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FOR OFF~CE USE ONLY] MARION COUNTY BUILDING INSPECTION <br />Received by: 220 ~ Strut ~ <br />Date: <br /> <br />MECHANICAL PERMIT A.PPLICATIO Date: <br />Please complete all Sections, I throu ~1 .~ ' ~ ~' <br /> complete all Sections, I throu _~- 3 ~ _., issued by: <br /> <br />PERI. TS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />ORW WORK IS S~ED ]K)R 150 DAYS <br /> <br />CONTRACTOR INSTALLATION ONLY <br /> <br />Conj,-tot's ~oard Re~, Nc~ <br /> <br />[Iob No. <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />The inst~htlon is being made on properly I own which is no~ intended for sak, <br />lease, or ~ent <br /> <br />3. PLAN REVIEW SECTION <br /> <br />Porml~ No. <br /> <br />S 6.00 <br />$11.00 <br /> <br />$4.50 <br /> <br />3.00 <br />3.00 <br />7.50 <br />7.50 <br /> <br />$30.00 <br /> <br /> 7.50 <br /> <br />$2.00 <br /> <br />S .50 <br /> <br />Heat Pump or Ai~ Conditioner <br /> Upto 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative C ~o~.!~.. ,,. ..... <br /> <br />Hood aad~:~ <br /> <br />Domestic Range Hood <br />Domestic ~t Fens <br /> <br />Fire Damper <br />Wood Stove <br />Furnace Ducts (Alteration, Extemion) <br /> <br />Commercial or Industrial Incinerator <br /> <br />Gas Water Hentef (relocation <br /> or replacement) <br />Gas Connection w/o Appliance <br />-per outlet, up to 4 <br /> -over 4, $8.00 plus ea. <br /> additional <br /> <br />For the Installation, Re~cation <br /> or Replacement of een. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as required by B~ildins Official) <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />tiffs application. <br /> <br />This optionnl plan review program does not suspend the <br />required submission of plans, and specific-~flo~ when required <br />by tho Oregon Structural Specialty Code, Chapter 53. <br /> <br />Rev. 2/92 <br /> <br />5. YEES <br /> <br /> (Al x 2.5)/fmq~M <br /> <br /> V. <br /> <br />$ <br />$ <br /> <br /> <br />