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MECHANICAL PERMIT APPLICATION <br /> <br />Pro~ Owne,~,--,, <br /> <br /> Mechanical Installer <br />, <br /> <br />Phon~. <br /> <br />Site No,:; <br /> <br />Phone:: <br /> <br />Ad, Cress:: <br /> 4 <br /> <br />Cross Street:; <br /> <br />Address <br /> <br />Home Builder~ Registr~jtion No :: <br /> <br />Residential:: <br /> <br />New ~ <br /> <br />Alteration [] Addition' [] <br /> <br />J Use of.~jlding <br />Relocation:: [] OccupancyChange:: EJ <br /> <br /> NO,, FEE AMOUNT <br />Base Price 10 00 <br />Forced air rums'ce 100=000 BTU or less ' 6,00 I <br />Forced air furnace .over 100,000 BTU 750 <br />Floor Furnace 6,00 <br />~,u~pended Heater 600 <br />Wall Heater e, oo <br />Floor Mounted Unit Heater 600 <br />Heat Pump 6 O0 <br />~A,,!,r Handling Unit to 10=000 cu ltl' 4,50' ,,,, <br />Air Handli,~g Unit over 10,000 cuft 750 <br />Evaporative Cooler 4 50 <br />Exhaust ~ystem Oommemial 4,50 <br />Hoed and Exhaust Commercial 4,50 <br />Domestic Range Hoods ,,, / 450 <br />Domestic.E,~haust FeJna & Orye~ Vents _,~ 3,00 4~, ~, ¢~""' <br />For pre-installation or installation <br />of each wood stove 7,50 <br /> <br />Commercial or InduatriaJ Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets~ minimum fee <br />For each gas piping system of 5 er more <br /> outlets~ per outlet <br />For the installation, relocation or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliance or accesso~ to any heating or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Code):; <br />On-Site Technical Review <br /> (Apply at Marion Co only) <br />ReJnspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> <br /> ~ /~ TOTAL __ <br /> ,// <br /> Please return COMPLETE APPLICATION with the ind__/// <br /> <br /> )tsmpertotming~vorkoRaptoperty]ownsro¢~upy ~ <br /> I sm a negistersd builder OR { ) the authorized representative of SiG NATU ~ OF APPLIC~ANT <br />--8 registered builde~ / <br /> The work will be performed by a registered b¢lder <br /> Other <br /> I ~groe to install according to the submitted plans and specifications, the laws of the state of Oregon end the ordinances of Marion County <br /> <br />AMOUNT <br /> <br /> <br />