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FOR OFFICE USE ONLYI <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />220 High Street NE <br />Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:00 a,al,-4:30 p,m, <br />Code-A-Phone:Sg8-7904 <br />FAX:588,7945 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Please complete all Sections, 1 through 5 <br /> <br />i. LOCATION OF INSTALLATION <br /> <br />Cro~ <br /> <br />PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABI3~ AND <br />EXPIRE IF WORK tS NOT STARTED WITH/N 150 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR lS0 DAYS, <br /> <br />2A. CONTRACTOR INSTALI~TION ONLY <br />. [ ~ob No. <br /> <br />PropertyOwne¢ <br /> <br />Mailing Add~:ss <br /> <br />CitylSlatc/Y~ip <br /> <br />Thc iastallaion is being made on pwpc~ I o~ which is not intended for sale, <br /> <br /> 3, ~LAN REVgEW SECTION <br /> <br />RESIDENTIAL [] COMMERCIAL [] <br /> <br />U~I~ OF S'fRucTuRE: <br /> <br />NEW [] ALTERATION [] ADDITION [] RELOCATION [] <br /> <br />NO, X FEE <br /> <br />Foxed Air Furnace ~_~,~(~., [ $ 6,00 <br />100,000 BTU or loss .. <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Ftutu~o $ 6,00 <br />Suspended Heater __ $ 6,00 <br />Wall Heater __ $ 6.00 <br />Floor Mounted Unit Heater __ $ 6,00 <br /> <br />Heat l~mp or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 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 ;Exha~st Fans <br />and Dryer Vents $ 3.00 <br />Fire Damper __ $ 3.00 <br />WoodStove __ $ 7,50 <br />Furnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Commercial or Industrial, Incinerator __ $30,00 <br /> <br />Oas Water Heater (relocation <br />erreplacemant) __ $ 7.50 <br />Gas Connection w/o Appliance <br />--per outlet, up to 4 __ $ 2,00 <br />--over 4, $8,00 plus ca, <br />additional __ $-50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 3,00 <br /> <br /> SUM <br /> $10.00 <br />/ .o0 <br /> <br />We will provide plan review Service if you complete Section <br />5B and submit two (2) sets 0t~plans and:'SPecifieatipns with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />Rev, 2/92 <br /> <br />FEES <br /> <br />A~ <br /> <br /> <br />