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Recel~ved By:: '~ ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ,~,ator Bidg,, NO. 225 <br /> 2~0 High Street NE <br /> $alem~ Oregon 9?st, ri <br /> <br /> Phone 588-5147 <br /> Code-A.Phone 4:30 EM. - 8:00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> Address:: <br />Mechanical Installer:; <br /> <br />Phone;; <br /> <br />Phone <br /> <br />Malting Address:: <br /> <br />Cross Street:: <br /> <br />Address;: <br /> <br />Home Euilder's Registration No:: <br /> <br />Residential <br /> <br />Commercial:: <br /> <br />New:: [] <br /> <br />Alteration [] Addition [] <br /> <br />...... Use of Building <br /> <br />Relocation:: [] OccupancyChange;: [~ <br /> <br />Base Price <br />Forced air furnace 100,00015~TU or less <br />Forced air furnace over 100,000 BTU <br />Floor Furnace <br />Suspended Heater <br />Wall Heater <br />Floor Mounted Unit Heater <br />Heat Pump <br />Air Handling Unit to 10,000 cu, ft <br />Air Handling Unit over 10 000 cu f~ <br />Evaporative Cooler <br />Exhaust System Oommemial <br />Hood end Exhaust Commercial <br />Domestic Range Hoods <br />Domestic Exhaust Fans & Dryer Vents <br />flor pre-installation or installation <br />of each wood stove <br /> <br />AMOUNT <br /> 1000 <br /> <br /> NO FEE AMOUNT <br /> Commemial or Industrial Incinerator 30.00 <br /> ....F!,,.r~,,Oam per .... 3'00 <br /> Gas Water Heater 750 <br /> For each gas piping system of up to <br /> 4 outlets, minimum fee 200 <br /> For each gas piping system of 5 or more <br /> outlet~:p.er outlet .50 <br /> For the installation, relocation or <br /> replacement of each appliance vent <br /> not included in an appliance p.,er mit 3,00 <br /> Appliance or accessory to any heating or <br /> Comfort cooling system not covered 4,50 <br /> Other (as per Mechanical Cgde):: ........... <br /> On-Site Technical Review <br /> (Apply at Marion C~,,only) <br />Reinspection Fee 1 ~ 00 <br />FEE $ /~ <br />STATE SURCHARGE ~.~ <br />PLAN REVIEW FEE $ <br />INVESTIGAT'ON FEE $ <br />3~.~..j~~ FLEET SURCHARGE $ <br />CITY FEE $ <br />TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />Other <br /> <br />MC 1,~-4t <br />Rev, <br /> <br /> <br />