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us I <br />~ Received by:. <br />[Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> cOMMUNITY DEVELOPMENT CENTER <br /> 285 Chtm~h St, lq~ - Room i32 <br /> Bal~ma, Or*go~t 97301 <br /> <br />58~-~147 8:00 ~-m. <br />Code-A-Phone~ <br /> FAX: 58g-7948 <br /> <br />lMECHANICAL PERMIT APPLICATION <br />Please complete afl Sections, 1 through <br /> <br />SiTE #: <br /> <br />Date', <br /> <br />Issued by: <br /> <br />LOCATION o¥ INSTALLATION <br /> <br />Jpb Address ~. <br /> <br />i PERM Fi $ A RE NON.TRANSFeRABLE AND NON-KI~I:UIqDABLE AND <br />EXIalRI~, IF WORK 1~ NOT STAR.TIeD WITHIN I gO DAYS OF ISSUANCI~ <br /> OR IF WORK IS SUSPF, NDED FOR 150 DAYS. <br /> <br />2A. CONTRACTOR iNSTAL~TION ONLY <br /> <br />]ontmciofs Boa~IRep<No, ,4 , <br /> <br />2B. FOR OWNER INSTALLATION5 <br /> <br />I <br /> <br />J Job No. <br /> <br />City/State/Zip <br /> <br /> 3, PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Sect/on <br />5B mtd submit two (2) sets ofplnns and specifications with <br />this application, <br /> <br />This optional plan review program does not suspend the <br />required submission of plan~, and specifications when required <br />by tl~e Oregon Structural Specialty' Code, Chapter 53. <br /> <br />MC <br /> <br />Permit No, <br /> <br />4, gEE SCHFJ)ULE (Coml~lct¢ and ~ntcr to~ <br /> ~,~S]D~A~ [~3 CO~C~AL [] <br /> <br />BASE FEE <br /> <br />~Forced Air ~uraace <br />100,000 BTU or less <br />Over 100,000 BTU <br /> <br />Floor Furnace <br />Suspeudexl H~ater <br />WMI <br />Eoor Mo~ted Uffit Heat~ <br /> <br />~eat P~mp ~ / Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 157on <br />Eva~rative Cooler <br />E~aust Syst~, Commercial <br />Hood ~d E~ausL Co~ercial <br /> <br />Domestic ~ge Hood <br /> <br />Wood Stove <br />Fmace Ducts (~l~ation, Extension) <br /> <br /> Co~ci~ or Iad~ <br /> <br />Ga~ Water Hea~¢r (relocation <br /> o2 ~placemeat) <br />Gas Connection ' · <br /> --per outlet, up to 4 <br /> --over 4, $8.00 plu~ ea. <br /> additional <br /> <br />For thc Installation, Relocation <br /> 0r Replacement of ca, Appliance <br /> Vent not included in aa <br /> Applianoe permit. <br /> <br />O~her (as required by Bulling Official) <br /> <br /> $10,00 <br /> <br /> 6,00 <br /> <br /> 7,$0 .... <br /> <br />$6.00 <br /> 6.00 ~ <br /> 6.00 <br /> 6,00 <br /> <br />$ 6,00 ~ <br />$11.00 __ <br />$ 4.50 <br />$ 4.50 ~,, <br />$4.50 <br /> <br />$4.50 <br /> <br />$ 3.0O .... <br />$ 3,00 <br />$7.50 ~ <br />$4.50 <br /> <br />$30,00 .... <br /> <br />$ 7.50 <br /> <br />$ 2.00 <br /> <br />$ ,50 <br /> <br />3.00 <br /> <br /> <br />