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FOR OFFICE USE ONLY <br /> Received by: <br /> Date: <br /> <br />Lp, MECHANICAL PERMIT APPLICATION 1 <br /> lease complete all Sections, 1 through 5 <br /> <br />MARION CAN <br /> COUNTY BUILDING IN~C~ <br /> <br /> Pho.¢$SS-$1g7 8:00a.m.~4:30p.m. Sl'l'~,~ ~ ~ [S95 Porm'R,o. <br /> Code. A.Phone: 588-7904 <br /> <br /> i~aued ~. <br /> <br /> 1, LOCATION OF INSTALLATION <br /> <br />City ~t '{ ~ Cross St <br /> <br />PERMITS AIt~ NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WOP3~ IS NOT STARTED WITII1N 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR. 180 DAYS. <br /> <br /> 2A, CONTRACTOR INSTALLATION ONLY <br /> <br />ContractoEs Licenm No. ~ ~ <br /> <br /> ,, <br /> ~B. ~OR OWNER INSTALLATIONS <br /> <br />RESIDENTIAL~ COMMERCIAL <br /> <br />BASE FEE $10.00 <br /> <br />Forced Air Fllmaea $ 6,00 <br />I00,000 BTU or less <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Furnace __ $ 6-00 <br />SuslXmded Heater __ $ 6.00 <br />Wall Heater $ 6.00 <br />Floor Mortared lJnit Heater $ 6,00 <br /> <br />Heat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative Coolex <br />Exhaust Systeaa, Commercial <br />Hood and Exhaust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Exham~t Fans <br /> and Drycx Vents <br />Fire Damper <br />Wood Stove <br />~raace Ducts (Alteration, Extension) -- <br /> <br />Commercial or Industrial Incinerator <br /> <br />Gas Water Heater (relocation <br />or replacement) <br />Gas Connection w/o Appliance <br />--per outlet, up to 4 <br /> --over 4, $8.00 plus ea. <br /> ad0itienal <br /> <br />For thc Installation, Relocation <br /> or Replacement of ca, Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as reqnired by Building Official) <br /> <br />$ 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 />__ $ 2,00 <br /> <br />$ .50 <br /> <br />__ $ 3.00 <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not so.end the <br />reqnired submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />IC'lJ-41 <br /> <br />Rev, 2/92 <br /> <br />[ 5. I~ES <br /> <br />A2,, Add 5% axtrcha~¢ (,05 xAI) <br /> Subtotal <br /> <br /> (Al x ,25) ff r~tlulr~d <br /> <br /> <br />