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Y <br />Received by: _ _ <br />IDate: . <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through 5 <br /> <br />MARION COUNTY BUILDING INSPF. f~TI~ <br /> <br /> 220 I-I/nh Street NE ~f . r <br /> Salem, Oregon 97301 U~ ~ ...... <br /> <br /> pho.¢588-5147 g:00a, m.~4,30p.m. SiTE¢?C~' ~ 2 199i~ormltNo. <br /> Code-A-Phone: 588-7904 <br /> F.~x:58s-?¢4s Date' ~ARION COUNIY <br /> <br /> Issued by: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />TO i~~-,~ <br />PERMITS ARE NON-TRANSFERABLE AND NON. REFUNDABLE AND <br />trX?IRE IF WOI1J~ IS NOT STARED ~ 180 DAY~ OF <br />OK IF WO~ IS SUSP~DED FOR 180 DAYS, <br /> <br /> ~, CON~C~OR INSTALLATION ONLY <br /> <br /> Cont~ctor [Phone <br /> <br />Mailing Address <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />City/State/Zip ~ ~' ~ O lO~} <br /> <br />The installation is being ma~¢ on prope~d I own which is not intended for sale, <br /> <br /> 3, PLAN' R~;VD~W SECTIObl <br /> <br />RESIDENTIAL [~ COMMI~RCIAL <br /> <br /> USE OF <br /> NEWI~ AI,'n~RATION [] ADDITION 1~ RELOUA3ION <br /> NO. X FEE <br />Il&SE FEE <br /> <br />Folced Air Furnac~ $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Farusce __ $ 6.00 <br />Suspended Heat~ $ 6.00 <br />WallHeater __ $ 6.00 <br />Floor Mou~ted Unit He, ater $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br />Up to 3 Ton -- $6.00 <br />3 Tort to 15 Ton $11 <br />Evaporative Cooler __ $ 4.50 <br />Exhaust System, Commercial $ 4.50 <br />Hood and Exlxaust, Commercial __ $ 4.50 <br /> <br />Domestic RangeHood __ $4.50 <br />Domestic Exhaust Fans <br />and Dryer Vc, nts __ $ 3.00 <br />Fire Dampe~ __ $ 3.00 <br />Wood Stove I $ 7.50 <br />Futaace Ducts (Alteration, Extension) __ $ 7.$0 <br /> <br />Commercial or Industrial Inelnt. a-~.tor -- $30.00 __ <br /> <br />Oas Water Heater (relocation <br />orreplaceanent) __ $ 7.50 <br />Gas Connection <br />--per outlet, up to 4 __ $ 2,00 <br />~-ovcr 4, $8~00 plus ea. <br />additional __ $ .50 <br /> <br />For the Installation, P, zlocation <br />er P, eplacement ofea. Appliance <br />Vent not ii, eluded in an <br />Appliance permit. __ $ 3.00 <br /> <br />Other (as required by Building Official) <br /> <br />- SUM <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 specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />$10.00 <br /> <br />Rev. ]0/92 <br /> <br /> <br />