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MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 ~Iigh SUe~'t ~ <br />- Sakan, C~gon 97301 <br /> <br />Phone 588-5147 S:O0 a,m.-4:30 p.m, <br />Code-A-Phone: 5g$-7904 <br />PAX:55S-7948 <br /> <br />IMECHANICAL PERMIT APPLICATION <br />P/ease complete all Sections, I through 5 <br /> <br />SITE #:~::~3-~1Po,m~No, 4 ~r9 7! _ <br />Date: .... ~- ~>-~ - ~-~ <br /> <br />Issued by: <br /> <br />PERMITS ARE NON.TRANSPI~RABLE AND NoN.REFUNDABLE AND <br />~KPIRE IF WORK IS NOT STAKTED %VlTHIN ! $0 DAYS OF ISSUANCB <br />OK IF WORK IS SUSPENDED FOK 180 DAYS, <br /> <br />2A. CONTI~CTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER iNSTALLATIONS <br /> <br />Property Owner <br /> <br />Mailing Address <br />City/State/Zip <br /> <br />Phone <br /> <br />The installation is being made on piupcay I own which is not in~nd~d ~or salc, <br /> <br />Owners Signature <br /> <br />3. PLAN REVIEW SECTION <br /> <br />m~smENT~AL [] COMMERCIAL [] <br /> <br />USE OF S'fRUCTL~E: <br /> <br />NEW[~ ALT~,~O'~ [] ~ON ~ ~ON ~ <br /> <br /> NO. X FEE = SUM <br /> <br />BASE FEE $10.00 <br /> <br />Forced AR k'kmaace $ 6.00 <br />100,000 BTU er less <br />Ove~ 100,000 BTU -- $ 7,50 <br /> <br />Floor Furnace __ $ 6,00 <br />Suspended Heater -- $ 6.00 <br />WallHealer __ $ 6.00 <br />Floor Mouuted Unit Heater __ $ 6,00 <br /> <br />Heat Pump orAk Conditioner <br /> Up ~o $ Ton <br /> 3 Ton to 15 Ton <br />Eveperatiw Cooler <br />Exhaust System, Commercial <br />Hood and Exhaust, Commercial <br /> <br />__ $ 6.00 <br />$11,00 <br />$4.50 <br />__ $ 4.50 <br />$4.50 <br /> <br />Dorcestic Range Hood ~ $ 4.50 <br />Dorcest~c Exhaust Fans <br />and Dxyer Vents ._~ $ 3.00 <br />Fife Damper __ $ 3,00 <br />Wood Stove __ $ 7.50 <br />Furnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Corcmercial or Industrial Incinerator __ $30,00 __ <br /> <br />Gas Water Pleater (relocation <br />or replacement) __ $ 7,50 <br />Gas Com~eotion <br />--1~ outlet, up to 4 __ $ 2.00 <br />--ove~ 4, $8.00 plus eal <br />additiorml $ ,50 <br /> <br />For the Installation, Relocation <br /> er Replacement of ca. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />O~her (as required by Building Official) <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 suspend the <br />required submission of plans, and epe¢ifieations when required <br />by lhe Oregon Structural Specialty Code, Chapter 53. <br /> <br />Rev, 10192 <br /> <br />$ <br /> <br />$ <br /> <br /> <br />