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MARION COUNTY BUILDING INSPECTION <br /> · ena-t~,r ~9'~o. 225 <br /> 2~0 High Street NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> S~N6,,;; Cross Sire&{;; <br /> <br /> ' Phone:: Address:; <br />Home Builder~ Registration No, <br /> <br />Residential ~ Commercial;; Use ~f'Building:: <br />New;; ~ Alteration;; ~ Addition:: ~ Relocation, ~ OccupancyChange;: <br /> <br /> NO, FEE AMOUNT' <br />Base Price 10.00 <br />Forced air furnace 100,000 STU or less 6,00 <br />Forced air furnace ov~r., 100~000 BTU 7,50 <br />.,~!~2~?u~nace 600 <br />Suspended Heater 600 <br />Wall Heater 6,,oo <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump 600 <br />Air Handlln!~..U,,n,[!,f? 10,000 cuft 4,,50 <br />Air Handling Unit over 10,000 cu, ~,;,, 780 <br />Evaporative Cooler 4.50 <br />...... E?<?l~!,System Commercial 4,,50 <br />Hood and Exhaust Commercial 4.50 <br />,D,ome~tic Exhaust Fans & Dryer Voni~" ~ 0,00 <br />Domestic Wood Stove 7,$0 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />Gee Connection w/o Appliance (1-4 each) <br />over 4- $8,00 plus es, addnl <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (a~s per Mechanical Code):: <br />On-Site Technical Review <br /> (Apply at Msdon Co only) <br />Reinspec~ion Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAl <br /> <br />AMOUNT <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />] am perforrning work on a preper~y I own or occupy <br />I am a registered builder OR ( ) the authorized representative of <br />e registered builds[, <br />The work will be performed by a registered builder, <br />Other <br />I a§me to install according to the submitted plans and specifications, the laws of the state of Oregon and tbs o~dinanees of Marion County <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br />Rev 3/87 <br /> <br /> <br />