Laserfiche WebLink
Received By ~ ./Y <br /> <br />Date:: Q-:,~ ' ?0 <br /> <br />MA <br /> RION <br /> COUNTY BUILDING INSPECTION <br /> <br /> Salem, Oregon 97301 <br /> <br /> Phone ~8-S147 <br /> <br /> MECHANICAL PERMIT APPLICATIO~ <br /> <br />Property Owner' <br /> <br /> f <br /> N~ ~. ~ ~ I/~ <br />Mecha~al In~tall~r:: <br /> <br />Phone:: <br /> <br />S)te No <br /> <br />Mailing Address:: <br />Cross Street:: <br /> <br /> Phone;: Address <br />Home Bulldogs Registration NO:: <br /> <br />Residential ._-. Commercial <br />New [[;..~-'~ ..... Alteration:: [] r Addition [] <br /> <br />Use of Bu l~ing :: ' <br />Relocation:: I"q Occ~p~cyChange [] <br /> <br /> NO FEE AMOUNT <br />Baee Price 1000 <br />Forced a~!,{,!uroace 100,000 BTU or lees 6,0~ ..... <br />Forced air furcece?'er 100,000 BTU 750 <br />Floor Furnace 600 <br />Suspend~ Heater 600 <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6,,00 <br />Heat Pump ........... 600 __ <br />Air Handling Uni o 10.000cu ft 4 50 <br />Air Handling Un.!! over 10,000 cuft, , ..... 750 <br />Evap~r.ative Cooler 4.50 <br />Exhaust System ~C,~mmercial 4 50 <br />Hood and Exhaust Commercial 4,,50 <br />Domestic Range bloods 450 <br />Domestic Exhaust Fans & Dryer Vents 3.00 <br />For pre-installation or installation <br />of each wood stove ¢¢ 7 50 */, ~ ¢ <br /> <br /> NO FEE I AMOUNT <br /> Commercial or Ind~'~trial Incinerator ~000 - <br /> Fire D~mper 3,00 <br /> Gaa Water Heater 750 <br /> For each gas piping system of up to .... <br /> 4 outlets: minimum fee ~ 00 <br /> For each gas piping system of 5 or more <br /> <br />......... outlets, per outlet 50 <br /> For the ins a at on: relocation or <br /> replacement of each appliance vent <br /> not included in an appliance permit 300 <br /> Appliance or accessory tO any'~eating or ~" <br /> Comfort cooling system not covered ,4.,50 <br /> Other (as per Mechanical Code :: <br /> On-Site Technical Review <br /> (Apply at Marion,,Co only) <br /> Rein~pection Fee ,, , 15,00 <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 />, lam,regi,teredbuilderO.( )theAuthorized,epresentstl,,of SIGNATLIREOFAPPLiCANT ~.~ <br /> a registered builder ~ ~ ~ <br /> The work will be performe¢ ~ a registered builde~ <br /> Other ,~ <br /> <br />Rev 3/87 <br /> <br /> <br />