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Quantity Fixtures Quantity Heater - Space Heater - Unit Heater - Wall Hood - Range Hood - Type 1 Hood - Type 2 HVAC Hydronic Heating SFR Duplex Townhouse Kitchen Range Miscellaneous Fixture Multi-Family Commercial Refrigeration Case Roof Top Unit Solar Array New Addition Change-out Ventilation Ventilation - Fan Tenant Improvement Remodel Wood Stove $0.00 $2,000.00 $30.00 $2,001.00 $10,000.00 $10,001.00 $50,000.00 $50,001.00 and up Furnace Gas Stove - Freestanding Heat Pump Heat Pump - Air Source Property Owner Email Contractor Phone Contractor Email Address Work Description Property Owner Phone Business name (for commercial only) Clothes Dryer Compressor Exhaust System Fire Place (Gas/Insert) Duct Work Fryer - Self Contained Project Value Total Fee The project value shall be the cost to the owner of all labor & materials installed as part of the mechanical system. Use the fee schedule below to calculate fees, using the project value. $158.00 for the 1st $10,000.00 plus $8.50 for each additional $1,000.00 or fraction thereof. $498.00 for the 1st $50,000.00 plus $5.00 for each additional $1,000.00 or fraction thereof. $30.00 for the 1st $2,000.00 plus $16.00 for each additional $1,000.00 or fraction thereof. Date (Check One) Cooler (Evaporative or walk in) Gas Fuel Piping Freezer - Walk In Fixtures Air Conditioner Boiler Air Handler Use of Building (Check One) Signature Class of Work JURISDICTION of the CITY of KALISPELL, Montana Mechanical Permit Application Please email or fax the completed form FAX (406) 758-7739 PHONE (406) 758-7730 EMAIL: Contractor Address ALL BLOCKS ARE REQUIRED INFORMATION Property Owner Name Property Owner Address (If different than job site address) Job Site Address Contractor Name