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FOR OFFICE USE ONLY <br />aeceive~, by: ~ , <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />:120 High Street NE <br />Salem, Oregon 97301 <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections,, ? through 5 <br /> <br /> 1. LOCATION OF INSTALLATION <br /> <br />Directions <br /> <br />PERMITS APd] NON-TRANSFERABL]B AND NON-KEFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 1 g0 DAYS OF ISSUANCE <br />OKIF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />The installation ia being mad0 on proper/y I own which is not intended for sale, <br /> <br />Owacr's$1gnatur~ ' fi - - u- , - ' <br /> 3+ PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B arid submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan ~eview program does not suspend the <br />required submission of plans, and specificatiorm when iequited <br />by the ?egon S~ructural Specialty Code, Chapter 53. <br /> <br />R~, 2192 <br /> <br />}'hone 588-5147 8:00 a.m. - 4:30 p,m. <br />Code-A-I'hou,: 58g-7904 <br /> <br /> FAX: 588-7948 <br /> <br />RESIDENTIAL ~ COMMERCIAL [] <br /> <br />NO, X FEE - SUM <br /> <br />BAS~ FEE <br /> <br />ForeeA A/r Fumace $ 6,00 <br />100,000 BTU or less <br />Over I00,000 BTU -- $ 7,50 <br /> <br />Floor Fumat:e $ 6.00 <br />Suspe'a~d H~ater $ 6,00 <br />Wall Heater __ $ 6.00 <br />Floor Mounted Unit Heater __ $ 6.00 <br /> <br />Heat Pump or Air Conditione~ <br /> Up to 3 Tea <br /> 3 Ton to 15 Ton <br />Evaporative Cooler <br />Exhaust System, Commcxcial <br />Hood and F~&aust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Ex, haust Fans <br /> and Dryer Vents <br />Fire Damper <br />Wood S{ove <br />Fum~ Ducts (Alteration, Extension) <br /> <br />Commercial or [udustrial 1uclnerator <br /> <br /> ~ $ 6.00 <br /> __ $11.00 <br /> $ 4,50 <br /> $4,50 <br /> __ $ 4,50 <br /> <br /> .... $ 4.50 <br /> <br /> $ 3.00 <br /> __ $ 3,00 <br />-~ $ 7.50 <br /> $7.50 <br /> <br />__ $30.00 <br /> <br />Gas Water Heater (relocation <br />or replacement) <br />Gus Connection w/o Appliance <br />--per outlet, up to 4 <br /> --over 4. $8.00 plus ea. <br /> additional <br /> <br />For the Installation, Relocation <br /> or Replacemmt of ea. Appliance <br /> Vent uot included in a~ <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 7.50 <br /> <br />__ $ 2.00 <br /> $ ,50 <br /> <br />__ $ 3,00 <br /> <br />Al. Eatar W, tal of F¢c~ from <br />A2. Add 5% surch~g¢ (.05 xAI) <br /> <br />Re~elpt No, ~TY <br /> <br />$10.00 <br /> <br />52' <br /> <br /> <br />