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MARION COUJ~['Y BUILDING INSPECTION <br /> <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.: ~ ' ~ ~ <br /> <br />Residential: Commemlal: j Useo~ilding: / , "' <br />~'~w, ~ Alteration; Addit,o.: lReloc~n~ze ~pancy~hange'. ~ <br /> <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 <br /> <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 <br /> <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 <br /> <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $~_ ~'~*/ <br /> CITY FEE $ ~.~ <br /> TOTAL <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <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. <br /> <br /> <br />