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MARION COUNTY BUILDING INSPECTION <br />Sen~ctor Bidg,, No. 225 <br />220 High Street NE <br /> Salem= Ol~gon e73s1 <br /> <br /> Phone 588.5147 <br /> Code-A-Phone 4;30 PM. - 8;00 A,,M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />~,e?c, crt y OwJ:~r:; <br />Job Address:: <br /> <br />Mech.~nical I[~staller :: <br /> <br />Phone;: <br /> <br />Site NO <br /> <br />Phone Address <br /> <br />M~.i ¢~.g Address , <br />Cross Street / <br /> <br />Home Builder's Registration No <br /> <br />Residential/./ ~ommercial: !Useof S 'Oin~ <br />New ~ Alteration:: I'l Addition [] elocat~on j ' ~fccupancyOhenge;: L~ <br /> <br /> NO FEE AMOUNT <br /> 10 00 <br />ii'000 ECTU or less 600 -- <br />;r 100,000 STU 7 §0 <br /> 600 <br /> 6 O0 <br /> 6,00 <br />~ater 600 <br /> 600 <br />~,000 cuft 4.50 <br />10,000 cu it' .... 750'" <br /> 4,50 <br />mercial 4 50 <br />mmercial 4.50 <br />~s / 450 <br />is & Dryer Vont~, ,=~" 600 <br />nstalJation <br /> 7 50 <br /> <br />Base Price <br />Forced air furnace 100 <br />Forced air furnace over 10 <br />Floor Furnace <br />Suspended Heater <br />Wall Heater <br />Floor Mounted Unit Heater <br />Heat Pump <br /> <br />Air Handling Unit to 10, <br />Air Handling Unit over 1C <br />Evaporative Cooler <br />Exhaust System Commercial <br />Hood and Exhaust Comm~ <br />Domestic Range Hoods <br />Domestic Exhaust Fans & Dr <br />For pre-installati, <br /> of each wood stove <br /> <br />Commercial or Industrial 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 or mare <br /> outlets, per outlet <br />I=or the installation relocation or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Code) <br />OmSite Technicat Review <br /> (Apply at Marion Co only) <br />Reinspecsen Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> <br /> Please return COMPLETE APPLICATION with the indicated.~/,/,~TAL <br />(,../~lam a registered buildot OR( )the atJthorizod representaSve of SIGNATURE OF APPLICAi~'~/ <br />f 0 he , <br /> <br /> <br />