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Date' ~ ~ ~, r~ ~ ~. -- Salem, O~on 97301 <br /> Phone 5~5147 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Site No, :: <br /> <br />Phone;; Address:; <br /> <br />Residential:; <br /> <br /> Commercial:: Uae of Building:; <br />Alteration;; [] Addition;; [] Relocation [] <br /> <br />New:: [] <br /> <br />Occupancy Change [] <br /> <br /> ~,, FEE AMOUNT <br />Rase Price 10,,00 <br />Forced ~!?furna~ 100:000 BTU or ess ' I 600 <br />Forced air furnace over 100:000 BTU 7,50 <br />Floor Furnace 6,00 <br />Suspended He~t~r 600 <br />Wall Heater 600 <br />""~'[oor Mounted Uni't Heater 600 <br />Heat Pump 6,00 <br />Air Handling U'~it to 10.000.,cu ft ' .... 4,50 <br />i Air Handllng Unit over 10.000 cc. ft. 7,50 <br />......Evaporative C0ole~ ..... 4,50 <br />Exhaust System Commercial 450 <br />Hood and Exhaust Commercial 4.50 <br />Domestic R~nge Hoods 4.50 <br />Domestic Exhaust Fans & Dryer Va'ate 300 <br />I'"For pre-installation' or installation <br />of each wood stove 7 50 <br /> <br /> NO FEE AMOUNT <br /> Commercial or Industrial Incinerator 30,oo <br /> Fire Damper 300 <br /> For each gas piping system of up to <br /> 4 outlets, minimum fee 2.00 <br /> For each gas piping system of ~"ar more <br />outlets, per outlet 50 <br />For the installation relocation or <br />replacement of each appliance vent <br />not included in an appliance permit ...... <br />Appliance or accessory to any heating or <br />Comfort.,cooling system not covere~ 450 <br />Other (as per Mechanical Code);; <br />On-Site Technical Review <br />...... (Apply at Marion Co only) <br />~einspect!o~ ~ee ~0o <br /> <br /> PLAN REVIEW FEE $ <br /> CITY FEE $ <br /> TOTAL <br /> <br />Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I am a registered builder OR ( ) the authorized representative of SIGNATU RE OF APPDCANT:: <br />The Wot'k will be performed by a registered builde~ <br /> <br /> <br />