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Received By: ~ <br /> <br />MARION COUNTY:BUILDING INSPECTION <br /> SenMor Bldg. NO, 225 <br /> 220 High Street NS <br /> Salem, Oregon ~7301 <br /> <br /> PIione S88-5147 <br /> Code-A-Phone 4:30 RM. - 8:00 A,M. <br /> <br />MECHAN CAL PERM T APPLICATION <br /> <br /> : '" Phone: " <br /> <br />Mechanical Installer; Phone: Address: <br />Hom~'Builder~ Registration No.; ........... <br /> <br />New: ~ ~ Alterai'i~n: ~ Addition: ~ Relocation: ~ Occopan~Change: ~ <br /> <br /> NO. FEE AMOUNT <br />Base Price 10,00 <br />Forced air furnace 100 ooo.?u pr ]esa 6.00 <br />Forced air furnace o~er 100,000 BTU 7,50 <br />Floor Furnace 6,00 <br />Suspended ~ter .... 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6,00 <br />Heat Pump ........... 6.00 <br />Air Handling Unit t~ 10,000 ~. ft, "'~,50 <br />Air Handling Unit over 10.000 cu, ft. , ........ 7.50 <br />Evaporative Copier 4~50 <br />.......Exhaust System Corn.m, ~rcial 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Range H~oda 4,50 <br />Domestic Exhaust Fans & Dryer Ve.n,!? 3,00 <br />For pre-installation or installation <br />cteeehwood !,?e ,/,, 7.50 <br /> <br /> NO. FEE AMOUNT <br />Commercial or Induatri[i Incinerator 30.00 <br />Rm Damper 3.00 <br />Gas Water Heater 7,50 <br />For each gas piping syste~n of up to ....... <br />4 outlets, minimum fee 2.00 <br />For each gas piping sys[em of 5 or mom <br />outlets, per outlet ,50 <br />For the installation, relocation o;'" <br />replacement of each appliance vent <br />...... ,not,included in an appliance permit $.00 <br />Appliance or accessory to any heating or ..... <br />Comfor~ cooling system not ?vered 4,50 <br />Other (a~s per Mechanical Code): <br />On-Site Technical Review <br />(Apply at Marion Co. only) <br />Reinspection Fee 15,00 <br /> <br /> STATE SURCHARGE ~' <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CITY FEE $~.~ <br /> TOTAL .,,,$..~-~._,.._,~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br /> I an1 per forming WOrk oil a pl~operty [ own or occupy, q~:~)~~ <br /> I am a reglsteres builder OR ( ) the authorized representative of SIGNATURE OF APPLICAN <br /> registered builder, - , ' <br />,~L~ The work w?l be_ p_er foxed t~ a registered butl~--- L <br /> <br />Rev. 3/87 <br /> <br /> <br />