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MARION COUNTY BUILDING INSPECTION <br /> ~.. Senster Bldg. No. 225 <br /> :; ~ 220 High Street NE <br /> ',,, <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 P.M, - 8:00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />S[tdsAddress:,,.,. ., ' SiteNe.: CrossStreet: ~ <br /> ,, <br />heni¢ol Installer: / Phone: Address: <br />Home Builder~ Registration Ne.: <br /> <br /> New;~d'? ' Alteration: [] Addition~ [] ' elocation; [~ Iv~)CcupancyChonge: [] <br /> <br /> NO. FEE AMOUNT <br />Bose Price 10,00 <br />Fumed air furnace 100,000 I~TU or less 6.00 <br />.,Forced air furnace,over 100,000 BTU 7.60 <br />Floor Furnace 6.00 <br />Suspended He~er 6.00 <br />Well Heater 6.00 <br />Floor Mounted Unit Heater' 6,00 <br />Heat Pump 6.00 <br />Air Handling Unit to 10,000 cu, ft, "' ' 4.50 <br />Air Hendllng Unit over 10,000 cu. ft. 7.50 <br />Evaporative Cooler 4,50 <br />Exhag,~t System Commercial 4.50 <br />Hood end Exhaust Commercial 4,50 <br />Bomestic Range Hoods ~ 4,50 <br />Domesti~ Exll,aust Fans & Dryer Vents ,,,~ 3.00 <br />Domestic Wood Stove 7.50 <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial IncineratOr $0.00 ........ <br />Fire Damper .3.00 <br />Gas Water Heater 7.50 <br />Gas ~onnection w/o Applianc~ (1-4 each) 2,00 <br />over 4. $8.00 plus es, eddnl, .... .50 <br />Appliance or accessory to any heating or <br />Comfort cooling, system not covered 4.50 <br />Other (~S per Mechanical Code): <br />On-Bite Technical Review <br />(Appty e,t Marion Oo. on!y) <br />Reinspecfion ,,Fee <br /> PLAN REVIEW FEE $ <br /> ~NWSTIGATION FEE $ <br /> FLEET SURCHARGE ~ <br /> CITY FEE $ <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />i am performing work on a pmper~y I owr~ or occupy. <br />lamareglstemdbuilderOR( )theauth0rizedreprssentatlveof $1GNATUREOFAPP~:TCANT: ~' ~/./~, <br />a registered builder. / <br />Tho work will be perforrned by a registered builder. <br />Other <br />I agree to install aCcording to the submitted plans and specifications, the lawa ofthe state of Oregon and the ordinances of Marion C~unty. <br /> <br />Rev, 3/87 <br /> <br /> <br />