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Received <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Sldg, No,, 22~ <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A.Phone 4:30 RM. - 8:00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />A/,p erty Over, er <br /> <br />JebAddross , <br /> <br />Home Builder~s Registration No:: <br /> <br />Residential:: /.../ Commemial:; <br />New:: E~' I Alteration:: [] Addition,' [] <br /> <br />Phone- <br /> <br />Site No <br /> <br />Phone;: <br /> <br />Me'ling Address:; <br /> <br />Cross Street <br /> <br />Uae of BHilding · <br />, Relocation: [~-- O~cupencyOhange:: [] <br /> <br /> NO FEE AMOUNT <br />Base Price 10,00 <br />Forced air furnace 100,00(~"I~TU or less 600 <br />Forced air furnace over 100,000 BTU 750 <br />Floor Furnace 6.00 <br />Suspended H~t~r 6.00 <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pu'~p' 600 <br />Air Handling unit t~ ~0~0 CO, ft, 450 <br />Air Handling Unit o~v_er 10,000 cuft 7.50 <br />..,?aporative Cooler ........ 450 <br />Exhaust System Commercial ..,4,50 <br />Hood and Exhaust Commercial 4,50 <br />Domestic Rar~ge Hoods / .... 450 z~. ~-~" <br />Domestic Exhaust Fans & Dryer Vents , ~ 3 00 ~. ~ <br />For pre-installation or installation <br />of each wood stove 750 <br /> <br /> NO FEE AMOUNT <br />...... ~'o~11'ro~rcial or Industrial Incinerator 3000' <br />Fi.~re Damper 3,00 <br />Gas Water Heater 7 50 <br />For each gas piping sy~t~m-~'i ~'p to <br />4 outlets= minimum fee ~ oo <br />For each gee piping system of 5 or more <br />outlets, p..e.r.o, utlet ,50 <br />For the installation, relocation or <br />replacement of each appliance vent <br />not included in an appliance permi,! 300 <br />Appliance or accessory to any heating or <br />Comfort cooling system not.covered 4,50 <br />Other (as per Mechanical Code ....... <br />On-Site Technical Review <br />...... (Apply at Marion Co only) <br />Reinspectlon Fee .... 15.,g,0 <br /> <br /> STATE SURCHARGE /, <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CITY FEE $ <br /> <br /> Please <br /> return <br /> COMPLETE <br /> APPLICATION with the indica~ ~/// <br /> <br /> SIGNATURE OF APPLICANT ~ <br /> I am performing work o. a prope,ty I ow. or occupy ~'~/~.z ~ <br />S-~J-~.~ am ~ registered builder OR ( ) the ~uthorlzed representative of ~ registered builder <br /> The work will be performed by a registered builder <br /> Other <br /> I agree to install according to the submiaed plans and specifications, the I~w$ of the state of Oregon and the ordinances of Marion Comity <br /> <br />Rev 2/87 <br /> <br /> <br />