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Received By:: <br />Date::_ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator B[d0,, NO. 22S <br />220 High Street NE <br />,,,Salem, Oregon 97301 <br /> <br /> Phone 588-$147 <br /> Code~A-Phone 4::30 P.M,. 8;00 A,M, <br /> <br />IProperlyOwner <br /> <br /> Job Address;; ~. <br /> <br /> Mechanical Installer:: <br /> <br /> Residential:: ~ Cemmerdak <br /> New: ~ Alteratio~ Additi~ <br /> <br />Phone; <br /> <br />Sit~ NO <br /> <br />Phohe: <br /> <br />R' Use of Building;; <br />~i~'cation:: [] <br /> <br />Mailing Address:: <br />Cross Street;; <br /> <br />Occupancy Change: b~ <br /> <br /> NO FEE AMOUNT <br />Seee Price 10.00 <br />Forced air furnace 100,000 BTU or leas / 6,00 f¢ ~ CpE7 <br />Forced air furnace over 100,000 BTU 750 <br />Floor Furnace 6,00 <br />Suepended Heater 600 <br />Wall Heater 600 <br />Floor Mounted Unit Heater 600 <br />Heat Pump 6,00 <br />Air He, ndling U'nit to 10,000 cu, ft 450 ~ <br />Air Handling U?,i!,.Over 10,000 cu ft, 7,50 <br />Evaporative Cooler 4 50 <br />Exhaust System Commercial 450 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Range Hood. s 450 <br />Do~meetlc Exhaust Fans &,[~,?_er ?ants 3,,00 <br />each wood stove 750 J <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br /> <br />Gas Water Heater <br /> <br />permit <br /> <br />toovered <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 />Iarn a registered builder OR ( ) the authorized representative ef SIGNATURE OF APPLICANT: · <br /> <br />e registered builder, <br />Tho work will be pedormed by a registered bulldo~ <br />Other. <br />~ ~gree ~ inste~ acc~rding t~ the submit~d p~ans ~nd s~cI~cat~ns'~ the ~aw~ ~f the ~t~te ~f ~mg~n and the ~dinances ~f Ma~n c~- ~nty <br /> <br />MC 15-41 ' :; <br />Rev. 3/87 <br /> <br /> <br />