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Received By <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> .~Senator Bldg. No. 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $88-~147 <br /> Code-A-Phone 411:30 P.M, - 8:00 A,M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Property Owner:: <br /> <br />Job Address:: <br /> <br />Mechanical Installer::' <br /> <br />Home ~ui~r~ ~ecstration ~o:: <br /> <br />Phone <br /> <br />StiLt e NO <br /> <br />Phone:: <br /> <br />Mailing Address <br />Cross Street:: <br /> <br />Address:: <br /> <br />Residential <br /> <br />Commercial;: <br /> <br />Use of Building <br /> <br />Alteration [] Addition;: <br /> <br />Relocation [] <br /> <br />Occupancy Change:: [] <br /> <br /> NO FEE AMOUNT <br />Base Price 10,,00 <br />Forced air furnace 100,000 BTU or lesn 6,00 <br />Forc..e,~.,,~,!,r !uma~e over 100:,000 BTU 750 <br />Floor Furnace 6,00 <br />~SU~S.,~ ~,n,d ed Heater 6.00 <br />Wall Heater 600 <br />Floor Mounted Unit Heater 6 00 <br />Heat Pump 600 <br />Air Handling Ui~'t'it~ 10,000 cu, ft 4,50 <br />_.Air~.a,r~¢!ing Unit over 10,000 cuft 7,,50 <br />Evaporative Co~,[~r, 4,50 <br />,,,~xhaust System Commercial 450 <br />Hood and Exhaust Commercial 4,50 <br /> <br />....~Domestic Range Hoods __ 450 <br />Domestic Exhaust Fans & Dry.e,r Vents 300 <br />For pre-installation or instalJatio§ <br />,, of each wood Stove /?~ _ .,//,, 750 7~ <br /> <br /> NO,, FEE AMOUNT <br /> Commercial or Industrial Incinerator 30,,00 <br /> Fire Damper 300 <br /> Gas Water Heater 7,,50 <br /> For each gas piping system of up to <br /> 4 outlets: minimum fee 2.00 <br /> For each gas piping system of 5 or mere <br /> , ,~utlets, per outlet ....... ,,~0 <br /> For the installer on: re coat on or <br /> replacement of each appliance vent <br />not included in an applianc .e,,,p~rmit 300 <br />Appliance or accessory to any heating or <br />Comfort cooling~,y~,!~m not covered 4,50 <br />Other (as per Mechanical Code) <br />On-Site Technical Review <br />__..(,A.,(>pl?,,~t Marion Co only) <br />Reinspection Fee 15,00 .......... <br /> <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE _~$ ~:~ <br /> CITY FEE $ <br /> TOTAL $ ~,~,?,,~ <br /> <br /> Please return COMPLETE APPLICATION with the indicated f¢¢, <br /> <br />8 ro¢stered builde[ <br /> f <br /> <br /> <br />