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MARION COUNTY BUILDING INSPECTION <br /> Sellator Bldg. NO. 225 <br /> 220 High Street NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />'"Pra~,r ty owrle~- -" .... ,.,,_ i Phone, Me, iling Address <br />r, , <br /> <br />Me%7 ,nsta,ler Pho .... Addre. ' ...... <br />Home Suilder~ Registration No. <br /> <br /> ResJd~ntiallj " Commemlal:;[ ~/~Use~f Buildl~ ~' ~ .... <br /> New. ~ Alteration: ~"' Addition. ~ "' Relocation, ~ '~0 ~ ~ enge. ~ <br />  u n Ch <br /> <br /> NO FEE AMOUNT <br />Base Price 1000 <br />F..~O[~ed air fur'nace 100,,000 BTU o'~ less 600 <br />Fomed air furnace over 100,000 BTU 750 <br />Floor Furnace 6,00 <br />Suspended Heater 6,00 <br />Wall Heater ~ 600 /¢,.~, 0 0 <br />Floor Mounted Un~'Heater / 600 ~. {JO <br />Heat Pump 6.00 <br />Air Handling Unl'ito 10,000 cuft 450 <br />.....Air Hand ng Ur)it over 10=000 cu .!t. 7.50 <br />Evaporative Cooler 4.50 <br />Exhaust S~stem Commerclal, 450 <br />Hood and Exhaust Commemiel 4 50 <br />Domestic Range Hoods ~I 450 .'..~, =5-0 <br />Dromestis E×heu~! Fans & Dryer Ven!s ~ 3.00 ~, ~ <br />For pre-installation or installation <br />of each wood stove 7.50 <br /> <br />Commemlal or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> ~. outlets= minimum fee <br />For each gas piping system of ~ or more <br /> o~t(ets, per outlet <br />For the installation, relocation or <br /> replacement of each appliance vent <br /> not included in an appliance permit <br /> <br />Appliance or accessory to any heating or <br /> Comfort cooling system not covered <br />Other (as pe~' Mechanical Code) <br /> <br />Or,-Site Technical Review <br /> (Apply at Marion Co,, only) <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PL,~N 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 />I am e registered builder OR ( ) Ihs authorized representative of SIGNATURE OF APPLICANT <br />a registered builder <br />The work will be performed by a ¢egietered builder <br />Other <br />I agree to install accoraing to the 8ubmlttod plans and specifications+ the laws of the state of Oregon and the ordir~ar~¢es of Merlc~n County <br /> <br />MC 15-4t <br />Rev 3~87 <br /> <br /> <br />