MARION COUJ~['Y BUILDING INSPECTION
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<br />Owner: /] ~1 ! ,,f'' ,~ , ".
<br />~ (:~~/C~/_-/.~.~.,,~ Ph°~i/~./J.//Z// "~ Ad~m~;/~/~ ~, ~~~ ........
<br />SitusAddmss; -- -- .~ ~ ,, SiteNo.: ........ Cros~St~et:
<br /> hanical Installer: ~. , / ~ , Phone; Address:
<br />Home Builder~ RegFstrafion No.: ~ ' ~ ~
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<br />Residential: Commemlal: j Useo~ilding: / , "'
<br />~'~w, ~ Alteration; Addit,o.: lReloc~n~ze ~pancy~hange'. ~
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<br /> NO. FEE AMOUNT
<br />Base Price 10.00
<br />-'F~rced ai,r ,furnace 100,000 BTU o'~'lass 6.00
<br />F~o. rced air furnace o?er 100,000 BT,U 7,50
<br />Floor Furnace 6,00
<br />S.J~pendad Heater , 6.00
<br />Wall Heater 6.00
<br />Floor Mounted Unit Heater 6.00
<br />Heat Pump 6.00
<br />Air Handling Unit tO 10.000 cu,; fl, 4,50
<br />Air Ha,pdling Unit oVer,10,000 cu. ff. 7.50
<br />Evapo~atls~ Coo~a~ 4,50
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<br />....~xhaust System commer~i'al 4.50
<br />Hood and Exhaust Commercial 4,50
<br /> O°mesIic R~.pga Hoods 4.50
<br /> D~o_mestic Exhaust Fans & D~yer Vents 3.00
<br /> Domestic Wood Stove 7,$0
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<br /> NO. FEE I AMOUNT
<br />Commercial or I~lustrial Incinerator ' 30.0(~' , ,, ,
<br />Fire Damper 3.00
<br />Gas Water Heater '" 7.50
<br />Gas Connection w/o Appliance (1-4 each) ,3.00
<br />over 4- $8,00 plus aa, addnl. ,50
<br />Appiiance or ~ccessory to any heati'ng or
<br />Cgmfort cooling system Jot co,~ered 4.50
<br />Other (~s per Mechanical Code):
<br />On-Site Technical Review
<br />(Apply at M~don CO, only)
<br />Reinspection Fee
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<br /> STATE SURCHARGE
<br /> PLAN REVIEW FEE $
<br /> INVESTIGATION FEE $
<br /> FLEET SURCHARGE $~_ ~'~*/
<br /> CITY FEE $ ~.~
<br /> TOTAL
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<br />Please return COMPLETE APPLICATION with the indicated fee,
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<br />) Iarn performing work on a property I ow~ or occupy,
<br />I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICANT:
<br /> a registered bultder, '
<br /> Thework~llpep~dormed~amg~te~d~ilde~ , ~ . ~ . ~ j , ' , ~
<br /> ~her~ ~ ~"'~''''~-
<br /> --., .
<br /> agree to install a~lng to the submi~ed plans ara speoifications, the laws of the state o~ Oregon and the ordinaries of Marion Count.
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