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MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />,MARION COUNTY <br />BUILDING INSPECTION <br /> <br />Owner; <br /> <br />, Phone: <br /> <br /> Site No.: <br /> <br /> Phone: <br /> <br />M~ing Ad,ess: <br /> , ~a~. /~&/ <br /> <br />Home Builder's Registration NO;: <br /> <br />Residential; Commercial; <br />New: ~ Alteration: [] Addition; [] <br /> <br /> Use of Building~ <br /> <br />IRelocation: [] Ocoupaed~' Change: <br /> <br /> NO, FEE AMOUNT <br />Base Price 10,60 <br />..... Fomed ~ r fu"~nace 100,,000 BTU or ess 6.00"' <br />_.l~orced air furna? over 100,000 BTU 7.50 <br />Floor Furnace 6,00 <br />~Su. speeded Heater 6.00 <br />Wall Healer 6.00 <br />Floor Moanted Unii He~ter 6,00 <br />Heart Pump 6.00 <br />Air Handling Unit to"10,000 cu. fi. ' 4.50 <br />A!..r Handling Unit over 10,000 cu. ft. 7.50 <br />Evapo[ative Cooler, 4.50 <br />Exhaust System Commercial 4,50 <br />.... Hood and Exhaust Commemlal 4.50 <br />Domestic Range HOOds 4;50 <br />Domestic E×haust Fans & Dryer Vents .3.00 <br />FO r pm .!h~..tailat[6 n or it:lst~,llatlon" <br />I 0f eaah Wo0d stP,? / 7.50 ~7. ~-'*c~ <br /> <br />Commercial or Industrial incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets, minimum fee <br />For each gas piping system of 5 or more <br /> outlets, per outlet <br />For the installation, relocation or <br /> replacement of each appliance vent <br />not included in an appliance permit <br />Appliar~ce or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Code)'. <br /> <br /> On-Site Technical Review <br />.,,, (Apply at Marion Co, only) <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />( ~'-'7'~';m Ped°rrnlng w°rk °n a pr°pedy l °wn °r °ccuPY' ~~..___ <br /> I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLIC <br /> a registered builder. . <br /> The work will be perfornled by e registered builder, <br /> Oj~r <br /> agree to Install aCcordl~lg to the Submitted plans and sDe~lfications, the laws of the state of Ore{ion and the ordinances of Madotl Count~. <br /> <br />Rev. 3/87 <br /> <br /> <br />