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Received By: ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />~e,ator Bldg. No. 22[~ <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $8E-$147 <br /> Code-A-Phone 4:30 P.M. - 8:00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />"~.~oer~v Owner: ~)~5 ,'-' Phone; M~ing Ad.~lress; .............. <br />Job AddreSs: Site No,: ................... <br /> Cross Street: <br />M ehanicel Installer: ./ Pho~: Address: ......... <br />Hem~uilder~ R~gistration ~o.: ...... <br />...... <br />Residential: Commem[al: U~ Build <br />~ew:~ Alteration: ~ ~dition: ~ Relocation:~ Occu'~cyChange: <br /> <br /> NO. FEE AMOUNT <br />Baee Price 10.00 <br />Forced air furnace lOO,OOO BTU or less 6.00 <br />Famed air furnace ovsr lO'~ibo0 BTU 7.50 <br />Floor Furnace 6.00 <br />Suspended Heai~ 6,00 <br />Wall Heater 6.00 <br />Floor Mounted 'Unit Heater 6.00 <br />Heat PumD ! 6,00 <br />Air Handling Un!!,to 10,000 cu. ft. 4:~0 <br />.....Air Handling Unit over 1,0 000 cu, ft, 7.50 <br />Evaporative Cooler ..... 4.50 <br />Exhaust System CommemJal 4,50 <br />Hood and Exhaust Commer~i~'i 4,50 <br />Domestic Range H~ds ! 4.50 <br />Domestic Exhaust Fans & Dryer Vents '~'~ 3.00 <br /> /~. <br />For pre-lnsta,atlon or installation <br />of each wood stove 7.50 <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial Incinerator 30.00 <br />Fire Damper 3,00 <br />Gas Water Heat'~''' 7.50 <br />For each gas piping system of up t~ ...... <br />4 outlets, minimum fee 2,00 <br />For each gas piping system of 5 or <br />outlets, per outlet ,50 <br />For the installation, relocatio~ or <br />replacement of each appliance vent <br />not included in an appliance perrni,t 3,00 <br />Appliance or accessory to any heating or <br />Comfort cooling system not cov~r~¢ 4,50 <br />Other (as per Mechanical Code: . <br />On-Site Technical Review <br />, (Apply at Marion Co, only) <br />Reicepectian Fee 15.00 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CITY FEE <br /> TOTAL $~,~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br />(t'~lll'atilperf°rmingw°rk°~aPr°pertyl°wrl°r°ccupy' ~. ~~'~ ) I am a registered builder OR ( ) the authorizer representative of SIGNATURE OF APPLICANT: <br /> <br />( ) Other, ~-~' <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />