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Race,Ced By ~:~!~~, <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ~enetor Sidg. No. <br /> 3~0 High Street NE <br /> Salem= Oregon 97301 <br /> <br /> Phone g88-g147 <br /> <br /> Code-A-Phone 4::30 RM- - 8:co A.M. <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> Progerty Owner:: <br /> <br />] Job Address <br /> <br /> hanical Installer <br /> <br />Phone;; <br /> <br />Bite No,:; <br /> <br />Phone:: <br /> <br />M_~ili ng A~dress:: <br />Crose Street <br /> <br />Home Builder~ Registration NO:: <br />Residential;: <br /> <br />Commercial:; <br /> <br />LAlteration:: [] Addition:: [] <br /> <br />Use of E~Jilding~ , <br />Relocation;; [~ ,J ¢)ccupancyOhange ~ <br /> <br /> NO FEE AMOUNT <br />Base Price 1000 <br />Forced air furnace 100=000 BTU or less 6 00 <br />Forced air furnace over 100000 BTU 750 <br />Floor Furnace 6 O0 <br />Suspended Heater 600 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 600 <br />Heat Pump 600 <br />Air Handling Unit to 10,000 cuft 450 <br />Air Handli~n~.Unit over 10,000 cuft 750 <br />Evaporative Cooler 4.50 <br />Exhaust System~.Commercial 450 <br />Hood and Exhaust Commercial 4 50 <br />Domestic Range Hoods <br />Domestic Exhaust Fans & Dryer Vents <br />For pre-installation or installation <br />of each wood stove 7 50 <br /> <br /> NO FEE AMOUNT <br />Co,martial or Induetdal Incinerator 30.00 <br />Fire Dam.per 300 <br />Gao Water Beater 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 more <br />outlets= p~er outlet 50 <br />For the installation, relocation or <br />replacement of each appliance vent <br />not inclu~ded in an appliance permit 3.00 <br />Appliance or accessory to any heating or <br />Comfort cooling system not covered 4,50 <br />Other (as per M~hanic~l ~cl~): <br />On-Site Technical Review <br />(Apply at Marion Co on~y) <br />Reinspection Fee 15 00 <br /> FEE <br /> STATE SURCHARGE /,/,~ <br /> PLAN REVIEWFEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CITY FEE <br /> TOTAL <br /> <br /> Please return COMPLETE APPLICATION with the indic~ <br /> <br />I am porformin, work on a property I own or occupy /-/~, ~/./'/~ <br /> <br />The work will be performed by a reglmered builder, <br /> <br />I agree to install according to t he submitted plans and specifications,the laws of the state of Oregon'and the ordinances of Madon County <br /> <br /> <br />