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Received <br /> <br /> MA~III[)~I~COUNTY BUILDING IN$,PECTION <br /> Senator Bldg. NO. 225 <br /> <br />~ - ~ A. --- <br /> <br />"Mechanical Installer; <br /> <br />qoma E~uJlder's Registration No.; <br /> 7594 <br /> <br />Phone: "' Mailing Address:, <br />749-2426 7515 Poe~ 3~d, <br />$ltaN~,i ......... C~s $treetl <br /> ~ill C~eek F~:~ <br /> <br />;residential: Commercial: <br />Wew:-"-~ I Alteration: [] Addltion: ~/t <br /> <br /> AMOUNT I <br />Ease Price 10.00 <br />Forced air furnace lOO,O00 BTU or less 6,00 <br />Fomed air furnace over 100,000 BTU 7.50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.co <br /> <br />Wall Heater 6,00 <br />Floor Mounted Unit H~ater 6,00 <br />Heat Pump 1 6,00 ~. O0 <br />Air Handling Uniito 10,000 cu. ft. 4.50 <br />Air Handling Unit over ?0,000 cu. ff. 7.50 <br />Evaporative Cooler 4.50 <br /> <br />Domestic Exhaust F~;,n s & Dryer Vents ' 3.00 <br /> <br /> ' U~e'ef Building <br /> resident <br />Relocation: [] <br /> <br />OccupaocyChange [] <br /> <br />Commercial 9r Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br />4 outlets, m nimum fee <br /> <br />For eaCh gas plplr~g system of 5 or more <br /> outlets, per ouPet <br />For th~ installation, ;relocation or <br /> replacement of each appliance vent <br /> no{inOuded in an aeetiance permit <br /> <br />Appliance or accessory to any heating or <br /> Comfor cooling system notocvered <br />Other (as per Mechanical Code): <br />Opi~ite~/ech rllcel R evlew : <br /> (Apply at Marl~n Co. ~ly) <br /> <br />Reinspaction Fee <br /> <br /> FEE <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 />I sm a registered builder OR ~ tho authorized representative of ,SIGNATURE OF APPLICANT:, <br />~reglsremabuilas~ J~Lly 20, i ~ <br />The work will be performed by e registered builder. <br />Other , <br />I agree to install ~ccordlr~g to the submitted plans and speoification~, the laws of the state of Oregon and the ordinances of Morion County, :: <br /> <br /> <br />