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MARION COUNTY BUILDING INSPECTION <br />Senator ~lag. NO, 225 <br />2~0 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> PhOne 588-5147 <br /> Code-A-Phone 4:30 RM. - B:oa A,,M, <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Ow ' Phone:: Add re,~ <br />~,,~Situs Address, ~,t~,'' Site NO Cross~//~/~ <br />/,_hailical Installer;; Phone:: A~dres~:: <br />Home ~uilder~ Registration No <br /> <br />Residential CommemJel:: <br />New' ~ <br /> <br />AItaratlon,, C~ Addition <br /> <br />Use/~f Building:: <br />Reloca~io~ g O~upancy Change, [] <br /> <br /> NO FEE AMOUNT <br />Case Price 1000 <br />Famed air furnace 100~000 BTU or less 600 <br />Famed elf furnace over 100,000 BTU 7,50 <br />Floor Furnace 600 <br />Suspended Heater '" 6.00 <br />Wall Heater 600 <br />Floor Mounted Unit H;ater 6.00 <br />Heat Pump 600 <br />Air Handling Unit to"10~oo0 cu, ft,,' 4,5o <br />Air Handliqg Unit over 10,,000 cu, ft,, 7 50 <br />.... Evaporative Cooler 450 <br />E×haust,.Systam Commercial 4.50 <br />Hood and Exhaust Commercial 450 <br />-5omestio Rang~ Hoods / 450 .~, ,,~-~- <br />DomecticExhaust Fans & Dryer Vents ~ 3,,00 ~ d~ <br />Domestic Wood Stove 750 <br /> <br />Commercial or Industrial incinerator <br />Fire Damper <br />Gas Water Heater <br />Gas Connection w/o Appliance (1-4 each) <br />over 4- $8.00 plus ea,, addnl <br />Appliance or accessory to any heating or <br /> Comfor~ cooling system not covered <br />Other (as per Mechanioal Code);: <br /> <br />(Al~ply at Marion Co,, only) <br /> <br />Reinspaction Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />pLAN RBVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CiTY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee,, <br /> <br />( ) lam perfotmi~lg work on a property I own or occupy <br />(~/_~_~amaregisteredbuilderOR() the authorize~ representative of SIGNATURE OF <br /> <br />MC 15-41 <br />Rev 3/87 <br /> <br /> <br />