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Received By:
<br />Date:
<br />
<br />MARION C,O<~UNT~ BUILDING INSPECTION
<br /> "~- ~lator Bldg. No. 226
<br />
<br /> ~l~m, O~one7301
<br />
<br />Pro~'~ty Owner; Phonel ....... Maillng Address:
<br />Ste-ce Zahr adn'J_k
<br />Job Address: Site NO,: Cross Street:
<br />578 p~.~..mer Dr. N
<br />Mechanical installer: Phone; Address:
<br />Salem Hea~iBg ....... 581~!.5.~6 P.O. Box 12005, 97309 __
<br />Home Builder,s Registration No,:
<br />1505
<br />Residential'. Commercial: Use of Building;
<br />New; [~ Alteration: [] .............. Ad'~i'tion: [] Reloc~iion: [] ...... ',", ' Occupancy Change: []
<br />
<br /> NO. FEE AMOUNT
<br />Sase Price i 10,00
<br />Forced air furnace 100,000 BTU or less 6;00
<br />Forced air furnace over 100,000 BTU 1 7.50 7 ~5 0
<br />Floor Furnace 6.00
<br />Suspenda~ Heater 6,00
<br />Wall He~ter 6.00
<br />F~oor Mounted Unit Heater 6.00
<br />Heat Pump 6.00
<br />......... ~'i~'~'and'ling Unit to 10,000 cu, ft, 1 4,50 4,5 0
<br />Air Handfleg Unit o'¢er 10,000 ~u. ft, 7.50
<br />E v,~a_,p o~.r.a.t i v e Cooler 4.60
<br />Exhaust System Commemlal 4.60
<br />Hood and Exhaust Cemmetc~al 4.50
<br />Dom~stic Range Hoods ~- 4,50 '~. 50
<br />........ ~,9rn~!J~,Exhaust Fans & D;~e'r'Ve'nts "' 4 $.00 12,0 0
<br /> For pm-installation or installation
<br /> of each wood stove 7,50
<br />
<br /> NO, FEE AMOUNT
<br /> Commerclal or Industrial Incinerator 30,00
<br /> Fire Damper 3,00
<br />Gas Water Heater 7.50
<br />.... ~ each gas piping system of up t'~"'
<br /> 4 outlets, minimum fee 1 ~',00
<br /> For each gas piping system of 5 or mom
<br /> outlets, per outlet ,50
<br /> For the installation, relocation or
<br /> replacement of each appliance vent
<br /> not included in an appliance permit 3,00
<br /> Appliance or accessory to any heating or
<br /> Comfort cooling s y.s.,!.e,,m, no!,cov~red 4,60
<br /> Other (as per Mechanical Cede):
<br /> OmSIte Technical Review
<br /> (Apply at MariOn Co. only) .......
<br /> Reinspection Fee 15,00
<br /> FEE F~
<br /> STATESURCHARGE / + U
<br /> PLAN REVIEW FEE
<br /> INVESTIGATION FEE
<br /> FLEET SURCHARGE
<br /> CITY FEE
<br /> TOTAL $'~"~ ,-~
<br />
<br /> Please return COMPLETE APPLICATION with the indicated fee,
<br />
<br />( I am performing work on a prc~erty ] own or Occupy, SIGNATURE OF APPLICANT; c~
<br />( I am a registered builder OR{~- ) the authorized representative ct
<br /> a registered builder,
<br /> The work will be performed Dy a registered builde~
<br /> Other,
<br /> I agree to Install according to the submitted plans end specifications, the laws of the state of Oregon and the o~inance$ of Marion Cour~
<br />
<br />Rev. 3/87
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