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Received By:
<br />Dele; _
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br /> ~' *- ~nator Bldg, NO, 225
<br /> 220 High Street NE
<br /> ~,alSm, Oregon 97301
<br />
<br /> C~de-A. Phone 4:30 RM, - 8:00 A.M~
<br />
<br />MECHANICAL PERMIT APPLICATION
<br />
<br />O'~ner:c,~_~,' ~, " Phone; Address:
<br />Mechanical n~taller: _ ~ ,-.,2~.~,,~,~K,-~' Phone: Address:
<br />Horce SoJldef~ Regi~i'ration No.i :: ' ' '
<br />
<br />Residential: /~ Comrcerciat: , Use of eui~ding~,//,,, ~ ~
<br />New'~ ~ Alteratten: ~ 'Additico: [] RelOcation; []' " OCcupar~cy Change: []
<br />
<br /> NO. FEE AMOUNT
<br />Sase Price 10,00
<br />Fomed air !urnase 1(]0,000 ~-I'~J or less /~ 6.00 ;,,~
<br />Fomed air furnace over 100,000 BTU 7,50
<br />Floor Furnace 6.00
<br />Suspended Heater 6.00
<br />Wall Heater 6.00
<br />Ficor Mounted Unit Heater .... 6.00
<br />Heat Pump 6.00
<br />Air Handling Unit to 10,000 cu. fl," 4,50
<br />Air Handling Ueit over 10,000 cu. ft, , 7.50
<br />Evaporati? Cooler 4,60
<br />Exhaust System Comrnemial 4,50 ,,
<br />Hood and Exhaust Commercial 4.60 ,,, ~
<br />Domestic Range H(x~a 3.00
<br />Dome,stic Exhaust Fans &, Dryer Vente I 4,50
<br />Dorcestlc Wood Stove 7.50
<br />
<br /> NO. FEE AMOUNT
<br />Commerci~l'or Industrial InCinerator 30,0~"
<br />Fire Damper 3,00
<br />Gas Water Heater ~ 7.60 '~,
<br />Gas Connection w/o Appliance (1-4 each) 2,00
<br />over 4; $8,00 plus aa, addnl. .50
<br />Appliance or accessory to any heating or
<br />,, Corcfort cooli?g system not covered 4,50
<br />Other (as p~r Mechanical Code):
<br />On-Site Technica~ Review
<br />(Apply et Mari~n Co. only)
<br />Re[nspecti~n Fee
<br /> ~ FEE $ .~..,~..~
<br /> 'E~'A'TE~URCHARGE ~
<br /> P ~I~.AN REVIEW FEE
<br /> FLEET SURCHARGE $
<br /> ~' r-i., .,) CIT~FEE $ ,--'
<br /> ~- !! l:!~'? TOTAL
<br />
<br />MAR ON COUNTY
<br />
<br /> Please return COM PLET. E APPL'lCA3'lOl'~W~fh3fli~Li~:i~b. ted fee,
<br />
<br />(,~ lamareglsteredbuilderOR( )thea~hodzedrepmsentativeof SlGNATUREOFAPPLICAN~
<br />( ) The work ~llbe ped0rmed by a registered builder. ' ~
<br />( ~ ) Other ~.~ ~ ~,~ . ,,,
<br />( ) I agree ~ install a~o~ing to the submi~d plans and s~cifi~tions, the laws ~the state of Oregon and the o~lnan~es ~ Marion Count.
<br />
<br />MC 15-41
<br />Rev, 3/87
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