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....... 118,~/llO~,o~s:oo ~.m. ~ 4:~0 ~-m. <br />MEC~NICAL PERMIT APPCiCA~INa ~"~-~;]?~.5~?°~ <br />Please complete all Sections, ,1 though 51 <br /> <br />MARI~ BUILDING INSPECTION <br /> <br />SITE #; <br />Date; <br /> <br />Issued by; <br /> <br />Permit Ne. <br /> <br /> L LOCATION OF INSTALLATION <br /> <br />Dire~iona <br /> <br />PEP24/T$ Al~ NON-TRANSFVRABLE AND NON-RBFUNDABLI~ AND <br />EXPIR~ IP WOPJ~ IS NOT STARTleD W1TH1N 180 DAYS OF ISSUANCE <br />ORIP WOP.~ IS SUSPRNDED FOR 180 DAYS, <br /> <br />CONTRACTOR INSTALLATION ONLY <br />, O~¢r Phone <br /> <br />Job No. <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Properly Owntr <br />Mailins Address Phone <br /> <br />City/State/Zip <br /> <br />~ ins~ll~ioa ia being ~e on pmpe~ I ~ which is n~ i~t~aded for ~, <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br />BASE FEE $10,00 <br /> <br />Fomed Air Furnace $ 6.00 <br />100,000 BTU er le~ <br />Over 100,000 BTU -- $ 7,50 <br /> <br />Floor Furnace ~ $ 6.00 <br />Suspended I-Ieater $ 6,00 <br />Wall Heat~r $ 6.00 ~ <br />Floor Menn~d Unil l-Ieat~ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br />Up te 3 Ton ~ $6.00 <br />3 Ton to 15 Ton $11.00 <br />Evaporative Cooler __ $ 4,50 ,, <br />Exhaust System, Commercial .... $ 4,50 <br />Hood and Exhaust, Commercial $ 4.50 <br /> <br />Domestic Range Hood ~ $ 4.50 <br />Domestic Exhaust Fans ~ <br /> <br />and Dryer V~nts .... $ 3.00 <br />Fire Damper $ 3.00 <br />Wood Stove $ 7.50 <br />FUrnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Conmaet~ial or Industrial Incinerator $30,00 <br /> <br />Gas Water Heater (relocation <br />err~placement) __ $ 7.50 <br />Ga~ Connection w/o Appliance <br />--per:outl~, up to 4 __ $ 2,00 <br />--c~,er 4, $$.00 plus <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vsut not included in ma <br /> Appliance pea'mit, <br /> <br />Other (as re~iuimd by Build[ug Official) <br /> <br />__ $ 3.00 <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2)sets of p!nns and specifications with <br />this application. ' <br /> <br />This optional plan review progxam does not suspend the <br />required submission of plans, and Sl~Cifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />13-41 '" <br />2/92 <br /> <br /> <br />