Laserfiche WebLink
ff, al~m, Oregon 97301 <br /> PhOne 588-5147 <br /> <br />· ~ · <br /> <br />Owne Phone: Address: <br />Situs Address; Site NO.: Cress Street: <br />Mechanical Installer: Phone: Addl.~,ss ' <br />Homo Builder's Registration No.: <br /> <br />Residentiaii ....... ,,.~, CornmerciaF~ ....... USe 0f Building: <br />New; .............. ~ Altsration:'"'r~ Addition: [] Belocation: [] Occupancy Change: [] <br /> <br /> NO. FEE AMOUNT <br /> Base Price ~., ........ 10.00 <br /> Forced air fu'~'eca i00,00O STU or less S.o0 <br /> Forced sir furnace over 100,000 BTU ~;,~,O <br /> Floor Furnace <br /> Suspended H~atsr ............ 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 c,u. ff~ 4.50 <br /> Air Handling, Unit over 10.000 cu, ft. . ........7.50 <br /> Evaporative Cooler 4,50 <br /> Exhaust System Co?,m~rclal 4.50 <br /> Hood And Exhaust Commercial 4.50 <br /> Domestic Range Hoods 4.50 <br /> Domestic Exhaust F.~ns & Dryer Vents 3,00 <br />..... D,(~rn~tic Wood Stove <br /> <br /> NO. FEE AMOUNT <br />Commemial or Industrial Incinerator 30,00 <br />Fire Damper 3.00 <br />Gas Water Heater . 7,50 <br />Gag Connection w/o Appliance (1-4 each) 2,O0 <br />over 4- $8.00 plus es, addni. .50 <br />Appliance or accessory to any heating or <br />Comfort cooling system not covered 4,50 <br />Other (as par Mechanical Code): <br />On-Sits Technical Review <br />(Apply at Marion Co. only) <br />"',."'elnspeotion Fee ....... <br /> FEE "'$17~ <br /> STATE SURCH^RGE · <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 />lamamgisteredbuilderOR( )theauthorized~epmsen~tiveof $[GNATUREOFAPPLICANI~?; - ~., ~ ,~~ <br /> <br />The work will be peffo.e, by a *gist.. builder. ~ ~ XZ~ <br />I agree to install ~cco~lng to the submlaed plans and s~cifi~tions, the laws ~ the state of Oregon and the o~lnances of Marion C~,' ' <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />