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Reseived By; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> .~alem, Oregon 973~ <br /> <br /> MECHANICAL PERMIT APPUCATiO~ <br /> <br />Property Owner; ......................... Phone: Mailing Addre~',~''''~ ~ '" ' <br />Ralph Sutter <br />Job Address: Site No,: Cross Street: ........ <br /> <br />855 Cleveland, Aumsville <br />Mechanical [nsta~er: Phone: Addre'~s: "' <br />Salem Heatin~ 581,15q~6 <br />Home Suilder~ Registi'atlon N~..: <br /> <br />Residential:x Commemlah Use of Building; ' ' <br />New: [] A, Iteration: [] ......... Addition: [] , Re]ocetion: [] ", OccupencyChan~e: I'-1 <br /> <br /> ~O. FEE AMOUNT <br />Base Price 10.00 <br />Forced air furnace 100,000 ~',U 9r less 6,00 <br />,,,Forced air furnace over 100,000 BTU ,., 7.50 <br />Floor Furnase 6.00 <br />Suspende~'~eeter ..... 6'100 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump 6.00 <br />Air Handling Unit to 10,000 cu. ff. 4.50 <br />Air Handling Unit over 1,0,000 cu. ft, 7.50 <br />Eva~Oragve Cooler 4.50 <br />Exhaust System Con~memial 4.50 <br />Hood and Exhaust Commemial 4.50 <br />Domestlc Range Hoods i :,,, 4.50 <br />Domestic Exhaust F~ns & Dryer Vents 3,00 <br />For pm-installation or installation <br />of each wood stove 7,50 <br /> <br /> NO, FEE AMOUNT <br />C0mmemial or Industrial Incinerator 30,00 <br />Fire Dampe~ 8.00 <br />Gas Water Heater 7.50 <br />"For each gas piping system o{ up.toI <br />4 outlets, minir~um fee ]_ 2.00 ~,,.0,0 <br />For each gas piping system of 5 or more <br />outlets, per outlet .50 <br />For the iastallation, relocation ~ ,: <br />replacement of each appliance vent <br /> not included in an app ante p.?m t 1 8,00 3,00 <br /> Appllance or accessory to any heating or <br /> Comfort cooling system,,n,ot c~vered 4.50 <br /> Other (as per Mechanical Code); <br /> On-Site Technical Review <br /> (Apply at MarioniCo, only)_-_I <br /> Relnspection Fee15, <br /> oo <br /> FEE $ ].5.0 <br /> STATE SURCHARGE ~ 7 <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE <br /> FLEETSURCHARGE $ 3.8~ <br /> CITY FEE <br /> TOTAL ._$.,~9 ~ ~9 <br /> <br />Please return COMPLETE APPL CAT ON w th the indicated fee. <br /> <br />I am a registered builder OR ~p~ the authorized representative of SIGNATURE OF APPMCANT: ~O~,%~,~ <br /> <br /> <br />