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Received Sy: <br /> <br />MARION COUNTRY BUILDING INSPECTION <br /> ~enator Bl¢~, NO, 225 <br /> 220 High gtmet NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 58~5147 <br /> Code-A.Phone 4:30 RM. - 8:00 A.M, <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />J;JL,, 0 !988 <br /> <br /> ~2AR!ON COUNTY <br />GU~LD[NG ]NSPECTIOH <br /> <br /> Owner: Phone; Address: <br /> Bob Shepard 749-2047 9161 Smith Rd. SE Aumsville <br /> Situs Address'. '" Site No,: Cross ~ireet: .... <br /> 9161 Smith Rd. SE Aumsville <br /> Meohan~ca~ Installer; Phone: Add'~ss: <br /> Stayton Refrigeration 769-3495 207 N Third Ave. Stayton <br /> Rome Builder~ Registration No,: ', <br /> 2347 <br /> Residential: ] (~6mmercia]; .... Use of Building: <br /> <br />--New; [] ~ Aiter~tion: [] Addition: ~ Reiocation; [] OccupancyChange:'"~l <br /> <br /> NO, FEE AMOUNT <br />Base Price 10,00 <br />Forced air furnace 100,00o BTU or less 6,00 <br />Forced 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 1 6.00 6.00 <br />Air Handling Unit to 10.000 cu. ft. 4.50 <br />Air Handling Unit over 10,000 cu, ft,, ,,, 7,60 <br />,Ev.aporetive Cooler 4,.,.5o <br />Exhaust System Commercial 4.50 <br />Hood and Exhaust Comme~'i~.'l ...... 4.50 I <br />Domestic Range Hoods 4.50 <br />Domestic Exhaust Fens & Dryer Vents 3,00 <br />Domestic Wood Stove 7,50 <br /> <br />Commercial or industrial Incinerator <br />Fire Damper <br />Oas Water Heater <br />Gas Connection w/o Appliance (1-4 each) <br />over 4- $8.00 plus es; addnl. <br />Appliance or accessory to any heating or <br /> Comfor~ cooling system not covered <br />Other (as per Mechanical Code): <br />On-Site Technical Review <br /> (Apply at Marion Co, only) <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />~ PLAN REVIEW FEE <br />INVESTtGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br />Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />( <br /> <br />( <br />( <br />( <br /> <br />I am performing work on a procerty [ own or Occupy, ~/.~. ~~~.. <br />~are~ ~rg~t~,u~be~i,der 0. theauthorlzedrepmsent~tIveof 816NATURBO, A..LI~NT~~--~ ~ ~~ <br />The worR will be performed by a ~gfs~red builds[ J~--~ · <br /> <br />I~;:e ~ Ins~al'l"ec~rdJng to t~e submiff~ plans and spedfi~t[ons, the laws of t~e ~te of O~gon and the 0~,nan~s ~a6on CouP. <br /> <br />Rev, 3/87 ~ <br /> <br /> <br />