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ovnc, , s / <br />Received by: <br />Date:,, <br /> <br />MARION COUNTY BUI-LDING'}NSPECTION <br /> COlVlMUbIITY D]~JLOPM]5~T CENTER <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Please complete all Sections, <br /> <br />235 ChtrmhSt. N~ - Room I32 <br />Salem, Omgou 97301 <br /> <br /> l~o~e Sgg-S 147:S.'O0 a.m. ~ 400 p.m, ~l"r~ #: <br /> ~e-A-P~e: 588-7904 <br /> <br />I <br /> through 5 i~ued W: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Di~ctlons <br /> <br />PERMITS Al~E NON-TRANSF~RABLI~ AND NON-REFUNDABLE AND <br />EXPIRE IF WOI~. IS NOT STAKT~D WrlHiN 1 so DAYS OF ISSUANCE <br />OR. IF WORK I5 SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACrOR INSTALLATION ONLY <br /> <br />P~opetw Owner J Phone <br /> <br />ConWactors L/cease No. <br /> <br />Contrac~ol~8 Signature: <br /> <br />No. <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Ptopet~ Ow~e£ <br /> <br />Ci~/Siaic/Z/p <br /> <br />The install~tlon is being ma~le on property I ow~ which is not inteuded fo~ sale, <br /> <br />3. PLAN REVIEW SECTION <br /> <br />We will provide plan re,~sew service if you complete Section <br />SB and submit two (2) sets of plans and Specifications with <br />this application, <br /> <br />This optional plau roview program do~s not suSpeud the <br />required submission of plains, and Specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />MC /$-4I <br />Rev. 8/94 <br /> <br />Perm/t No. <br /> <br />4. FEE $CHEDULIg (com~Ic~ an~ ~ ~al h Al <br /> <br /> KESIDENTIAL [] COMMERCIAL [] <br /> <br />NI~W[~ ,M~I-ERATIOIq[~ ADDITION[~ RELOCATIONS] <br /> <br />NO, X FEE .. SUM <br /> S10.00 <br /> <br />Forced AirYurn~ce $ 6.00 <br />100,000 BTU orl¢ss <br />Ov~lO0,O00 BTU -- $ 7.50 <br /> <br />Floor Yumace 5 6,00 <br />Suspended Heater __ $ 6.00 <br />Wall Heater __ $ 5.00 <br />Floor Mounted Unit Heater $ 6.00 <br /> <br />Heat Pump [] / Air Conditioner [] <br /> Up to 3 Ton <br /> 3 Tan to 15 Ton <br />Bvapomtive Cooler <br />P.y,l~ust System, Co~i~ <br />Hood ~d E~t, Co~i~ <br /> <br />-- $ 5.00 <br /> 511.00 <br /> $ 4.50 <br />__ 54.50 <br />__ $ 4.50 <br /> <br />Dome~c Range Hood $ 4.50 <br />Domaatio Exhaust Fa. tt~ <br />and Dryer Vents __ $ 3,00 <br />F/re Damper __ S 3,00 <br />Wood Stove <br /> _¥ <br /> $ <br /> 7,~0 <br />Fumaco ~cts (~t~tio~ ~sion) ~ <br /> ~,50 <br /> <br />Commercial or I~dustrial ~¢inemtor ~ $30.00 <br /> <br />Gas Water Heater (reloeat/an <br />or r~placem~ut) __ $ 7.50 <br />~ Co~on ' '. <br />--~ outl~, up to 4 __ $ 2.00 <br />--ov~ 4, $8.00 plm ea. <br />addition~ $ ,50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Oth~ (aa required by Building Official) <br /> <br />__ $ 3.00 <br /> <br />FEES <br /> <br /> <br />