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MARION COUNTY BUILDING iNSPECTION <br /> <br />220 High Street NE <br />Salem, Oregon 97301 <br /> <br />MECHANICAL PERMIT APPLICATION ] <br />Please complete all Sections, 1 through 5 <br /> I <br /> <br />Code-A-Phone: 58S-7904 <br /> <br />FAX: 588-7948 <br /> <br />D~te: <br /> <br />Issued <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />pEP. MITS ARE NON.TRANSFERABLE AND NON.~DAB~ AND <br />~Pl~ IF WO[K IS NOT STAR'~D ~ 180 DAYS OF I$SUANC~ <br />o~ IF WORK IS SUSPENDED FOK 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> FOR OWNER INSTALLATIONS <br />I'mperty Owner <br /> <br />Maiflll g Address Phone <br />City~State~Zip <br /> <br />Thc installation is being made on propcrt~ I own which is not intended for ~ale, ~ <br /> $, PL~ REVIEW SECTION <br /> <br />BASE FEE $I 0.00 <br />Forced ~mma~ I $ ~.00 (~, ~.0 <br />100,000 g~ or less <br />Ov~ 100,000 B'~ ~ $ 7.50 <br /> <br />Floor Fmace $ 6.00 <br />Suspmded Heater ~ $ 6.00 <br /> <br />~oor Mo~ted U~ Heat~ ~ $ <br /> <br />Heat Pu~p or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaperoxlw Cooler <br />Exhaust System, Commercial <br />Hood and Exhaust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Exhaust Fans <br />md DtTer Veuts <br />Ffi-e Damper <br />Wood Stove <br />Fllmace Ducts (A1V'ration, Ex~easion) -- <br /> <br />Commercial or Indu~al Incinerator <br /> <br />~ $ 6.00 <br /> $11.00 <br /> $4.50 <br />__ $ 4.50 <br /> $ 4.50 <br /> .), $ 4,50 <br />~ $ 3,00 <br />__ $ 3.00 <br />_.1__ $ 7.50 <br /> $ 7_50 <br /> <br />__ $30,00 <br /> <br /> ...... $ 7.50 <br /> <br />__ $ 2,00 <br /> $ ,50 <br /> <br />Gas Water Heater (relocation <br />or replacement) <br /> <br /> --l~r outlet, up to 4 <br /> --over 4, $8.00 plm ea. <br /> additional <br /> <br />For the Installation, Relocation <br /> or RepLacement of ea. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />$ 3,00 <br /> <br />We will provide plan review ~ervice if you complete Section <br />5B and submit two (2) sets &plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />,required submission of plans, mid specifications when requffed <br />by the Oregon Structural Specialty Code, Chapter <br /> <br />FEES <br /> <br />$ ~ f <br /> <br /> <br />