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Received <br />Date: <br /> <br /> S;lem, Ot~oa 97301 <br /> <br /> ARION COUNT <br /> BU[LOI G INXPECT ON <br />~ECHANIOAL PERMIT A~PLICATION <br /> <br />'"Property Owner: Phone: ' Mailing Address: <br />Job A~dress: ~ , ~u '~- ~ite No.: Cross ~et <br />Home ~ullder~ Registrat~.~ <br />--~sidentla~ , C~merclag ' Use o( Bui~di~: <br /> New: ~ Alteration: <br /> <br /> I NO. FEE AMOUNT <br />Base Price 10.00 <br />Forced air furnace 100,000 BTu or less 6.00 <br />F0med air furnace over 10(~,000 E'TU 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 F~mp J 6,00 ' <br />Air Handlbl'g Unit to 1'0,000 cu. it, 4,50 <br />Air Handling Unit 0Var,!0,000 cu, ft. 7.50 <br />~,Evaporatiye Coo~er 4.50 <br />,,,Exhaust System Commemial 4.50 <br />Hood and Exhaust Conlmercial 4.50 <br /> <br />.,,Domestic Ran(~e H. oods 4.50 <br />Dome~t!e Exhaust Fans & Dryer Vents 3.00 <br />FOr pre-installation or installation <br /> <br />--. of each wood stoveI 7.50 <br /> <br />Commercial or industrial incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 ostlers, mininlum fee <br />For each gas piping syetem of $ or more <br /> outlets, per outlet <br />For the installation, reJocatJon or <br /> ~eplasement of each appliance vent <br /> not included in an appliance permit <br /> <br />Comfort cooling system not covered <br />Other (as per Mashanicat Code): <br /> <br />On-Site Technical Review <br /> f at Marion Co, only) <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 />I sm performing work on s p~opedy I own or occupy, <br />I ~rn a regJstare~J builder eR ( } the authorizeO repmsenfaSve Of $1GNATIJ RE OF AFFLICANT: _ -- <br />a registered builder. <br />The work will be pedorrned by a registered builde~ <br />Other .... <br />I agree to install acco~JJng to t he subrnineg plans ar~g specifications, the laws of the state of Oregoll and the ordinances of Marion County, <br /> <br />Rev. $/B7 <br /> <br /> <br />