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MARION COUNTY BU'ILDING INSPECTION <br /> Senator BiOg. No. 225 <br /> 220 High 61feet NE <br /> Salem, Oregon 97501 <br /> <br /> Phone 588-$147 <br /> CoOS-A-Phone 4:20 P.M. - 8;00 A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> '"Property Owner: ........... , , Phone: ....... Moiling Address: <br /> <br />.... 3ob Add~s~'~ ,, ' ;* , Site NO.: O~ Stoat; )~ ~)S~ [~ O <br /> <br />echaslcallnstallor~ .¢ Phone; Address: <br />Homo ~ilder~ Registration ~¢.: <br /> ~eslde,tla,: ~- ,,,,. Oommeroiak UseofBuilding: ~//,.~ <br /> New: ~ ' Alteration: ~ ~ddltion: ~' Relocation: ~ O~u~a~ C~ange;, ~ ...... <br /> :/¢ ........... <br /> <br /> NO. FEE AMOUNT <br />Base Price 10~00 <br />Forced air furnoce 100,000 BTU or las~ ......... 6.00 <br />Fomed air furnace over 100,000 BTU 7.50 <br />Floor Furnace 6.oo <br />Suspended Heater 5,00 <br />Well Heater 6.00 <br />[l_9~,r~M,,~d U~lt Heate~ .................. 6.00 <br />Air ~-~ndlJng Unit fo 10;000 cu, ft, 4,50 <br />.,,.Air Handling Unit over I0.000 cu, fl, 7.50 <br />Evaporative Cooler 4,50 <br />Exhaust System Commemial 4.50 <br />Hood and Exhaust Commemial 4.50 <br />Domestic Range Hoods 4,50 <br /> Dbms§tic ExhauSt Fans & DOy~¥ Vedts 3.00 :' <br /> For pre-installation or installation <br /> of each wood stove 7.50 <br /> <br />~' NO, FEE AMOUNT <br />Commercial or Industrial Incinerator ~g'i'(~'0--' <br />Fire Darn.per 3.00 <br />Gas Water Heater 7,50 <br />For each gas piping system of up to <br />4 outlets, minimum fee 2,00 ' <br />For sash gas piping system of 5 or more <br />ou!lets, per outlet .50 <br />For tho installation, relocation or <br />replacement of each applionce vent <br />nc~ included iq.,~.n_a .ppllance permit 3,00 <br />Appliance or accessory to any heating or <br />Comfort cooling system not covered 4~50 <br />Other as per Mechanlca] Code): ............ <br />On-Site Technical Review <br />(ApD!y at Marion Co, only) <br />Reinopection Fee 15.00 <br /> FEE $ <br /> STATE SURCHARGE o <br /> PLAN REVIEW FEE <br /> INVES'ClGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CITY FEE $ <br /> TOTAL <br /> <br />Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />The work will be pedormed by a registered builder, <br />Other <br /> <br />MO 15-41 <br />Rev. 3/87 <br /> <br /> <br />