Laserfiche WebLink
COMMUNFFY DEVELOPMENT CENTER <br /> FOR CITY VALIDATION ] ' -- <br /> <br /> FAX: ~8~?~48 <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete all ,gections, I through <br /> <br />L LOCATION OF INSTALLATION <br /> G G&b fei <br /> <br />P~M~ ~ NON-~NS~AB~ AND ~M~ I~ WORK 1S NOT I <br />STAR'[ED V~ITHIN 1~ DAYS OF 1SSUAN~ OR 1F <br /> WO~ IS SUS~D~ FOR 1 ~ DAYS. <br /> <br />~. CO~RACTOR ~LATION O~Y <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />Property Overter (ple~e prim) <br />Mailing Addrma Phone <br />City/State/Zip <br />Owner's Signature: <br />Agent's S~natum: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> PERMIT NO: <br /> <br /> : <br /> <br /> ~ by: <br /> <br />4. FEB $CHI~3ULE (Complete and enter total in Al below) <br /> <br /> RESIDENTIAL ~l COMMERCIAL J~ <br /> USE ~OJ~ STRUCTURB: <br /> NEW~0/ALTERATION D ADDITION ~2 R~LOCATION O <br /> GAS <br /> ~-,~/.~vr ELECTRIC [3 No. X Fe~ = Sum <br />BASE FEE $10.00 <br /> <br />Wall Heater $ 6.00 -- <br />Floor Mounted Heater $ 6.00 -- <br /> <br />$ 6.00 <br />$7.00 <br /> <br />HEAT PUMP <br />trader 3 Ton $ 6.50 <br />3Tonand up $11.00 -- <br /> <br />AIR CONDITIOI~ER <br />under 3 Tou $ 6.50 -- <br />3 Tonand up $11.00 <br /> <br />EvaporativeCool~r $ 4.50 <br />Commercial Exhaust System $ 4.50 -- <br />Commercial Hood arid Exhaust $ 4.50 -- <br />Domestic Range Hood $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vents $ 3.00 <br />Fire Damper $ 3.00 <br />Wo~d Stove/Fireplace $ 7.50 -- <br />Furnace Ducts (Alteration/Extension) $ 7.50 -- <br />Commercial / laduslxial Incinerator $30.00 <br /> <br />ADDITIONAL APPLIANCBS <br />Gas Water Heater $ 7.50 <br />Gas Log Lighl~r $ 7.50 <br /> <br />OAS PIPING SYSTEM <br /> 14 outlets (per outlet) <br /> 4 and up <br /> <br />Appliance Vents not included in <br />an appliance permit <br /> <br />OTHtlR (as cequired by Buitagag Ogff'eial) <br /> <br />DWELLINO PERMIT LABEL # of Labels <br /> <br />$ .5{) <br /> <br />$ 3.00 <br /> <br /> 3. PLANRBVIti~r SRCTION <br />IMariqn County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Sectioa 5B and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br /> MC 1541 <br /> REV 8/96 <br /> <br />5. Fr~S <br /> A I. Enter total of fees fwm S~c. #4 <br /> A2. Add5% surcharge (.05 xAI) <br /> $ubto~l <br /> <br /> a. Enter25% oflineA[ for Plan Review <br /> (Al + .25), if required <br /> C. Inv~tigation Fe~ (if required) <br /> D. Reinspe¢lion }:ce ($25.00) <br /> <br /> TOTAL AMOUNT DUB <br /> Receipt No. <br /> <br />$ <br />$ <br /> <br />$ <br /> <br /> <br />