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[ MECHAi~iCAL P~ <br />iii, [Please compl~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 8:00 a,m-~ 4:30 p.m. SITE #: <br /> Code-A-Phone: ~$8-7904 <br /> FAX: 58~-7948 Date: <br /> <br />Issued by: <br /> <br />Permit No. <br /> <br />l. LOCATION OF INSTALLATION <br /> <br />Directions <br /> <br />PERMIT~ ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WOPO( IS NOT STARTED WITHIN ] 80 DAYS OF ISSUANCE <br />Of~ IF WORK IS SUSPENDED FOR IS0 DAYS. <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor Judson * S Inc. Phone 363-4141 <br />~iiinsAdd.,~ PO BOx '12669. Salem OR 97309 <br /> <br />Contractor s Lieens~ No, ' 24-22PB <br /> <br />Contractor's Board ReS. No. 34604 I Job No. <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />Property Owner <br /> <br />M~lll~g Addwss Phone <br /> <br />Clty/~tntc/Zip <br /> <br />The inst~ll~llon i~ bei.~ made on pmp~dy I own which i~ not into.dod for sale, <br /> <br />Owne?~ Sis,atuw <br /> <br />PLAN REVIEW SECTION <br /> <br />RESIDENTIAL [] COMMERCIAL [] <br /> <br /> USE OF S~UCTO~E: <br /> <br />BASE FEE <br /> <br />NO. X FEE - SUM <br /> <br />Porced Air Furnace [~ $ 6.00 <br />]00,000 ~TU or <br />Over lO0,O00 BTU -- $ 7.50 <br /> <br />Floor FUrnace __ $ 6.00 <br />SusPended Heater __ $ 6,00 <br />Wall Heater __ $ 6-00 <br />Floor Mou~ted Unit Heater __ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15/'on <br />Evaporative Cooler <br />Exhaust System, Commercial <br />Hood and F.~aust, Commercial <br /> <br />-- $ 6,00 <br /> $11.00 <br />__ $ 4,so <br />__ $ 4,50 <br />__ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust F~s -- <br />and Dryer Vents S 3.00 <br />Fire Damper __ $ 3.00 <br />Wood Stow __ $ 7,~0 <br />Furaace Ducts (Alteration, Extension) __ $ 7,50 <br /> <br />Commercial or Industrial Incinerator __ $30.00 <br /> <br />Gas Walcr Healer (relocation <br />or replacement) -- $ 7,50 <br />Gas Connection w/o Appliance <br />--per outlet, up to 4 '~[~' $ 2.00 <br />--over 4, $$.00 plus <br />additional __ $ ,50 <br /> <br />For ~c Installation, Relocation <br /> or Replaceanent of an. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />O~er (as required by Building Official) <br /> <br />__ $ 3.00 <br /> <br />We will provide plan review service if you complete Sec. tion <br />5B and submit two (2) sets of plans and specifications vath <br />this application. <br /> <br />Th~s.optional plan review program doe~ not suspend the <br />reqmred submission of plans, and spemfications when required <br />by the Oregon Structural SPecialty Code, Chapter 53. <br /> <br />$10,00 <br /> <br /> <br />