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Received <br /> <br />Pate; .__ <br /> <br />MARION COUNTY BUILDING iNSPECTION <br /> <br /> 220 High Strs~ NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />F'r~rbj Owner: Phone: Mailing Address; <br />Job Address: ' ~ ~ Site No.: Cross Street: <br />Rome~/ II ~, BuilSer ~egistration ~d.: <br />R~ C0mm~rci~l: Use ~ Building: <br />New~ Alteration: ~ AddJtion: <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />Forced,,air'i~mace 100,000 BTU or le~'~C,~CI ~ 6'00 <br />Forced air furnace over 1~,000 ~U 7.50 <br />Fr~r Fuma~ 6.00 <br />8uspe~de~ Heater 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater .... 6.00 <br />He~ Pump 6.~ <br />Air Handling Unit to 10,000 cu. ff. 4.50 <br />Air H~ndlJng U~it ove~,10,000 cu."fi, 7.50 <br />Exhaust System Oommemi~l 4.50 <br />Demerit R~e H~ 4.~ <br />,. Domestic Exhaust Fans & Dryer Vents 3-00 <br />For p~-installation Or installation <br />of asc~ wood stove 7.50 <br /> <br /> NO. FEE I AMouNT <br />.... Commemial or Indust6al Incinerator 30.00 <br />Fire Damper 3,00 <br />Gas Water Heater 7.50 <br />For each gas piping system of up ~o <br />4 outlets, minimu,m fee 2,00 <br />For each gas piping system of 5 Or more <br />outlets~ per outlet .50 <br />For the installation, relcoation or <br />replacement of each appliance vent <br />,,, not included in an appliance permit 3,00 <br />Comfort cooling system not cove[ed 4.50 <br />Other (as per Mechanical Code): <br />On-Site Technical Review <br />(Apply at Marion Co. only) <br />Re!~sPection Fee 15,00 <br /> <br /> PLAN REVIEW FEE $ <br /> 'NVES'n AT ON FEE <br /> FLEET SURCHARGE $ <br /> CiTY FEE $ . ,~ <br /> '~TAL <br /> <br /> Please return COMPLETE APPLICATION with the nd cated fee <br /> <br />I am a regjsto~ed buJrder OR t ~,j,j, ,e autSerized representative of SIGNATURE OF APPLrCANT: <br />a registered builder, / <br />The work wJlJ be pedormed by s re~:lstemd builder, <br />Other <br />I agree to install according to the submitted plans and sse¢lfloatlons, the laws of the state of Oregon and the ordinances of Marion County. <br /> <br />Rev, 3/87 <br /> <br /> <br />