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]FOR CITY VALIDATION <br /> Rcccived by:. <br /> Dato: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DI~VELOPMBNT CENTER <br />285 Church St NE, Room 132 <br /> Salem, OR 97301 <br /> <br />24 Hr Insp~tioa Line: 588-7904 <br />Office: 55g-514'/ ~:00a.m.-4:30p.m. <br />FAX: 588-7948 <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> , ,,,ro,,g,, <br /> <br />L LOCATION OF ~ST~LATION ~. j <br /> <br />~c~pti~ <br /> <br />pERM1TS AR.~ NON-TRANSFF. g, ABLE AND EXPIR.~ IF WORK I$ NOT <br /> STARTED ~TI'HIN 180 DAYS OF ISSUANCE OR iF <br /> WORK IS SUSPENDED I:OR 180 DAYS. ; <br /> <br /> CONTRACTOR INSTALLATIO ,N ONLY ,, <br /> <br />I Mailing Addr~s <br /> <br />Iob No. : <br /> <br />2]8, FOR OWHER INSTALLATIONS <br />Mailing Add[~ Phone : ' <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: _., <br /> <br /> FEB SCH]~ (C~mplcte a~d entcr ~otal in Al below) <br /> <br /> RESIDENTIAL f-I COMMERCIAL ]~ <br />USB OF STRUCTURE: <br />NEW C] ALTBRATION iD ADDITION [2 KELOCATION <br /> <br /> GAS [2 or ELECTRIC (~ <br /> <br />BASE ~ $1o,0o <br /> <br />FORCED AIR P~RHACE <br />up Io 100,000 BTU $ 6,00 -- <br />over 100,000 BTU ~ $ 7.00 <br /> <br />Floor Fiimacc $ 6,00 <br />S~spended Healer $ 6.00 <br />Wall Heater ~ $ 6,00 -,, <br />Floor M~unt~4 It~at~ $ 6,00 <br /> <br />Ii, A? PUMP <br />un~r S Ton $ 6,50 <br />3 Toa and up $ l 1 <br /> <br />AIR CONDITIONER <br />u~4~ 3 Ton ~ $ 6.50 _. <br />3 Ton and up $11.00 -- <br /> <br />Evaporative, Cooler ~ $ 4.50 <br />Commercial [~Y. haust System $ 4,50 . <br />Colm~aemial Hood and Bxhauat $ 4,50 <br />Domestic Rellg~ Hood .,. $ 4,50 <br /> <br /> ~nd Dc/er Vents $ 3.00 ., <br />Fire Damper $ 3,00 <br /> <br />Furnace Ducts (Aaerafion/Extca$inn) $ 7,~0 <br />Cormn~r~ial / Ind~lrial Incin~ fator $.30,00 ~ <br /> <br />ADDITIONAL APPLIANCES <br />Oa~ Water Heatcr ~ $ 7.~0 <br />Oa~ Log Lighter $ 7,50 -, <br />Gas Batb~q~ $ %50 <br />Oiler $ 7,50 . <br /> <br />GAS PIPING <br />14 outlets (per outlet) $ <br />4 and up outlets (per oat/et) $ .50 <br /> <br />OTHI~R (zs required by Buil&~g Of~oi~O <br /> <br />DWeLLiNG PRRMIT LABEL ffof L~bels <br /> <br />NIC <br /> <br />5. <br /> Al. Enter ~olal of f~s from <br /> <br /> 3, PLAN P. BVIEW SBCTION <br /> " <br /> Marion Co~ does not require a plan review. [ ' <br /> We wtll prowde plan review s~ce ff you complete [ _.. ........ <br /> Section 5B and submit ~o (2) sets of plans and :[ c.I.v~tiga~on FUe (if~quj~d) <br /> ....... ' D. Re~peetion ~e ($25,~) $ <br />~spec,flcat,ons w,~ ~,s apphcat,on. } ' <br /> <br /> <br />