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MARION COUNTY BUILDING INSPECTION <br /> Sena~,r Btdg,, N~. 22~ <br /> 220 High Street NE <br /> Salem. Oregon 9730'1 <br /> <br /> Phone 58E-S147 <br /> CO,e-A-Phone 4:30 RM.. - 8:00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Rome Builder's Registration NO:: <br /> <br />Phone,, <br /> <br />Phone:: <br /> <br /> M ailir~g Address:; .~ , <br /> <br />Crc sSteet ~___, " /1 ~ <br />"Address:: <br /> <br />Residential;; Commemlal:; <br /> <br /> ,Use of Bull~ <br />1 Relocation:: [~ I Occupancy Change:: ~ <br /> <br />F- <br /> NO FEE AMOUNT <br />Base Price 10.00 <br /> _Forced air furnace 100,000 BTU or less 6,,00 <br /> Forced air furoace over 100,000 BTU 7,5O <br /> Floor Furnace , 6,,00 <br /> ,.~uspended Heater 6,00 <br /> Well Heater 600 <br /> FlOor Mounted Uni~ Heater 6 co <br /> H~at Pomp 6 O0 <br />...~ir Handling I~nit to 10:000 ca. ft 450 <br />Air Handling Unit over 10,000 cu ft. 7.50 <br />Evaporative Cooler 4.50 <br />Exhaust System Commeml~i 450 <br />I" HOOd and Exhaust Commemial 4.50 <br />Domestic Range Hoods '4 50 <br />Domestic Exhaust Faps & Dryer Vents 300 <br />For pro-installation or installation <br /> <br /> NO FEE AMOUNT <br />Commercial or Industrial Incinerator 3000 <br />Fire Damp.er 300 <br />Gas Water Heater 7 50 <br />For each gas piping system of ap to <br />Other !es per Mechanical Code) ,~_ <br />....... (Apply at Marion Co only) <br />R. einspectJon Fee 1500 <br /> PgE ~1"/~(::, <br /> STATE SURCHARGE , <br /> PLANREVIEWFEE ¢ $ <br /> OITY FEE L~--~_' <br /> <br />Please return COMPLETE APPLICATION with the indicated fee,, <br /> <br />f ) lamareglsteredbuilderOR( )theauthodzedrepresentativeof ~IGNATUREOFAPPLICANT~ __ <br /> <br /> <br />