Laserfiche WebLink
FOR CITY VALIDATION <br />Received by:. <br />Date: <br /> <br />Salem, OR 9730! Date:MARION COUNTY <br />24 Hr lm~pection Line: 588-7904 BUILDING INSPI:U I IuN <br />Off.wv: 588-5147 8:00a.m.-4:30p.m. [Ssuod by: <br />FAX: 588-7948 <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> P/ease complete al~ ,~ections, I through $ <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />4. FEE ~CHEDULE (Complete and eataa' tolal in A 1 below) <br /> <br /> RESIDENTIAL [~ COMMERCIAL ~l <br /> USE OF STRUCTURE: '~)v~ ~. ~ t; r, a <br /> NEW O ALTERATION n ADDITION ~'RELOCATION ~ <br /> GAS O or ELECTRIC ~/ <br /> No. X Fee = Sum <br />BASE FEE $10.00 <br /> <br />PERI. TS ARE NON-TRANSFERABL~ AND EXPIRE IF WORK IS NOT I <br /> STARTED W'flT]IN 180 DAYS OF ISSUANCE OR IF <br /> I <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR I~STALLATION ONLY <br /> <br />Contractor's License No, <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner (p/e~s~ <br /> <br />Mailing Addrea~ Pho~ <br />City/Slate/Zip <br /> <br />Agem'~ $ignator~: <br /> <br />3. PLANRBVIBW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br /> FORCED AIR FURNACE <br /> upto 100,000 BTU <br />__ __ owrJ~O00 BTU .... <br /> <br />$ 6.00 -- <br />$ 7~00 <br /> <br />~oor Fumac~ <br />Suspended Heater <br />Wall Heater <br /> <br />Log Lighter <br /> <br />OAS PIPING SYSTEM <br /> I-4 outlet~ (per out[~) <br /> 4 and up out[eta (p~r outlet) <br /> <br /> an nppliancc pea'mit <br /> <br />OTHER (ss required by ~1~'~ O~cial) <br /> <br />~ubto{al <br /> <br />5. FEES <br /> <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />B. Eater25% of lineAl for Plan Review <br /> (Al + .25), if r~.qui~l <br />C. Investigation Fee (if r~quired) <br />D. Reinspectinn Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br />R~eipt No. <br /> <br />$ 6.00 -- <br />$ 6.00 <br />$ 6.00 <br />$ S.00 <br /> <br />S 6.50 <br />$11.00 <br /> <br />$ 6.50 <br />$11.00 __ <br /> <br />$4.50 -- <br />$4.50 <br />$4.50 <br />$4.50 -- <br /> <br />$ 3.00 <br />$ 3.00 <br />$7.5O -- <br />$7.50 <br />$30.00 <br /> <br />$ 7.50 <br />$ 7.50 <br />$ 7.50 -- <br />$7.50 -- <br /> <br />S 2.00 <br />$ 30 <br /> <br />$3.00 <br /> <br />N/C <br /> <br /> <br />