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Recel~'~d E~y; ..... <br />Oate q-- ql <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, Oregon 97301 <br /> <br />MECHANICAL PERMIT/I~PLIC ~I'ION <br /> <br /> ProEerty Owne~: ~.' . ' . . Phon~: '., .~' Moiling AddreSs: - <br /> Job Address', Site No,: Cm~ Street: <br /> <br /> Mechonicallnstalle~; ' ~V~ c~/U~.Ph0~e: Address: ~ <br /> H~e Bullder~ Registration No,; <br /> Rasldent~ak / "' Commemial:' ' Use of Building: <br /> <br />~/~, Alter~tio~:,~ 'Addition; ~ Relocation: ~ Occupan~Cha~ge: ~ <br /> <br /> NO, FEE AMOUNT <br />Base Prise 10,00 <br />Forced air,!urnace 100,000 BTU or las~ 6.00 <br />Forced ~!r furnace ove,r 100.000 Jsq-~J 7.50 <br />Suspended Heater, 6.00 <br />Wall Heater 6,0o <br />FJoor Mounted Unit Heater 6.00 <br />Heat Pump 6.00 <br />Air Handii?~3 Unit to lO.000 cu. f~, 4.50 <br />Air Handling Unit over 10,000 cu, ft. 7,50 <br />Evaporative Cooler 4.50 <br />Exhaust Sy~tem Commercial 4,50 <br />Hood and Exhaust Commercial 4,50 <br />Domestic Range Hoods 4,50 <br />Domestic Exhaust Fans & Dryer Vents 3,00 <br />For pre-Installation or insta.~., tion ~ <br />of each wood stove frf ~,/~¢~.~ 7,50 <br /> <br /> NO, FEE AMOUNT <br /> Commercial or Industrial leoinerator $o,o0 <br /> ,,,Fire Damper 3.00 <br /> Gas Water Heater 7,50 <br /> For each gas' piping system of up to <br /> 4 outlets, m nimum fee 2.00 <br /> For each gas piping syatem o1 s or more <br /> outlets, per outlet ,50 <br /> For the installation, relocation or <br /> replacement of eash appliance vent <br /> not included in an appliance permit 3.00 <br /> Appliance or acCessory to any he~ing or <br /> Comfort cooling system not covered 4.50 <br /> Other (as per M~chanlcal Code): <br /> On-Site Technical Review <br /> (Apply at Marion CO, only) <br /> <br />.,,Reinspe~tion Fee 15,00'' <br /> STATE SURCHARGE ~_ <br /> PLAN REVIEW FEE _~$., <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $, <br /> CI9~' FEE <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />r am a regts~red bull~e~ OR ( ) the authorized representative of <br /> <br />MC 15-41 <br /> <br /> <br />