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FOR OFFICE USE ONLY <br />Received by: <br />Date:.Z ....... <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> I~hon¢ 588.5;147 ,:00a. m.~4:30p.m. SITE #: <br /> <br />MECHANICAL PERMIT APPLICATION <br />P/ease complete all Sections, 1 through 5 <br /> <br /> Code-A-Phone: 588-7904 <br />I vax: 5ss.?94s Date: MARION COUNTY <br /> BUILDING IN~SPEClIUN <br /> Issued by; <br /> <br />1, LOCATION OF INSTALLATION <br /> <br />Directions <br /> <br />PEI~MITS ARE NON-TRANSFERABLE AND NON-KEFUNDAELE AND <br />EXPIRE IF WORK IS NOT STARTED WlTHrN 1 SO DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOK 180 DAYS, <br /> <br />CONTRACTOR INSTALLATION ONLY <br /> <br />C~Ont.ctaFs Soa~l P-.¢ g. NO, ~-=~ q ~ <br />Contra~r's Signatu~: ~. <br /> <br /> FOR OWNER INSTAL~TIONS <br /> <br />Job No. <br /> <br />P~peny Owner <br />Mailing Address Phone <br />City/State/Zip <br /> <br />; Thc installation is being made on property I own which is not intended for sale, <br /> <br />3. 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 w/th <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 />dC15-4] <br />Rev. 10/92 <br /> <br /> R~SIDENTIAL ~ COMiVI~RCIAL [] <br /> <br /> ~m~ ~LT~AUO~ [] A~IUOW [] ~0~ [] <br /> <br />BASE FEE $10.00 <br /> <br />Fo~ed A/r Furnace $ 6,00 <br />100,000 BTU or less <br />Ov~ 100,000BTU -- $7,$0 <br /> <br />Floor Furaac~ , __ $ 6,00 <br />Suspended Heater __ $ 6,00 <br />Wall Heater [ $ 6.00 <br />Floor Mounted Unit I~ater $ 6,00 <br /> <br />Heat Pump or Air Condition~ <br />Up to 3 Ton -- $6,00 <br />3 Tonto 15 Ton $11.00 <br />Evaporative Cooler __ $ 4.50 <br />Exhaust System, Commercial __ $ 4.50 <br />Hood and Exhaust, Commercial __ $ 4,50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vents __ $ 3,00 <br />Fire Damper __ $ 3.00 <br />Wood Stove $ 7.50 <br />Furnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Commercial or Industrial Incnierator __ $30.00 <br /> <br />Oas Water Heater (relocation <br />or replacement) ~ $ 7,50 <br />Gas Cormection <br />--per outlet, up to 4 ~Q $ 2.00 <br />--over 4, $8.00 plus <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ca. Appliance <br /> Vent not included m an <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 3.00 <br /> <br />'?,5'0 <br /> <br /> <br />