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FoR oFF,cz usz ] <br />Reeetved by: ONLY <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />220 High Street I~ <br />Salem, Oregon 97301 <br /> <br /> 147 8:00 a.m. ~ 4:30 p.m. <br />Code-A-Iraone: 58g-7904 <br /> FA~: 588-7948 <br /> <br />SITE #: Permit I~. <br /> <br /> 1. LOCATION OF INSTALLATION <br />JobAddre,s [ ~ t'~"(~ <br /> <br />Directions <br /> <br />PERMITS ARE NON-TRANSFI~RABLE AND NON-ILEFLrNDABLE AND <br />t~XPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR tS0 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />Contractors License No. <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> / I .I A ~ ..... . <br /> <br />The installation is being m~ on property I own which is not intended fo~ ~ale, <br /> <br />Owuees Signa~ul~ <br /> <br /> 3, P~N ~VIEW SECTION <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 Su~ctural Specialty Code, Chapter 53. <br /> <br />ftc 1§;41 <br /> <br />Rev. <br /> <br />4, FEESCHEDUI2/(Coml~la~ md~at~teOlhAI below) <br /> <br />BASE FEE <br /> <br /> Forced Ah' Furnace $ 6.00 <br /> 100,000 BTU or lvss -- <br /> Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Furnace __ $ 6.00 <br />Susl~md~d Heater __ $ 6,00 <br />Wall Heater __ $ 6,00 <br />Floor Mounted LIdit Heater __ $ 6.00 <br /> <br />Heat Pump [] / Air Conditioner [] <br />Up to 3 Ton -- $6.00 <br />3 Torito 15 Ton __ $11.00 <br />Evaporative Cooler $ 4.50 <br />Exhaust Syste~, Comm~ial __ $ 4.50 <br />Hood attd Exhaust, Common,iai __ $ 4.$0 <br /> <br />Domestic Ranfi,~ Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vonts __ $ ~.00 <br />Fire Damper __ $ 3.00 <br />Wood Stove ; $ 7.$0 <br />Furnae~ Ducts (Altecatiou, .F~xtension) __ $4.50 <br /> <br />Commercial or Industrial Incinerator $30.00 <br /> <br />Gas Water He. am (relocation <br />or replacemont) __ $ 7.$0 <br />Cras Comleotion <br />--pea' outlet, up to 4 __ $ 2.00 <br />--over 4, $8.00 plus <br />additional <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Ve~t not inolufled in a~ <br /> Appliance p~amit. <br /> <br />Other (az required by Building Official) <br /> <br />__ $ 3,00 <br /> <br />5. FEES <br /> <br /> <br />