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MARION ~OuNT~Y BUILDING INSPECTION <br /> <br />Received By', <br /> <br />E, enetor Bldg, NO, 225 <br />220 High Street NE <br />Salem, Oregon 97301 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Resldentiak <br /> <br />Phone: Mailing Address: <br />Site No,; Cross Street: <br /> <br /> memial: / Use of Building: <br /> <br />Alteration: [] Addition: [] Relocation; [] <br /> <br />OccupancyChange: [] <br /> <br /> NO. FEE AMOUNT <br />¢~ase Price 10.00 <br />Forced ~i'r furnace 100,00~- BTU or less 6.00 <br />Forced air furnace eve,[ 100,000 BTU 7.$0 <br />Floor Furnace 6,00 <br />suspended Heater ..... 6.00 <br />Wall .Heater 6.00 <br />Floor Mourlted Unit Heater 6.00 <br />Neat Pump 6,00 <br />Air Nar~dllng Unit 10 10,000 Cb, fi, 4,50 <br />Air Handling Unit over 10,000 gu, fl, 7.50 <br />EVaporative Cooler 4.50 <br />Exhausi"System. Commemial .... 4.50 <br />Hood and Exhaust Commercial <br />Domestic Range Hopds 4.50 <br />Domestic ~xhaust Fans & Dr~r Ventg 3.00 <br /> <br />Commemial or Induatrlal ]nclnerater <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 applJasce permit <br />Appliance or accessory to any he,ting or <br /> Comfort cooling system not covered <br />Other (as per Mechanical Code): <br />On. Site Tashnlcat Review <br /> (Apply at Marion CO, only) <br />Relnspastion Fee <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br />I am performing WOrk on a property I own or Occupy. ~"~"~~ <br />I am a registered builder OR ( ) the authorized representative Of SIGNATU RS OF APPLICANT: <br />a registered builder, <br />'t'~o work will ~e performed by e registered builge~ <br />Other <br />I agree to Install according to the submiae~J plans and specifications, the laws of the state of Oregon and the ordinances of Marion County. <br /> <br /> <br />