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FOR CITYVALIDATION <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />255 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Ploaso comploto all ~octiot~s, 1 through $ <br /> <br />1- LOCATION OF iNSTALLATION <br /> <br />Date: <br /> <br />Issued by: <br /> <br />O tYw. c; 58S-5147 <br /> F~: $8g-794g <br /> <br /> 4, F~ SCH~ (conplete and ont~ total in Al below) <br /> <br /> RESID~I~ ~ COMMERCI~ ~ <br /> U~ OF STRUCT~E; <br /> NEW ~TERATION ~ADDITION O R~OCATION <br /> GAS ~ or ELECTRIC O <br /> No, X F~ = <br /> BASE FEE <br /> <br /> pER3/I ITS ARI~. NON-TRANSFERABLE AND EX~ IF WO~K IS NOT <br />[ STARED ~1~ 1~ rAYS OF ISSUA~ OR I~ <br />[ , WO~ I$ SUS~DED ~OR 1~ DAYS, , <br /> <br /> ~. CO.RAZOR ~LATiON O~Y ' <br /> <br />~8. P'OR OWlql~R iNSTALLATIONS <br /> <br />Property Owner (please prim) <br /> <br /> 3, PLAN REVIEW SIICTION <br />[~' rion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> ~peciflcations with this application, <br /> <br />MC 15-41 <br />1~ 12/94 <br /> <br />FORCED AIR FURNACE <br />upto 100,000 BTU $ 6,00 <br />ova- 100,000 BTU $ 7.00 <br /> <br />FloorFumaee $ 6,00 __ <br />Susp~nd¢(I Heater $ 6,00 __ <br />Wall Heater $ 6,iD <br />Floor Mounted Heater ~ $ 6.00 <br /> <br />HEAT pUMP <br />under 3 Ton $ 6,50 <br />3 Ton and up $11,00 ....... <br /> <br />AIR CONDITIONER <br />under 3 Ton $ 6,50 . <br />3Ton and up Stl,00 __ <br /> <br />EvaporatiwCool~r $ 4,50 <br />Coinm~rchd E~aust System $ 4,50 ........ <br />Grantor.iai H~ a~ g~uu~t $ 4,50 .... <br /> <br /> 14 outlets (per outlet) [ $ 2,~ <br /> <br />5. FEES <br /> Al, E~l~cr total o~'fees frc, m <br /> AZ. Add 5% s~har~ (.05 <br /> Subtot.l $ [~, <br /> <br /> (A 1 + .25), if mqui~d $ <br /> C, lnveatiga~ion Fe~ (itmqui~d) <br /> D, Reimpeetion Fee <br /> <br /> <br />