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FOR.OI~FICE USE QNLY <br />Ree~ivod by: [ <br />[Date: <br /> <br /> Code-A-Phoae: 5g$-7904 <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete ali. sections, I through 5 <br /> I <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High SUeet NE <br /> Salem, Oregon 97301 <br /> <br />Phone 588-5147 $:00 a.m. - 4:30 p.m. <br />FAX: 588-7948 <br /> <br />1. LO~ATION OF INSTALLATION <br /> <br />P~P. MIT$ ARE NON-TRANSFERABLE A/~D NON-REFUNDABLE AND <br />]~XPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OK IF WORK IS SUSPENDED FOP. 180 DAYS, <br /> <br />co., cta, E .No. )qo I Job No. <br /> <br />2E, FOR OWNER INSTALLATIONS ' <br />Property Owner <br />MailinS Add.ss Phone <br />Ciiy/Siat~/Zip <br /> <br />Thc installation is beit~g made on proper~y I own which is not ntended for sa c, <br /> <br />Owncfs Signatu~. <br /> <br />S, PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />~his application, <br /> <br />This optional plan review program does not suspend the <br />required submission &plans, and specifications when required <br />by the Oregoa S~xuctural Specialty Code, Chapter 53. <br /> <br />RESIDENTIAL [] COIvllvI~RCIAL [] <br /> <br />BASE FEE <br /> <br />Forced Air Pinnace ...... ~ $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Furnace __ $ 6,00 <br />$uspendod Heater $ 6.00 <br />Wall Heatex __ $ 6.00 <br />Floor Mounted Unit l-Ienter __ $ 6.00 <br /> <br />Heat Pump or ,Mr Conditioner <br /> Up to 3 Ton <br /> 3 Tonto 15 Ton <br />Evaporative Cooler <br />Exhaust System, Commercial <br />Hood and Exhaust, Commercial <br /> <br />__ $ 6.00 <br /> $11.00 <br />__ $ 4,50 <br />__ $ 4.50 <br />__ $ 4.50 <br /> <br />Domestic Range Hood -- $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer V~nts $ 3,00 <br />Fire Damper __ $ 3-00 <br />Wood Stove $ 7,50 <br />Furaaoe Ducts (Alteration, Extension) -- $ 7.50 <br /> <br />Co~o~rciai or Industrial Incinerator __ $30,00 __ <br /> <br />Gas Water I4~ater (relocation <br />or replacement) ! $ 7.50 <br />Gas Com~ection w/o Appliance <br />--lX~ outlet, up to 4 '~$ 2.00 <br />--over 4, $$,00 plus <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ca, Appliance <br /> Vent not Included in an <br /> Appliance permit, <br /> <br />Other (as ~axluircd by Building Official) <br /> <br />__ $ 3,00 <br /> <br />5. FEES <br /> <br /> A2, Add 5% ~kaeg~ (,05 xA1) <br /> Subtotal <br /> <br />$10.00 <br /> <br />7' 5'0 <br /> <br /> <br />