br />an appliance permit $ 3.00 <br /> <br />OTHER (ts required by Euilc~t~ <br /> <br />DWELLING PERMIT LAEEL <br /> <br /> 3. PLANR/gVI~ SECTION <br /> <br />I Marion County does not require a plan review. <br /> We will provide plan review service if yon complete <br /> Section 5B and submit two (2) sets of plato and <br />I specifications with this application. <br /> MC 15-41 <br /> <br /> <br />