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Received <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />MARION OOUNTY <br />BUILDING INSPECTION <br /> <br />Situs Address? <br /> <br />Mechanice,~ installer: <br /> <br /> omo uilder egis ratlon No.:. <br /> <br />., Phone: <br /> Site NO. <br /> <br /> Phone: <br /> <br />New: ~ Alteration: [] Addition; [] Relocation; [] <br /> <br />Occupancy Change: [] <br /> <br /> NO. FEE AMOUNT <br />]se Price 10.00 <br />)rood air furnace 10g,000 BTU or less 6.00 <br />~rced air furnace over 100,000 BTU,, 7.50 <br />~or Furnace 6.00 <br />?pended Heater 6.00 <br />~11 Heater 6,00 <br />3of Mounted Unit Heater 8,00 <br />~at Pump 6.00 <br />r Handling Unj! to 10,000 cu, ft,, 4.50 <br />r Handling Unit over 10,000 cu, ft 7.50 <br />!.aporatlve Cooler 4,50 <br />th_.a,u st System Commercial 4,50 <br />~od and Exhaust Commercial 4.50 <br />~r~e~s,!ic Range Hoods 4.50 <br />~mestlc Exhaust Fans & Dryer Vents 3.00 <br />)mestlc Wood Stove 7.50 <br /> <br /> NO. FEE AMOUNT <br />Commercial or InduStrial i'ncineretor 80 ,~(~'0 <br />Fire Dam ,pr 3.00 <br />Gas Water Heater 7.50 <br />Gas Connection w/o Appliance (~-4 each)' 2.00 <br />over 4. $8.00 plu,s ea. addnl. .50 <br />Appliance or accessory to any heating or <br />Comfort ooOiin9 system eot cq~ere~ 4.50 <br />Other (as per Mechanical Code); <br />On,Site Technical Review <br />(Apply at Ma. don Co, <br />Reinspection Fee <br /> <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/--.,J~3Jm a regislered builder OR ( ) the authorized cepresentatlve o1 $]GNATU RE OF APPLICANT' ~" <br /> s registered builder. <br /> The work will be performed by a registered builder. <br /> Other ..... <br /> I agree to install aOcordillg to the submitted plans and specifieagons, the Jews of the stets of Oregon and the e~lnances of Marion County <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />