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' MARION COUNTY BUILDING INSPECTION <br />F{eceived ~,y ~, ~ ,,~ ,~nater Blda,, No. 225 <br /> 220 High Street NE <br />Date, Salem, O~egon 97~01 <br /> <br /> Phone $88-s147 <br /> ," q,,~ t..~.~e s,,,,:~ ~.~.-~:oo A.~,, <br />~"~' ~ MECHANICAL PERMIT APPLICATION <br /> <br />sF.,P t 7 199t <br /> <br />BU!LDING INSPE~,T~D~I <br /> <br />"-Property Owner' Phone: Mailln'g Address:: <br />J~ ~dd~sa',' <br />Mechanical Installer Phone:: Address' ~" <br />Home Builder~ Registration No,' .......... <br /> _ <br /> <br />Base Prise 1000 <br />Fora. ed air furnace 100~0'~0 E~T U~o r less 6.0~ <br />~oreed ~a!r turnase over 100,000 BTU '/50 <br />Floor Furnace ~ BDO <br />Suspended Heater 6,00 <br />Wall Heater 600 <br />Floor Mounted'Unit Heater ~ 6.00 ~" <br />Heat Pump ! 600 I <br />.Air Handling Unit to t0.000 cu, fi, 4.50 <br />Air Handling Unit over 10,000 cu, fi. 7,50 <br />_,Evapora~t~ve Cooler ~, 4,50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Range Hoods 4,50 <br /> Domestic Exhaust Fa, ns & Dryer Vents = ~00 ~ <br /> For pre-instsllation or installation <br /> of each w~3d atone ? 50 <br /> <br /> NO FEE AMOUNT <br />~Commerciai or Industrial Incinerator 3000 <br />Fire Damps_r, <br />Gas Water Heater 7 50 <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 />outlets, per outlet <br />For the natalla{'ion: (elocat on~r <br />replacement of each appliance vent <br />not included In an appliance permit 3,00 <br />.C~.omfor t c.,ooling system n~t seven.red 4,,50 <br />Other (~s per Mechanical Code) <br />On-Sits Technical Review <br />(Apply at Marion Ce,, onty) <br /> Reinspection Fee I ~, 15,0~ <br /> FEE $ <br /> STATE SURCHARGE ,, ~) <br /> PLAN REVIEW FEE "-$ <br /> iNVESTIGATION FEE $ _i <br /> FLEET SURCHARGE $ <br /> CiTY FEE <br /> TOTAL <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />Rev 3~87 <br /> <br /> <br />