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MAR~N C,OUNTY BUILDING INSPECTION <br /> · ~w~ator Sldg, No, 225 <br /> 220 High ~tmet NE <br /> Salem, Oregon 97301 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Prop,.ert~ Own~r,~ Phone: ME~Jing Ad~dreas~ ~ z~'v//,~%/~,~ <br />Job ~ddress:~ Site No,: Cross Street; <br />Me anical Installer: Phone: Address: <br />Home Builder~ Registration No,; <br /> <br />New: ~ Alteration: ~ ~dition: ~ Relo~tion~ ~ / Oceupan~Change: ~ <br /> <br /> NO. FEE AMOUNT <br />Sase Price 10,00 <br />-~;~d air fu';nase 100,o0o BTU or less 6.00 <br />,~F .o,~?ed air furnace over 100 000 BTU 7,50 <br />Floor I~;'n~ 6,00 <br />Suspended Heater 6.00 <br />Wall Heater 6,00 <br />Floor Mounted Unit Heater 6.00 <br />,_H...e.~! Pump 6,00 <br />Air Handling Unit to 10,000 cu, ft. 4.50 <br /> Air Handling Unit over !,O,,QO0 cu, tt, 7,50 ............ <br /> 'Evaporative Cooler 4,50 <br /> Exhaust System C(~rnme~ciai, , , 4.50 <br /> Hood and Exhaust Commemlel 4.50 <br /> Domestic Range Hoods ~ 4,50 <br /> Domestic Exhaust Fans & Dryer Vents ,z~ 3.00 ~:~, <br /> For pre-iastallation or installation <br /> of each wood stove 7,50 <br /> <br /> NO. FEE AMOUNT <br />Cot~'nl~mlal or Industrial Incinerator 30.00 <br />Fire Damper 3,00 <br />Gas water Heater 7,50 <br />For each gas piping system of up to <br />4 outletS, minimum fee 2.00 <br />For each gas piping system of 5 or more <br />outlets, per outlet ,50 <br />For the Installation, relocation or <br />replacement of each appliance vent <br />not included in an appliance permit 3,00 <br />Appliance or accessory to any heating or <br />Comfort, ?o[,i~ ~s.!?~, n~!, covered, 4.50 <br />Other (as per Mechanical Code): <br />On-Site Technical Review <br />(Apply at Marion Co, only) <br />Reinspection Fee, 15100 <br /> <br /> STATE SURCHARGE <br /> PLANREVIEWFEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ ~,~,~' <br /> <br /> TOTAL $.~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />I ~m ~erformlng work on a property I own or occupy, <br />larnamgisteredbuilde~OR( )theSuthorizedrepresent~tiveof SlGNATUREOFAPPLIC~NT~ t///~'"~/' ~ <br />a registered builder. <br />The wo~< will be per for mad by a registered builde~ <br />Other <br /> <br />Rev. 3/87 <br /> <br /> <br />