Laserfiche WebLink
~'~' : "...~ ~ ~" · M~RI'g~I COUNTY BUILDING :INSPECTION <br /> <br />Date' ~ ~ ~lem, Oregon 9~ <br /> <br /> MECHANICAL PE~IT APPLICATION <br /> b~ARiON COUNTY <br /> F~; D;N~ INRP~gTIO~ <br /> <br />Owner: ......... Phone: Address: '" <br />Situs Ad d r e~,~,_~_¢,~'' Site No, :' Cro~s Street: <br />Mechanical Installer: Phone; --' ' Address; <br />-~iome BulldeOJ Regisiration No,: <br /> <br /> Residential: Commerc a" Use of Building: ' ' . ~ .................... <br /> <br /> NO. FEE AMOUNT <br />ndustri~i'lncinerator '~'0,00 <br /> ,8.00 <br />ter 7,50" <br />i W/O Appliance (i:4 each'i' ' 2,00 -- <br />b plus sa, addnl. ,50 <br />cessory to any heatlng"~r ......... <br />;ling system not COvered 4.50 <br />s.?,hanical Code): <br />~al Review <br />~rion Co. only) <br /> <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ .5' <br /> CITY FEE $ <br /> TOTAL $~.~,,~/'~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br /> ) I a~ performing work oB a properly I owr~ Or o66up¥. ~" <br /> } lamareglsteredbullderOR( )theauthorlzedrepmsen~tive~ SIGNATUREOFAPPLCANT: ........ '"~'~'~-~--~ <br />( ~The wOrk~ill be peflormed by a maid. red builder, <br /> <br /> <br />