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o/~ / '.. MARION COUNTY BUILDING INSPECTION <br /> Received By: ~ Senator Bldg. No. 225 <br /> <br />· ' ,~' ~ 22~ t'llgh Stmet NE <br /> <br /> Date:,, u /~ ~/ <br /> Phone ~-~47 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Pmp_e~y Owner; Phone: M~ling A~,ddress: <br /> <br />Job¢;~ss:, , , Cross Street: <br />Home Builder~ Registration No,: <br /> <br />New: ~ .... AlteratiOn: ~ Addition: ~ ' Relcoetloh; ~ ' ,, O~cupancyOhan~e: ~ <br /> <br /> NO, FEE AMOUNT <br />Base Price 10.00 <br />Forced air furnace 100,000 BTU or less 6,00 <br />Forced air furnace over 100,000 BTU 7.50 <br />F~oor Furnace 6.00 <br />Suspended Heater 6.00 <br />Well Heater 6,00 <br />Floor Mounted Unit Heale~' 6,00 <br />Heat Pump 6.00 <br />Air HaJndllng Unit to 10,0;30 cu. it, ,, 4.60 <br />Air Handling Unit over 10,000 cu. it, 7,50 <br />Evaporative Cooler 4.80 <br />Exhaust System Cemnlemia[ 4,50 <br />Hood and Exhaast Commercial 4,60 <br />Domestic Range Hoods / 4.50 <br />Domestic,,Exhaust'Fans & Dryer Vents ¢ 3,00 <br />For pre-Installation or installation <br />of each wood stove 7,50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each gas piping system of up to <br /> 4 outlets, minimum fee <br />For each gas piping system of 5 or mom <br /> outlets, per outlet <br />For the installation, relocation or <br /> reptacemen~h appliance vent <br />not included in an a~liance permit <br />Appliance or accessory to any heating or <br /> C0mfotl cooling system not covered <br />Other (es per Mechanical Code): <br />On-Site Technical Review <br /> (Apply at Marion Co. only) <br />Reinspection Fee <br /> <br /> I' O. FEE <br /> <br /> 30,0(~ <br /> la.00 <br /> 7,50 <br /> <br /> 2,00 <br /> 50 <br /> <br /> 3,00 <br /> 4.50 <br /> <br /> / 15.00 <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />iNVESTiGATiON FEE <br /> <br /> AMOUNT <br /> <br />,-- <br /> <br /> $ <br /> <br /> FLEET SURCHARGE ~ <br /> <br /> / / TOTAL <br /> ..,/ / , <br /> <br />~lamamgisteredbuilderOR( }~eau~orizedrepfesentati~of $1ONATUREOFA~CAN~ f/~' '~ ~ ,,, <br /> a registered builder, <br /> The WOrk will be performed by a registered builde: <br /> Other <br /> I agree to install a~ordlng to the submieed plans a~d specifications, the ~aw8 of the state of Oregon and the ordinances of Marion County. <br /> <br />MC 15-41 <br />Rev. 3187 <br /> <br /> <br />