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MARION COUNTY BUILDING INSPECTION <br /> <br />220 Pdgh Street NE <br />Salem, Oregon 97301 <br /> <br />Phone 588-$t47 8:00 a. nl. ~ 4:30 p.m, <br />Code-A-phone: 58S-7904 <br /> FAX: 588-7948 <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />RECEIVED <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />City I Cross St, <br /> <br />IPERMITS ARE NON. TRANSFERABLE AND NON-REFUNDABLE AND <br /> EXPIP. E IF WOP~K IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br /> OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br /> 2A, CONTRACTOR INSTALLATION ONLY <br /> <br /> / <br />Conuscto~s License No, <br /> <br />Contr~tor's Signature: <br /> <br /> 2B. FOR OWNER JNSTALLATIONS <br /> <br />City/Stale/Zip <br /> <br />The in.qtallation is being made on property I own which ia not intended for sale. <br /> <br />PLAN REVIEW SECTION <br /> <br />RESIDENTIAL [] COMMERCIAL [~/ <br /> <br />BASE FEE $10.00 <br />Forc~ Air Fur~:¢ / $ 6,oo ~-,4 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />Floor Furnace __ $ 6,00 <br />S~pended Heater __ $ 6.00 <br />Wall l-Icat~r __ $ 6.00 <br />Floor Mounted umt Heater __ $ 6,00 <br /> <br />Heat Pump or Air Conditioner <br />Up to 3 Ton __ $6.00 <br />3 Ton to l5 Ton __ $11.00 <br />Evaporative Cooler __ $ 4.50 <br />Exhaust System, Commercial __ $ 4.50 <br />Hood and Exhaust. Commercial __ $ 4.50 ....... <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Farts <br />and Dryer Vents __ $ 3,00 <br />Fire Damper __ $ 3.00 <br />Wood Stove $ 7,50 <br />Furnace Ducts (Alteration. Extension) ~ $ 7,50 <br /> <br />Commercial or Industrial Incinerator __ $30,00 __ <br /> <br />Gas Water Hoater (relocation <br />orreplaceme~t) __ $ 7.50 <br />Gas Connection <br />--per outlet, up to 4 __ $ 2.00 <br />--over 4, $8.00 plus <br />additional $ .50 <br /> <br />For the Illstallatlon, Relocation <br /> er Replacement ofea~ Appliance <br /> Vent act included in an <br /> Appliance permit. <br /> <br />Other (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 specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />9IC 1J.41 <br />Rev, 10/92 <br /> <br />5. FEES <br /> <br /> A2, Add 5% ~a'cha~, (.05 x A l ) <br /> <br /> <br />