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FOR OFFICE USE ONLY <br />Reeeivea t,y: __ <br /> <br /> Cod¢-A-Plao~¢: 588.7904 <br />' MECHAN[GAL PEHMII A,PPMOATION <br />Please complete al~ Sections, 1 through 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Stxeet NE <br /> Salem, Oregon 97301 <br /> <br />Phone 588-8147 8:00 a,m, ~ 4,30 p.m. <br />FAX; 588-7948 <br /> <br />SITE #: Permit No. <br />Da, e: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON. TRANSFERABLE AND NON-REFUNDABLE AND <br />BXPIP32 IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR IF WOKK IS SUSPENDED FOR 180 DAYS. <br /> <br /> lA. CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor [ Phone <br /> <br />prope~, Owner I Phone <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br />Th~ in~tallalion is being made on p~ I o~wh~ is afil~nt~ ~.~r ml~, <br /> <br /> 3- PLAN REVIEW SECTION <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br /> <br /> RESIDENTIAL ~ COMMERCIAL <br /> <br />Forced Ah- Furnace $ 6.00 <br />100,000 BTU or less <br />Over 100,000BTU -- $ 7.50 <br /> <br />Floor Furnace $ 6.00 <br />Suspended Heater __ $ 6.00 <br />Wall Heater __ $ 6.00 <br />Floor Monnted Unit Heater $ 6.00 <br /> <br />-- $ 6.00 <br /> $11.00 <br /> $4.50 <br />__ $ 4.50 <br />__ $ a.50 <br /> <br />__ $ 4.50 <br /> <br />3.00 <br />3.00 <br />7.50 <br />7.50 <br /> <br />__ $30.00 <br /> <br />Heat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative Cooler <br />Exhaust System, Cornraercial <br />Hood and Exlmust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Exhaust Fans <br />and Dryer Vca~ts <br />Fire Damper <br />Wood Stovo <br />Furaace Ducts (Alteration, Exteasien) __ <br /> <br />Commercial or Industrial Incinerator <br /> <br />Gas Water Heater (relocation <br /> or replacement) <br />Gas Connection <br /> --per outlet, up to 4 <br /> --over 4, $8,00 plus ~a. <br /> additional <br /> <br />__ $ 7.50 <br /> $ 2,00 <br /> <br /> $ .50 <br /> <br />__ $ 3,00 <br /> <br />For the Installation, Relocation <br /> or Replacement of es, Appliance <br /> Vent not includod in au <br /> Appliance permit, <br /> <br />Other (as required by Building Official) <br /> <br />We will provide plan review service if you complete Section <br />5B ,'md submit m'o (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program doe8 not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />4£:15.41 <br />Rev. 0/92 <br /> <br />5, FEES <br /> <br /> Subtotal <br /> <br />$ <br /> <br />$ <br /> <br /> <br />