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FOR OFFICE USE ONLY Received by: Date; MARION COUNTY BUILDING INSPEC. TIO,N Salem, Oregon 97301 ~ Code-A-Phon¢:~S$-7904 MECHANICAL PERMIT APPLICATION 1 Please complete all Sections, 1 through 5 [ I Date: J~ARION COUNTY BUILDING INSPECTION Issu~ Dy: LOCATION OF INSTALLATION Dix, e~ion~ PERMITS ARE NON-TRANSFERABLE AND NON.REFLrNDABLE AND ~Zil~IRE IF WOI~ I$ NOT STAR'rED WITHIN IS0 DAYS OF I~SUANC2~ O¢. IF WORK IS ~USP~NDED FOK Il0 DAY~. lA. CON'~P.~CrOR INgTALLATION ONLY ill FOR OWNER ;INSTALLATIONS Mailing Address Phone We will provide plan review ~erviee if you complete Seotion 5B and submit two (2) sets of plans and specifications with this application. This optional plan review program does not suspend the required submission of plans, and specifications when required by the Oregon Structural Specialty Code, Chapter 53, ~4C' /J-41 Rev, 10/92 RESIDENTIAL J~ COMM~RCI~ ~ BASLE ~ $10.00 Forced Air P'umace $ 6.00 100,000 B~ or less ~ 100,000 ~ . $ 7.50 - Floor Fm~e $ 6,00 _ S~ded H~ $ 6.00 W~IHoaI~ I ~' $6,00 ~ Heat lh~ap or Air Coadifioner Up to 3 Ton ~ $ 6.00 ~ 3 Ton to l S Ton ~ $11,00 ~ Evat~orative Cooler ~ $ 4,50 Exha~t Syst~, Co~ ~, $ 4.50 _, Hood ~d ~t, Comm~ci~ ~ $ 4.50 Domesti~ P,a~ge Hood ~,i $ 4.~0 _i Domestic Exhaust Fans Fire Daml~r ~ $ 3.00 Wood Stove ~ $ 7.50 ~,, IMmace Ducts (Alteration, ILxtensien) ~ $ 7,50 ~ Commemial or Industrial Incinerator ~ ~30.00 Ga$ Water Heater (relocatlou orreplacom~nt) ~ $ 7.50 Gas Conneotio~ .-pea- omler, up to 4 I .,, $ 2.00 .-over 4, $8.00 plus ea. additional __ $ ,~0 For flae Installation, Relocation or Replacemeat of es, Appliance Vent not included ia ~ Appli~ce ~it, Other (aa required by Building Official) $ 3.00 s $ -- $