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_MARION COUNTY BUILDING INSPECTION <br /> <br /> ~ ~ ~,~ ~ ~\ 220 High St?et NE . <br />Date <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> <br />Proped~ Owner <br /> <br />Job Address:: <br /> <br />Mailing Address:: <br /> <br />Home BuildeCs Registration No,;; <br />Residential / Commemiel <br /> <br />Address <br /> <br />Use of Building <br /> <br />New [] <br /> <br />Alteration ~' Addition:: I-I <br /> <br />Relcoetien L~ Occupancy Change;; Lq <br /> <br /> NO FEE AMOUNT <br />Base Price 10,00 <br />Forced air furnace 100,000 BTU or less 6 00 <br />Forced air furnas? over 100,000 BTU 750 <br />Floor Furnace 6,00 <br />Suspended Heater 600 <br />Well Heater 600 <br />Floor Mounted Unit Heater 600 <br />Heat Pum.,,p 6.00 <br />Air Handlin9 Unit to 10 000 cu i 450 <br />Air Handling Unit over 10,000 cuft 7,,50 <br />_,_E,.vaporatlve Cooler 450 <br />Exhaust ~ystem Commercial 4,50 <br />Hood and Exhaust Commercial 4,50 <br />Domestic,Flange Hoods 450 <br />Domestic Exhaust Fans & Dr~er Vents, 3,00 <br />For pre4nstallet[oe or installation <br />of each WOOd st~o~ve / 7 $0 ? ~ <br /> <br /> NO FEE AMOUNT <br /> Commercial or Industrial Incinerator 30 00 <br /> Fire Damper 300 <br /> Gas Water Heater 750 <br /> For each gas piping system of up to <br /> 4. outlets, minimum fee 200 <br /> For each gas piping aystem ef 5 or more <br /> outlets, per outlet 50 <br /> For the installation relcoaticn or <br /> replacemeet of each appliance vent <br /> not included in an appliance permit g00 <br /> Appliance or accessory to any heating or <br /> Co~!ort cooling system not covered .... 450 <br /> Other (as per Mechanic~,l Code):: <br /> On-Site Technical Review <br /> (Apply at Marion Co:,,pnly) <br />..... R,einspection Fee ........ 1500 <br /> <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE <br /> CITY FEE $ <br /> TOTAL ~$.¢z~ <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />} I am performing work on a pmperty I own or occupy ~ ~,~~ <br />) I am e registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICANT <br /> a registered builde~ ~ ' ' <br />) The work will be performed by a registered builder <br />) ether <br />) l agree to inetall accordingtothesubmitted plans and specifications the law$ot thesf,~teofOregonandtheordlnancesof Marion County <br /> <br />MC 15-41 <br />Rev 3~87 <br /> <br /> <br />