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/ <br /> <br />MARION CO~NTY~BUILDING INSPECTION <br /> <br /> ~enator Bldg. No. 225 <br /> ~20 High StNmt NE <br /> S6tern, Oregon 97301 <br /> <br /> Phone 588-5147 <br />Coes~Phono 4=30 RM. ~ 8:00 A.M, <br /> <br />NICA/ PERMIT APPLICATION <br /> <br />BU!LDIA/~ /~ e~ Nl'y <br /> z~t~l~C?70/v <br /> <br />'~'o~y Ow~'i " ' Photos: Mailing Address: ' <br />Mechanical In~atte~: Phis: Add,ess: <br />~ome ~ull~er's Registration NO,: <br /> <br />N~~.... ~ Al~ration: ~ Additi~m ~ Relocation: ~ ' ~'pencyChange: ~ <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />"Forced air furnace 100,000 BTU pr less 6.00 <br />Forced air !urnace over .! 00,000 BTU. 7.50 <br />Floor Furnace 6.00 <br />S~spsnded Heater" ' 6.00 <br />Wall Heater 6.00 <br />'~loor Moueted Unit Heater 6,00 <br />Heat Pump ,, 6,00 <br />Air Handling Unlt t~ 10,000 c~: fl, 4,50 <br />Air Handling .Unit over 10,000 cu. ft., "7,50 <br />EvaPorative Cooler 4.$0 <br />Exhaust System Commemial 4.50 <br />Hood and ExhBest Commemlsl 4.50 <br />Domestic Range Hoods 4.60 <br />Domestic Exhaust F~ns & OYyer Vents 3,00 <br />For:pre-installation or installation <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial Incinerator 30,00 <br />Fire Damper 6.00 <br />"Gas Water Heater 7,50 <br />For each gas piping system of up to <br />4 outlets, minimum fee 2.00 <br />For each ga~ piping system of 5 or more <br />outlets, per outlet .~0 <br />-For the installation, mlocation'0r <br />replacement of Bach appliance vent <br />not included in an app!i~nce permit 3.00 <br />Appliance or aocessory to any he,ting o~ <br />Comfort cooling system not covered 4.50 <br />.Other (as per.Mechanlcal C. ode): <br />On. Site Technical Review <br />(Apply at Marion Co, only) <br />Reinspection Fee 15.00 <br /> FEE $ ,/~,, ~'Z <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 /> "'~(" ' )) I em pe~ormlng work on $ properly I own or occupy. <br /> I sm a registered builder OR ( ) the authorized repmsentetive of SIGNATURE OF APPLICAN' , <br /> a registered bullde~ <br /> ( ) The wo~k w~tl b~ peYtstms[t by a re~stere~i builder. <br /> ( ) Other <br />~'-~,~ ) ~ agme t~ ~nsta~ ~c~rding t~ the subm~tted p~ans and ~peotI~ti~ns~ ~he tews ~f the ~fate ~f ~reg~n ~nd the ~rdinances ~f Mad~n ~u~t~ <br /> <br />Rev. 3/87 <br /> <br /> <br />