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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO. 225 <br /> 22~ High Strict NE <br /> ~alem. Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:~ RM. - Ih00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Job Address; <br /> <br />Mechanical Installer; ~¥,o~1~. ~ ~'-/C;~7~__. <br /> <br />Phone: Address; <br /> <br />Home Builder's Registration No,: <br />Residential: C~'nn'temlsl: <br /> <br />Use of Bui~di~: <br /> <br />New: [] <br /> <br />Alteration: [] Addition: [] <br /> <br />Relocation; U] ,, OccupancyChange: [2 <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />'" ~omed a!r furnace 100,000 BTU ir less 6.00 <br />Fomed air fum?ce over 100,000 BtU 7.50 <br />Floor Furnace 6.00 <br />Suspended Heater, 6,00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6,00 <br />Heat Pump 6,00 <br />Air Handl'ing' Unit to 10,000- ou, ff. 4.50 <br />Air Handling Unit over 10,000 cu. ft, 7.50 <br /> Evaporative Cooler 4.50 <br /> Exhaust System Comt~erciat 4.50 <br /> Hood and Exhaust Commercial 4.$0 <br /> Domestic Range Hoods 4,50 <br /> Domestic Exhaust Fans & Or_¥er Vents 3.00 <br /> For pm-installation or installatlorl <br /> <br />....... 9f each wood stove I 7.50 <br /> <br /> NO. FEE AMOUNT <br />Comr~emial or Industrial i'ncinerator ' 30,00 <br />Fire Damper 3.00 <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 gas p(pi~g system of B or mere <br />outlets,,,per outlet ,60 <br />, For the instellatian, relocation or <br />replacement of each appliance vent <br />not incl .uded in an appliance permit 3,00 <br />Appliance or aC,~essory to any heating or <br />Comfort,~coling system, not covered, 4.$0 <br />Oth~r (as per Mechanical Code):,, <br />On-Site Technical Review <br />(Apply at Mado~ Co, only), <br />":Reinspection Fee 15.oo <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> iNVESTiGATION FEE $ <br /> FLEET SURCHARGE L$$ <br /> CITY FEE <br /> TOTAL ~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I am performing work On a property I own or oocupy. ~ <br />I am a registered builder OR ( ) the auth0rJzed represent~tNe of SIGNATURE OF APPLICANT~ <br />a registered builde~ <br />The work will be performed by a registered bullde~ <br />Other_ ,, <br /> <br /> <br />