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Received by: / ?/~t~v-__ <br /> <br /> MECHANICAL PEFI'MIT APPLICATION ........... <br />P/ease complete all Sections, 1 through 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High S~a-eet NE <br /> Salem, Or~gon 97301 <br /> <br /> Phone $$g-5147 8:00 a,m.-4:30 p,m, SiTE i/P; <br /> Code-A-Phone: 588-7904 <br /> FAX: 58g-7948 Dfto: <br /> <br />1, LOCATION OF INSTALLATION <br /> <br />:::: , O' <br /> <br /> p]~ItaMI'I~3 AM NON-TRANSFERABLE AND NON-RIgFUNDABLE AND <br /> EXFIRE It: WORJ[ IS NOT STARTED WlTHIN 180 DAYS OF ISSUANCE <br /> OR. IF WORK IS SUSPENDED FOR 150 DAYS, <br /> <br /> 2A, CONTRACTOR iNSTALLATION ONLY <br /> <br />~ontmctofa License No.~ ~ ~ ~ ~ " ~ <br />Coat,to fs BoaM Re~, No- I Job No. <br /> <br /> ~B, FOR OWNER ~N~ALLATION8 <br /> <br />Property Owner <br /> <br />Phone <br /> <br />Mailiag Addre~s <br />CitT/Sta/e/Zip <br /> <br />The installation is being made on property I own which is not intended for sale, <br /> <br />3. PLAN REVIEW SECTION <br /> <br />m~aD~NT~AL [--~ COMmerCIAL [] <br /> <br /> US~ OF STRUCI~RE: <br /> <br /> so, x F~g - SUM <br />BASE FEE $10,00 <br /> <br />Forced Air Fm'nace $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Ftamace $ 6,00 <br />Suspended Heater __ $ 6.00 <br />Wall lteatm- __ $ 6.00 <br />Floor Mounted Unit Heater $ 6.00 <br /> <br />Heat Purap or Air Conditioner <br />Up to 3 Ton __ $6.00 <br />3 Ton to 15 Ton $11,oo <br />Evaporative Cooler __ $ 4,50 <br />Exhaust System, Commercial __ $ 4,$0 <br />Hood and Exhaust, Commercial __ $ 4.50 <br /> <br />Doraestic Range Hood __ $ 4,50 <br />Domestic Exlxaust Fans <br />and Dryer Vents __ $ 3.00 <br />Fi~e Damper __ $ 3,00 <br />Wood Stove [ $ 7,50 <br />Ihlmace Ducts (Alteration, Extension) __ $ 7,50 <br /> <br />Co,~,~ercial or Industrial Incinerator __ $30.00 __ <br /> <br />Gas Wat~ Heat~ (~location <br />or replaceme-at) -- $ 7,50 <br />Gas Connection <br />--per outlet, up to 4 __ $ 2.00 <br />--over 4, $8,00 plus ea. <br />additional $ ,50 <br /> <br />For the I~stallation, Relocation <br /> or Replacement of ea. Appliance <br /> Vtmt not included in an <br /> Appliance p~xnit. <br /> <br />Other (a~ 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 pimps, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53, <br /> <br />IIC 15.41 <br />Rev. 10/.92 <br /> <br />5. FEES <br /> <br /> r DUE <br /> <br />$ __ <br /> <br /> <br />