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FOR QFFICE MARION COUNTY BUILDING INSPECTION <br /> USE <br /> ONLY <br /> COMMUNITY DEVELOPME%IT CENTER <br /> Received by: 28~ Cbumh st, NE . Room 132 <br /> Date: Salean, Or~gon 97301 <br /> <br /> Phone 558-5147 $:00 a,m. - 4:30 p.m- <br /> ~" 6 Code-A-Phone: 588-7904 <br /> MECHANICAL PERMIT APPLI'CATION ~,~: s§s-7948 <br />[ Please complete all Sections, 11 through 5 <br /> <br /> RECEIVED <br />SITE ~..[[B 0 2 1995p..m,,o. <br />D ' MAiti0N COUNTY <br />~ILDIN6 INSPECTION <br />issued by: <br /> <br />1, LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-'I'RANSFEIL~,BLE AND NON,R/~FUNDABLE AND <br />EXPIKE IF WORoK 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 />Coatta~to~s License No. <br /> <br />~]lt, EOR OWNEn INg'r,S. LLATiONS <br /> <br />Prop¢~yOwner <br />Mailing Address Phone <br />City~State/Zip <br /> <br />The installation ia being made on properly I own which is not intended for ~ale, <br /> <br />Owner's Sigtlat/l~ <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br /> RESIDENTIAL ¢ COMMERCIAL [] <br />BASE FEE $10.00 <br /> <br />Forced Air Furnace $ 6.00 <br />100.000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />l'"loor Furnace __ $ 6.00 <br />Suspended Heater __ $ 6,00 <br />Wall Heater __ $ 6.00 <br />Floor Mounted Unit Ileater __ $ 6,00 <br />Heat Pump [''] / Air Conditioner [] <br />Lip to 3 Ton __ $ 6.00 <br />3 Ton to 15 Ton $11,00 <br />Evaporative Cooler __ $ 4.50 <br />Exham~t System, Commercial __ $ 4,50 <br />Hood and Exhaust, Comm~cial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.~0 <br />Domestic Exhaust Fans <br />and Dryer Vents -- $ 3,00 <br />Fire Damper <br />· ?.5o3'°° <br />Flmaace Ducts (Alteration, Ext~ms~dn) __ $4.50 <br />Commercial or Industrial Incinerator __ $30,00 __ <br /> <br />Gas Water Heater (relocation <br />or replacement) __ $7,50 <br />Gas Connection <br />--pet outlet, up to 4 __ $ 2.00 <br />--over 4, $8.00 plus es. <br />additional $ .50 <br /> <br />For thc Installation, Relocation <br /> or Replacement of ca, Appliance <br /> V~nt not included ba 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 />5 B 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 submissioE of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />MC 15,4l <br />R,~ ~. ,7194 <br /> <br />5. FEES <br /> <br /> <br />