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COMML~ITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br />$~lem, OR 97301 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> PERMIT NO: <br /> <br /> D~o: <br /> <br /> Issued by: <br /> <br />MECHANICAL PERMIT APPLICJ~I~tjIN <br />Please oomplote all ,,eections, f through,,,-?,~0~ ~.~ <br /> <br />PF. RMIT3 ARE NON-TRANSFI~tABLE AND EXPIRE 1F WORK IS NOT ] <br /> START[~ ~ 1 ~0 DAY~ OF ISSUANCE OR IF <br /> <br /> FOR OV,'NI~ I~STALLATIONS <br /> <br />~o~m, ow~r ~.~t?~ <br /> <br />Aak~ <br /> <br />CitTIState~Z~p <br /> <br />Ow~r's Si~ato~e: <br /> <br />Agent's Sigagam~: <br /> <br />FORCED AIR FURNAC~ <br />~p to 100,~00 BTU $ 6.~ <br />ov~ 1~,~ B~ $ 7.~ <br /> <br />~n~ Heater $ 6.~ <br />Wall H~t~ $ ~.~ <br /> <br /> ~&r 3 T~ $ 6.50 <br /> 3 Ton an~ up $11 .~ <br /> <br />~ CO~IO~R <br /> <br /> 3T~d up $1l.ffi <br /> <br />~mtiv~l*r $ 4.~ <br />~l ~a~ S~tem $ 4,~ <br />~eroial H~d ~d E~n~t $ 4,~ <br /> <br />~estic E~ua <br />~d ~ Vcms $ 3,~ <br />F~ ~ $ 3.~ <br />W~ S~p~o , $ 7.~ <br /> <br />~ / ~ ~i~tawr ~0.~ <br /> <br />OAS PIPING <br /> 1-4 oufle~ (per oufleO <br /> <br /> ~ appl~ ~it <br /> <br />~HER (as ~o~ by ~1~ O~iaO <br />DWELLING PE~ <br /> <br />$ ZOO <br />$ .~0 <br /> <br />$ 3.00 <br /> <br /> 3. PLANRBVIBW SBCTION <br />IMarion County does not require a plan review. <br /> We will provide plan review se~¢ice if you complete <br /> Section SB and submit two (2) s~ts of plans and <br /> specifications with this application. <br /> <br /> MC 1541 <br /> <br />5. uu~s <br /> Al, Enter total of fees from Se~. ~4 <br /> A2, Add 5% s~-charg~ (,05 X AI) <br /> ~btmai <br /> <br /> B. ~r 25% of ~ne A 1 for P~ Rovi~ <br /> (Al + ~5), if~qui~d <br /> <br /> TOT~ ~O~ D~ <br /> Re~ No. <br /> <br /> <br />