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Received By; <br />Date; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ~nator <br /> a m"~-g, NO. 225 <br /> 220 High Street NE <br /> Salem. Omgon 97301 <br /> <br /> Phone 588.5147 <br /> Code-A-Phone 4:,30 RM, - 8:00 A.M. <br /> <br />1991 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> MARION C;OUNI'Y <br />BUILDING INSPECTION <br /> <br /> Proper~y Owner; Phone; Mailing Address: <br /> JOb Address: " Site No,: Cr~s~ street: ......... <br /> Mechanlca[ Installer: Phone; Address: <br /> Home B~Or~ ~eoistrafian~,; <br />Residastlak C~m~emJa,; ] U~eofBuildl.g: C~ ~ <br />"~'~w: ~ Alteration: ~ Adai'fion: ~ Relocation; ~ OccupancyOhange; ~ <br /> <br /> NO. FEE AMOUNT <br />Base Price 10.00 <br />Fomed a r furnade 100,000 BTU or less ,, ;~,,. 6.00 <br />Forced air furnace over 100,000 BTU,,; ....... <br />:Flcer Furnase 6:00 <br />Suspended Heater 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump 6,oo <br />Air Handling Unit to 10,000 cu, ff. 4,50 <br />Air Haedllng Unit over 10,000 cu- ft. 7.50 <br />EvaPorative Cooler 4.50 <br />Exhaust System Commercial 4.50 <br />Hood and Exhaust Commercial 4:50 <br />Domestic Range Hoods "1 4,50 .............. <br />Domestic Exhaust Fans & Dryer Vents 3,00 <br />For pre-installation or installation <br />of each wood stove 7.50 <br /> <br /> NO, FEE AMOUNT <br />Commercial or Industrial Incinerator 30,00 <br />Fire ~amper 3,00 <br />Gas Water Heater 7,50 <br />For each gas piping system of up to <br />4 outlets, minimum f~e 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 appiiance vent <br />,, ,.not included in an appliance permit 3.oo <br />Appliance or accessory to any heating or <br />Comfort ceoling system hot covered 4.50 <br />Other (~ p~r Mechanical Code); <br />On;Site Technical Review <br />(Apply at Marion Co. only) <br />Reinspaction Fee 15,00 <br /> FEE ~ <br /> STATE SURCHARGE <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 0n S pr0perty [ 0we or 0CCupy. <br />(,.~) lamareglsteredbullderOR( )theauthorizedmpresentatlveof $1GNATUREOFAPPLICANT: <br /> a registen~d builder, <br />( ) The work will be pen~ormed by a registered builder, <br />( ) Other <br />( ) I agree to install according to the submitted plans and specifications, tile laws of the state ~f Oregon and the ordinances of Msrion County. <br /> <br />MC 15-41 <br />Rev. 3/87 <br /> <br /> <br />