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Received By <br /> <br /> Code-A-Phone 4;3a RM. - 8::00 A.M.. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />COUNTY BUILDING INSPECTION <br /> Senator eldg, NO. 22S <br /> 220 High St Pi."et NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588~$147 <br /> <br />Property Owner. Phone <br /> <br />Mailing Address:: <br /> <br />Job Address' Site No" <br /> <br />Cross Street,' <br /> <br />Mechanical <br /> <br />Address:: <br /> <br /> Use of Building;: <br />"Relocation [] <br /> <br />Residential Commercial;; <br /> <br />New [] <br /> <br />, Alteration:: [] Addition;: [] <br /> <br />Occupancy Change [] <br /> <br /> NO FEE AMOUNT <br />Ba~e Price 1000 <br />Forced air furnace 100,000 BTU or less 6..00 <br />Forced air furnace over 100,000 EITU <br />Floor Furnace 600 <br />Su?pended Heater 6 00 <br />Wall Heater 600 <br />Floor Mounted Unit H~ter 6 00 <br />Reat~ump ) .... e00 ~.00 <br />Air Handllng Unit to 10,000 cuft <br />Air ~andling Uait over 10:000 cuft 7 50 <br />Evaporative Cool~,r 4.50 <br />Exhaust System Commercial 450 <br />Hood and Exhaust Commercial 450 <br />Domestic Range,H_oods.. 4 50 <br />Domestic Exhaust Fans & Dryer Vents 300 <br />For pm-instaffatiar~ or instaffation <br />of each wood stove 7 50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets minimum fee <br />For each gas piping system of 5 or more <br /> outlets per outlet <br />For the irtstaflatJon, relocation or <br /> replacement of each appliance vent <br /> <br />Other (as per Mechanical Code);: <br />(Apply at Marion Co only) <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CiTY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indi~d,~fee,, <br /> <br />Tha work will be performed by a registered builde~ <br />Other, ~ <br /> <br />Rev 3/87 <br /> <br /> <br />