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BI,Dc; IXSPF.("I'I~X <br /> <br /> Received by: <br />[Date:__ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />220 14igh S~,~t ~ <br />Salem, Oregon 97301 <br /> <br /> Phone 588-5147 8:00 ~m. ~ 4:.t0 p.r~ <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />SF~, ~¢: PmmitNo <br /> <br />Issued by: ............................... <br /> <br />1. LOCATION OF 12,ISTZ&Id, TION <br /> <br /> J Cro~ <br /> <br />PEg,Mfi~ A~ NON*TILANSFEP,.ABLE ANT;, NON,?,.[~Ft)N DA I~ LE A2~D <br />.F~XldllE. ff WORK Is NOI S'IAK'; E.D wITHIN 180 DAYS OF ISSUANCE <br />OR I.F WOg.~ iS SUSPENDED FOR 180 DAYS, <br /> <br /> iA, CONT~.CTOR INKI'ALLATiON ONLY <br />,,..~,~t,,*~o~ l~Q_o__t__,=,~g_._q.~,...,,q_~_l._em__TBe., l?~o.~ 585 6396 <br /> <br />FOR OWNER INSTA I.I ,A'f'I()N$ <br /> <br />................................... L-; ........ <br /> <br />We will provide pl0a review .Jerw,lee if yOu complete Suction <br />5B and mbt'nit two (2) Set:~ of plans an<l specifications wit~ <br />tiffs application <br /> <br />This optio~w,l plan review pro~an~ does not suspend the <br />r~,qmi'ed submission of plans, a~d ~ecificatlon~ when reqMred <br />by the Oregon Structural Specialty Code, Cbxpter 53. <br /> <br />Fei, ced Ah- Furnace $ 6.00 <br />I00,000 BTU or lcs~ <br />Over t00,000 B'[1,1 ..... $ 7.50 <br /> <br />SlO.O0 <br /> <br /> 6.00 <br /> <br />Floor Fam.-~,~ $ 6,00 <br />Suslxm4ed H~a~er ...... $ 6.00 <br />WaLl Heater __ $ 6.00 .......... <br />Fluor Mortared 'Uuit <br /> <br />Up to 3 Ton ....... $ 6.00 .... <br />3 Too to 15 Toa $11.00 <br />~vaporativ¢ Coo1¢: $ 4.50 ...... <br />~a~t Sy~t~ Co~erci~ .... $ 4.50 <br />l{ood ~d ~ha~l, CO~clM ......... $ 4.50 <br /> <br />Domes~:ic Ranse 14ood ...... $ 4.50 <br />Domestic R~aust <br />~a ~ v~ ......... $ 3.00 .... <br />Fke D~r _~ $ 3,00 ..... <br />Wood Stove S 7.50 <br />F~ Ducts (Alteration. ~t~lsioQ) ........ $ 7.50 <br /> <br />Commercial or Ing~.~tnaI Incinerator ........ $30.00 .......... <br /> <br /> Water Heat~ (relocation <br />?r replacement) $ 7,50 <br /> <br /> --per outlet, up to 4 ........... $ 2,00 <br /> -.over 4, ~8.00 pl~ <br /> admnoaal ~_ S <br /> <br />......... $ <br /> <br />Other (~s reqt~rcd by Building Official) <br /> <br /> <br />