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Received By, .~, <br />Date:: .~L~:.~' 220 High Street NE <br /> ..,~ tam, O~gon 97301 <br /> <br />MARION COI~,NTY~UILDING ~NSPECTION <br /> -~etlator Bidg,, NO,, 225 <br /> <br />Situs Address' <br /> <br />,~hanicaLl~Staller:; <br /> <br />Phone:: <br /> <br />Site NO <br /> <br />Phone <br /> <br />Home Builder's Registration Ne,:: <br /> <br />Address <br /> <br />,,, <br /> Add re/,s.,~ <br /> <br />Residential:: <br /> <br />New ~ <br /> <br /> Commercial:: <br /> <br />Alteration [] Addition;: [] <br /> <br />Use of/,~uilding:: <br />Relocation:: I~ .,,['OccupancyChange;: [] <br /> <br />: NO.. FEE AMOUNT <br />Sase Price 10 00 <br />Forced air furnace 100,000 BTU or less 600 <br />Forced air furnace over 100 000 BTU 7.50 <br />Floor Furnace 600 <br />Suspended Heater 600 <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6 00 <br />_Heat Pump 600 <br />Air Handling Unitto 10:000 cuft 4.50 <br />Air Handling Unit over 10,000 cu. ft. 7.50 <br />Evapora~!~e Cooler 450 <br />Exhaust System. Commerci'al 4.50 <br />HOOd and Exhaust Commercial 450 <br />Dom~!!c Range Hoods __/ 450 <br />Domestic Exhaust Fans & ~ryer Vents ~. 3 oo <br />Domestic Wood Steve "7,50 <br /> <br /> NO FEE AMOUNT <br />Commercial or Industrial Incinerator 30 00 <br />Fire Damper 3,00 <br />Gas Water Heater 7~o <br />Gas Connection w/o App~nce (1-4 each) '" 2 O0 <br />over 4- $8 00 pluaea addnl, 50 <br />Appliance or accessory to any heating or <br />Comf~,r,t cooling system not covered,,, 4,50 <br />Other (as per Mechanical Code):; <br />OmSite Technical Review <br />(Apply at Marion Co only) <br />Reinapection Fee <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 />a registered builds[. <br />The work will be performed by a registered builder <br />Other <br />I agree to install according to the eubmi[ted plans and specifications, the laws of the state of Oregon and the ordinances of Marion County <br /> <br /> <br />