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MARION COUNTY BUILDING INSPECTION <br /> <br />Received By; Senator Blag. <br /> 220 High Street NE <br /> <br />JUN 2 5 I 192, <br /> <br />MECHANICAL PERMIT APPLiCATiON <br /> <br />MARION COUNTY <br />BUILDING INRFF. C'TION <br /> <br />Prope~y Owner: Phone: Mailing ~dreas: <br />Aumsville Fire Dept. <br />Job Addrassl ~ite NO.'- Cross Street: <br />490 Church St., Aumsville <br />Mechanical Installer: Phone: AcJdress: <br />Salem.Haatin~ 581-1536 P.O. Box 12005, Salem% OR 97309 <br />Home Suildar~ Registration No.: <br />1505 <br />Recidentiali' Commemial: Use of Building: <br />New: [],,,, Alteration; ~ Addition: [] Relocation: [] OccupancyCha~ge: [] <br /> <br /> NO. FEE AMOUNT <br />Sase Price 1 lo.0o <br />Foma~l air furnace 100',000 BTU or lass 6,00 <br />Fomed air furnace over 100,000 BTU 7,50 <br />Floor Furnace 6100 <br />SuSpended Heater 6,00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater 6.00 <br />Heat Pump 6.00 <br />Air Handling Unit to 10,0oo cu, ft. '1 4.50 4,. 50 <br />Air,Handling Unit Over 10,000 cu, fi. 7.50 <br />Evaporative Cooler 4.50 <br />Exhaust SyStem Commercial 4.50 <br />Hoed and Exhaust Commemial 4,50 <br />Domestic Range Hoods 4,50 <br />Domestic Exhaust Fans & Dryer Vents 3.00 <br />of each wood stove 7.50 <br /> <br />Cornmemlal or Industrial Incinerator <br />Fire Damper <br />(~es Water Heater <br />For each gas piping system of up to <br /> 4 christs, minimum fee <br />For each gas piping system of 6 or more <br /> outleL% per outlet <br />For the inatafiatlon, relocation or <br /> replacement of eacll appliance vent <br />not inctuded in an appliance permi~ <br />Appliance or accessory to any heating or <br /> Comfort cooling system .ct covered <br />Other (as per Mechanical Cede): <br />On-Site Technical Review <br /> (AppJy at Marion Co, only) <br />Reinspectlon Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN 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 a registered builder OR (~) the authorized representative of SIGNATURE OF APPLICANT: <br />S registered builder. <br />The work wltl be pad0rmed by a registered bultae~ <br />Other ..... <br />I agree to install according to tbs submitted plans and spe~ifieation~ the taws of the state Of Onagon and the old hanses of Mar on County <br /> <br />MC 13-41 <br />Re~ 3/87 <br /> <br /> <br />