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MARION COUNTY BUILDING INSPECTION <br /> co M __rrvg ¥ om T c. mv_a a n-NO- <br />FOR CITY VALIDATION[ <br />R ,iv d by: <br /> <br /> O~ 5S~47 ~:~ a~ - 4:30 p.m. ~SU~ by; _. <br /> <br />MEC~NICAL PERM~ <br /> APPLICA~ ~ ~ · ~E ~H~ (~piete ~d eat= m~l ~ A1 be~w) <br /> Pl~e complete ~1 ~tions, 1 ~roug~ <br /> <br />1. LOCATION OF RqSTALLATION <br /> <br />Deac6p6o~/Ddimcti~na <br /> <br />MARION COUNTY <br /> :TI1 <br /> <br />PERMITS ARE N ON-TRA-NSFERAB'LE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 1~0 DAYS OF ISSUANCE OR IF <br /> WORK IS $USPEHDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INI~FALLATION ONLY <br /> <br />FOR OWNER HqSTALLATION$ <br /> <br />Pwperty Owner (please print) <br />Maili~ Address Phone <br /> <br /> USE OF STRUCTURE: <br /> NEW I~ ALTERATION O ADDITION {2 RELOCATION O <br /> <br /> H~ X F~ ~ Sum <br />BASE FEE $10.00 <br /> <br />NORCED AIR FURNACE <br />up to 100,000 BTU [ $ 6.00 <br />over 100,000 BTU $ 7.00 <br /> <br />Floor Furnace $ 6.00 -- <br />Suspended Heater $ 6.00 <br />Wall Heater $ 6.00 -- <br />FIoorMounted Heater $ 6.00 <br /> <br />H~AT pUMP <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 -- <br /> <br />AIR CoNDrrlONER <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 -- <br /> <br />EvaporativeCooler $ 4.50 <br />Coramcrcial Exhaust System $ 4.50 <br />Commercial Hood and Exhamt $ 4.50 <br />Domestic Rang~ Hood $ 4.50 <br />Domestic Exhaust Fans <br />and/~¢r Vents $ 3.00 <br />Fire Damper $ 3.00 -- <br />Wood StovedFir~plac~ $ 7.50 <br />Furnace Ducts (Alt~ation/Ext¢lmion) $ 7.50 -- <br />Commercial / lnduattinl Incinerator $30.00 <br /> <br />AbDITIONAL APPLIANCE8 <br /> <br /> 1~ oudem (per outlet) <br /> 4 and up outlets (per ou~o <br /> <br />OTHER (as ~q~fod by ~1~ O~iaO <br /> <br />DWELLING PE~ L~L f of ~ <br /> <br />$ 2.00 <br />$ .50 -- <br /> <br />$ 3.00 <br /> <br />N/C <br /> <br /> 3. PLAN REVIEW SECTION <br />IMarion County d..o.9~ not require a plan review. <br /> We will provide plan r~'dew service if you complete <br /> Section 5B and submit two (2) set~ of plans and <br /> specifications with this application. <br /> <br />MC 15-41 <br /> <br />5. FF~S <br /> Al. Enter total of fees from S~c. g4 <br /> A2. Add 5% surcharge (.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. Reinfection Fee <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />