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MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br />P/ease complete all Sections, 1 through 5 <br /> <br /> 1, LOCATION OF INSTALLATION <br />Job Address 7~e~ <br /> <br />Directions <br /> <br />PEI~MITI ARE NON-TRANSI~RABLE AND NON-REFUNDABLE AND <br />FL~PII~E IP WORK IS NOT STARTED WITHIN IS0 DAYS OF ISSUANCE <br />OR IF WOI~K IS SUSPENDED FOR 1 S0 DAYS. <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />The installation is bcinS midc on propew/I own which is not intended for ~ale, <br /> <br />3. PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B and submil two (2) sets of plans and specifications 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 />2/92 <br /> <br />220 High Street NE <br />Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:00 a.m. ~ 4:30 p.m. <br />Code-A.Phone: 588-7904 <br /> FAX: 588-7948 <br /> <br /> Date: APR 0 6 1993 <br /> Issued bC/J/~B.!O~ ¢OU,M'," <br /> BUILDING IN.qPl;r, Tm ~,~ <br /> <br />~SIDE~I~ ~ CO~RCI~ <br /> <br /> ~w [] ~LTa~U0~ [] ~ax~mo~ [] ]Ua~OCA'nON [] <br /> <br /> NO~ X FEE = SUM <br />RASE ~E $1o,oo <br /> <br />Fomed Air Furnace $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU $ 7.50 <br /> <br />Floor Furnace __ $ 6.00 <br />Suspended Heater __ $ 6,00 <br />Wall Heater __ $ 6,00 <br />Floor Moantcd Unit Heater __ $ 6.00 <br /> <br />Heat Pump 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 />Domestic Range Hood <br />Domostio Exhaust Fails <br /> and I)~yer Vents <br />Fire Damper <br />Wood Stow <br />Furnace 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 /> -0ver 4, $8.00 plus et, <br /> additional <br /> <br />For the Installation, Relocation <br /> or Replacement of ca, Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as requi~d by Building Official) <br /> <br />-- $ 6.00 <br /> $I 1.00 <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.s0 <br /> <br />__ $30.00 <br /> <br />7.50 <br />2-00 <br />.50 <br /> <br />__ $ 3,00 <br /> <br />5. FEES <br /> <br /> (Al x .25) ff r~lUired <br /> <br />S -- <br />$ <br /> <br />s <br /> <br /> <br />