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[%R use <br />Rece/'~ed by:_ _ _ <br /> Date: <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete all Sections, I through 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />220 ~-~g~ ~'e~ N~ <br />Salem, Oregon 97301 <br /> <br />Phone 5884147 $:00 a. tm- 4:90 p,m. <br />Code. A-l~aoue: $88-7904 <br /> IeAXt 588-7948 <br /> <br />SITE #: <br /> <br />Date: <br /> <br />Is.sued by: <br /> <br />permit N~. <br /> <br />PEP.MITS AILE NON-TRANSFIgRABLE AND NON-I~FUNDABLE AND <br />I~XpIRE IF WORK IS NOT STARTED WITHIN ! SO DAYS OP I~L~UANCB <br />OR, lie WORI~ IS SUSPI!cN DED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B, FOR OWNER INSTALLATIONS <br /> <br />Address Phone <br /> g ~e on pmpe~ I o~ which is not ia~ ~t ~e, <br /> <br />or tent. <br /> <br /> 3. PLAN R~VIEW $ECTION <br /> <br />We will provide pla~ review $~rvice if you eomplet~ Section <br />1515 and submit two (2) c~ts of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not auspend the <br />required submission of plans, and specifications when required <br />by the Oregon SU-uctural Specialty Code, Chapter ~3. <br /> <br />~ll.; 1~-4i <br />Rev, 5/93 <br /> <br /> 4. 1~ ~UHgDULE (Complet~ ~ ~a~r ~ltaAI b~low) <br /> <br /> ~S~D~ ~ co~ <br /> <br /> NEW~ ALTERA~ON ~ ADDISON ~ RELOCA~ON ~ <br /> <br /> ~g <br /> Foxed ~ F~¢ ~ $6-00 <br />I 100,000 B~ or 1~ <br /> ~ 100,000 B~ ~ $ 7,50 <br /> <br /> Hoor ~e ~ $ 6,00 <br /> S~dcd HeaI~ ~ $ 6,00 <br /> W~I H~t~ ~ $ ~,00 <br /> ~oor Mo~ted UMt H~ ~ $ <br /> Heat Pump~ Air Con~ ~ <br /> Upto 3 ~n ~ $6,00 <br /> 3 Tonto 15 Ton ~ $11.00 <br /> ~poratiw Cool~ ~ $ 4.~0 <br /> E~mt Syst~, C~i~ ~ $ 4,$0 <br /> Hood ~d ~t, Co~i~ ~ $ 4,~0 <br /> <br /> Dom~fic ~e Hood ~ i 4.$0 <br /> Domestic ~t F~ <br /> ~d ~ V~ts __ $ 3.00 <br /> F~ D~ ~ $ 3.00 <br /> Wood Stove __ $ 7.~0 <br /> ~ce ~ts (~t~ ~i~) ~ ~.50 <br /> <br /> Co~mi~ or ~d~ ~e~t~ ~ $30.00 <br /> <br /> ~ Wat~ H~ (~loca~on <br /> or ~lg~t) ~ $ 7,50 <br /> ~ Colorlon <br /> --~ oufl~, up to 4 ~ $ 2,00 <br /> --ov~ 4, $8.00 pl~ ~, <br /> additio~ ~ $ .50 <br /> <br /> For the ~a~llafi~, ~elocati~ <br /> or ~t of~. Appli~<e <br /> V~t not ~luded ~ ~ <br /> Appli~e~it. ~ $ 3.00 <br /> <br /> <br />