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0o4Z ' ' ^ // ' I MARION COUNTY BUILDING <br /> <br /> ~d~-A-~fi~8-700~ <br /> <br /> Please complete ~ Sections, ~ ~mugh 5 ~ <br /> <br /> 1, LOCATION OF INSTALLATION <br /> <br />?E~TS A~ NON-~NS~Lg AND NO~-~DABLE AND <br />~PI~ IF WO~ lS NOT STARED ~IN 180 DAYS O~ ISSUANCE <br />OR IF WO~ I$ SU$PENDED FOR 180 DAYS. <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner <br />Malling Adttrass Phone <br /> <br />City/State/Zip <br /> <br />PLAN REVIEW SECTION <br /> <br />We will provide plan review service 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 &plans, and specifications when requh-ed <br />by the Oregon Structural Specialty Code, Chapter 53 <br /> <br />kJG' l )-41 <br />Reu. 10/92 <br /> <br />KESiDF,,NTIAL ~ COMlVI~RCIAL <br /> <br />BASE FEE $10,00 <br /> <br />Fomed Ak Furnace $ 6.00 <br />I00,000 BTU or less <br />Over I00,000 BTU ~ $ 7.50 <br /> <br />Floor Fm'nace $ 6,00 <br />Suspended Heater __ $ 6.00 <br />Wal! Hea~er $ 6.00 <br />Floor Mounted Unit Heater __ $ 6,00 <br /> <br />Heat Pump or Air Condition~ <br />Up to $ Ton --, $6.00 <br />3 Torito 15 Ton $11.00 <br />Evaperat[ve Cooler $ 4.50 <br />Exhaust System, Commercial ~ $ 4.50 <br />Hood and Exhaust, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vents __ $ 3.00 <br />Fire Damper __ $ 3,00 <br />WoodStove [ $7.50 ~----'~. 0 <br />k'XauaseI)ucts(Alteralion, l~xtension) ~ $7.50 <br /> <br />Commercial or Industrial Incinerator __ $30.00 <br />Gas Water Heate; (relocation <br />orreplaeemeni) __ $ 7.50 <br />Gas Connection <br />--per outlet, up to 4 __ $ 2.00 <br />--owr 4, $$;00 plus ea. <br />additional $ ,50 <br /> <br />For the Installation, Relocation <br /> or Replacement orca. Appliance <br /> Vent not inclmled in an <br /> Appliance pemait. <br /> <br />__ $ 3,00 <br /> <br />Other (as required by Building Official) <br /> <br />$ __ <br /> <br />$-24.0 } <br /> <br /> <br />