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MARION COU~TY BUILDING INSPECTION <br />Received By:: ~ ~sanator Bldg. NO. 22S <br /> <br />Date:: Salem, Oregon 91301 <br /> Phone $88-$147 <br /> C~le-A.Phene 4:aO RM. - g:o0 A.M. <br /> <br /> ' JVARIOIV COUNTy <br /> MECHANICAL PERMIT APPLICATION BIJ~LOiNC~ iNSP£CTiO~I <br /> <br />P-~mper~y Owner' Phone;; Mailing Address;: <br />Job Address: ' ~ S~e No,- Cr~s Street <br />Mechanical Installer:: ~ Phone: ....... Address;: <br /> <br />Rome Builder~ Registration No,:: ~ " <br /> <br />~sidential'~ ...... Commemial;; ........ Use of Building:: .... <br /> <br />New;: ~ Alteration:: ~ Addition;; ~ Rel~atiom ~ OccupaccyChange:: ~ <br /> <br /> NO, FEE AMOUNT <br />Base Price 1000 <br />F~rced air furnace 100,000 BTU Or'less ,,, 6",'0(~'g,, ~' <br />Forced air furnace over 10(~,000 BTU 7,50 <br />Floor Furnace 0.00 <br />Suspended He~r ..... 600 .... <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6,00 <br />Heat Pump 600 <br />Air Handling U~']'i'to lO,O0~,,,cu ft "" 4]50 <br />Air Handling Unit over 10,000 cu,, fl,, 7.50 <br />Evaporative Cooler 450 <br />_ExhauSt System Commercial 450 <br />Hood and I~xhaust Comman~iel 450 <br />Domestic Reqge Hoods 450 <br />Domest!c Exhaust Fans &Dryer Vents ;3.00 <br />For pre-installation or installation <br />of each wood stove 750 <br /> <br />Commemlal or Industrial incinerator <br />Fire Damper <br />Gas Water Heater <br />FO~ each gas piping system of up to <br /> 4 outlets, minimum fee <br />For each gas piping system of 5 or more <br /> outlet, per outlet <br /> <br />For the installation= relocation or <br /> replacement of each appliance vent <br />ilot included in an appliance permit <br />Appliance or aCCeSsory to any heating or <br /> Comfor[ cooling system not Covered <br />Other (as per Mechanical Code):: <br />On-Site Technical Review <br /> (Apply at Marion Co only) <br />Reinspecfion Fee <br /> <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 /> <br /> ramaregisteredbuilOerOR( )theauthorlzedrepresentetiveof 81GNATURSOFAPPLICANT~ ~ <br />t Other., <br /> <br />MC 15-41 <br /> <br /> <br />