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MARION COUNTY BUILDING INSPECTION
<br />
<br /> Senator Bldg. No. 22~
<br /> 220 High Street NE
<br /> Salem, Oregon 97301
<br /> Phone~147
<br />C~de-A-Phone 4:30 RM. - 8:00 A.M.
<br />
<br />MECHANICAL PERMIT APPLICATION
<br />
<br />Job Addr~.ss; ,,, , Site No.: Cross Street;
<br /> ......... ,,
<br />Mechanical Installer; Phone: Address:
<br />/~-t'/~" '"/~..~d~ H ......... ~Z~-.~ ~....~ ~// ~Z~,E~ ~r~
<br />Home Builder's Registr~tion No.:~ ~ ~"
<br />Residen~ Commemial: U~ ~f 8~ildin~: ,
<br />New', ~ ~ ~ition: ~ ] ~'~' ~ "'
<br /> Alteration: .... , ..... Relocation~ ~ , .... 7 Occupan~ Change; .,. ~
<br />
<br />76t
<br />
<br /> NO, FEE AMOUNT
<br />Be, se Price 10.00
<br />Fomed air furnace 100,00~"'BTU or less 6.00
<br />Foreed air furnace over 100,000 BTU 7.50
<br />Floor Furnace 6.00
<br />Suspended Heater 6,00
<br />Wall Heater 6.00
<br />Floor Mounted Unit Heater 6,00
<br />Heat Pump 6,,00.
<br />Air Handling Unit to i'0.000 cu,, ft. , ........ 4.50
<br />Air Handling Unit over 10.000 cu. !,t: ....... 7,50
<br />Evaporative Cooler 4,50
<br />Exhaust System Commami,~] .... 4,50
<br />Hood and Exhaust Commereial 4,50
<br />Domestic Range Hoods 4,60
<br />D0~estic,E~<,h,~ust Fane & Dryer Vent'~ ...... ~ ..,3'00 i ~, ~'"
<br />For pre-installation or installation
<br />of each wood stove 7.50
<br />
<br /> NO, FEE AMOUNT
<br />Commemial or Industrial Incinerator 30.00
<br />Fire Damixa[,' 3.00
<br />Gas Water Heater 7.50
<br />...... For each gas piping system of up to ......
<br />4 outlets, minimum fee 2.00
<br />For each gas piping system of 5 or more
<br />outlets, per outlet .50
<br />'For the installation, relocation or
<br />replacement of each applianCe vent
<br />not included in an ~,p. pliance permit 3,00
<br />Appliance or acCessory to any heating or
<br />Comfort cooling system not covered ...... 4,50
<br />Other (as per Mechanical Code): .....
<br />On-Site Technical Review
<br />Apply at Marion Co. only) .......
<br />Reinspectio. n. Fee 15,00
<br /> FEE
<br /> STATE SURCHARGE , ~',3~",,,
<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 property I own or 0soupy,
<br />.~'lamaregistemdbui~derOR( )theauthorlzedrepreseofativeof 81GNATUREOFAPPLICAN'F: '--'~'~ Y'~
<br />a registered builde~ ~,
<br /> The work will be performed by a registered builder,
<br /> Other
<br /> I agree to install according to the submitted plans and speeifle, ations, the laws of the state of Oregon and the ordinances of Mar~n County,
<br />
<br />Rev. 3/S7
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