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Received By: <br /> <br />Date;_ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO, <br /> ~a H~h ~t~eet <br /> Salem, Ol~gan 973{)1 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Property Owner: <br /> c' , <br />Jab Address; I <br /> <br />Mechanical I~staller: <br /> <br />Home Builder~ Registration No.: <br /> <br />Phone: <br /> <br />Phone; <br /> <br />Mailing Address; <br /> <br />Address: <br /> <br />Z3 /7 <br /> <br />'-New: ~ Alteration: [] Addition: [] <br /> <br />u~e of S uild;n,..~(~...?~ <br /> <br />Relocation: <br /> <br />Occapancy Change; [] <br /> <br /> NO, FEE AMOUNT <br />Base Price 10,00 <br />Forced air iurnaca 100,0o0 BTU ~r less J 6,00 ~, ~ O <br />Fomed air furncse over 100,000 BTU 7,50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.00 <br />Wall Heater 6,00 <br />Floor Mounted Unit Heater 6,00 <br />.Heat Pump 6,00 <br />~,~ir Handling Unit to 10~000 ~u, fi. 4.50 <br />Air Handling Unit over t0,000 cu. ft,' 7.50 <br />Evaporative Cooler 4.50 <br />~.Exhaost System Commemlel 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Range Hoods 4.50 <br />Domestic Exhaust Fans & Dr~er Vents $.00 <br />For pre-installation or icstallatioe <br />of each wood Stove 7,50 <br /> <br />Commercial or Industrial Incinerator <br />Fire Damper <br />Gas Water Heater <br />For each g~ piping system of up to <br /> 4 outJets, minimum fee <br />For each gas pipln¢ ~yatem of 5 or mo~e <br /> outlets, per outlet <br />For the installation, ~etocatlon 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 {cs per Mechanical Code); <br /> <br />On-Site Technical Review <br /> (Apply at Marion Co. only) <br />Relnapection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARG~p. <br />CITY FEE <br /> TOTAL <br /> <br />AMOUNT <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee, <br /> <br />I am a roolstered builder OR (/~') the authorized representative of SIONATU RE OF APPLJCAN <br />a registered builder, ' ~ <br />Tse work will be performed by a registered builder, <br />Other__ <br />I agree to install acdCrding to the ~ubrnined plans end specifications, the laws of the state Of Oregon and the ordlnadces of Marion County, <br /> <br />MC 15.41 -'/' <br />Rev. 3/87 <br /> <br /> <br />