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Received By' <br />Oate", _ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ,,. Senator Bldg. No. ~.5 <br /> 220 High ~-~reet NE <br /> Sm~,m~ o~on 973ol <br /> Phone~14~ <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />--~pe _r[y Owner, ~ /- ~ Phone:y Mailing Address ..~ <br /> <br />'~Job Add re~s~,~'; ~ _ ~ite NO ;: Cross Street'~ <br /> <br />~.~ ~ [ ~ter~iom ~ Addition: ~ Retention,, ~ .,, [~ Oc~pancyCha~ge ~ <br /> <br /> NO FEE AMOUNT <br />Base Price 1000 <br />Forced air furnace 100,000 BTU or less 600 <br />,,_Forced air furnace over 100,000 BTU 7,50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.00 <br />Wall Heater 600 <br />~'loor I~ounte~ Unit ~eeter~' ~' 600 <br />~Heat Pump __ __ 6.00 <br />A~r Handling Unit to 10,000 cu, ft 450 <br />~.A.! r Nan=riling Unit av~r 10,000 ca,, ft ~, 7,50~ .... <br />Evaporative Cooler 4.50 <br />~xhaustSystem Commercial __~ 4.50 <br />Hood and Exhaust Oommemial 4,50 <br />Domestic Range Hoods 4.50 <br />~Domestic Exhaust Fans & Oryer Vents 3,00 <br />For pre-installation or installation <br />of?e.c_hwo~o, dsto~v? ! 7.50 "~, <br /> <br /> NO, FEE AMOUNT <br /> <br /> Commercial or Industrial Incinerator 3000 <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 200 <br />}=or each gas piping system of 5 or mere <br />outl~ets, pe~r omiet~ .... ,50 <br />not included in an~ppliance permit 300 <br />~Oth~r (as~er Me~hanic~al Ood~):: , <br />(Apply at Marioe Co,, only) <br />'~Reinapecfion Fee 1"'5,00 ' <br /> <br /> STATESURCHARGE __, , .,.~j~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEB <br /> FLEET SURCHARGE $ <br /> CITY FEE $ <br /> <br /> Please return COMPLETE APPLICATION with the indicate~/~,e. <br /> <br />agree to install according to the submitted plans and speclttcations~ the laws of the state of Oregon and t~e ordinances of MaSon County <br /> <br /> <br />