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I <br />ro . omc I <br /> [ <br />Date: <br /> <br />MECHANICAL PERMIT APPLICATION 5 <br />Please complete all Sections, 1 through <br /> <br />220 High Street NE <br />Salem, Oregon 97301 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />Phone 888-8147 8:00 a.m. ~ 4:30 p,m, <br />Code. A-Phone: 588-7904 <br /> FAX: 588-7948 <br /> <br /> 1. LO~ATION OF INSTALLATION <br /> <br />Job ~ddr~as~-~ ' <br /> <br />Directions <br /> <br />PER~flTS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANC]5 <br />OR IF WORK IS SUSI'~ND~D FOR I SO DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> ' <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />PwpeWj Owner <br />Mailing Address Phot~e <br />City/State/Zip <br /> <br />'lhe installa6on is being made ou property I own which is not intended for sale, <br /> <br />Owners Signature <br /> <br /> 3, PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />SB and submit two (2) sets of plans nod specifications w/th <br />this application. <br /> <br />This optional plan review program does not suspend the <br />~equired submission of plans, and specifications when required <br />by the Oregon S~ructural Specialty Code, Chapter 53. <br /> <br />~I C 15-41 <br /> <br />2/92 <br /> <br />RESIDENTIAL ~ COMMERCIAL [] <br /> <br />BASE FEE $10.00 <br />$6.00 <br /> <br />Forced .4it Eurnace <br />I00,000 BTU or less <br />Owr 100,000 BTU <br /> <br />-- $ 7,50 <br /> <br />Floor Fnmace __ $ COO <br />Susl~aded H~ater __ $ 6,00 <br />Wall Heater __ $ 6-00 <br />~oor Molmted Un/t H~ater __ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to I$ Ton <br />Evaporative Cooler <br />Exhaust Systcm, Comraercial <br />Hood and Exhaust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Exhaust Fans <br />and Dryer Vents <br />Fire Damper <br />Wood Stove <br />Furnace Ducts (Alteration, Extension) __ <br /> <br />Coro, mercial or Industrial incinerator <br /> <br />Gas Water Heater (relocation <br /> or rq~lac~nant) <br />Gas Connection w/o Appliance <br /> --I~r outlet, up to 4 <br /> --over 4, $$;00 plus ea. <br /> additional <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not included in an <br /> Appliance pa'mit, <br /> <br />Other (as required by Building Official) <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 />__ $ 7.50 <br /> <br /> $z0o 2, <br /> <br />$ .50 <br /> <br />$ 3.00 <br /> <br /> <br />