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FOR ~)FFICE USE ONLY <br />Received by: <br />Date: <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Please complete all Sections, i through 5 <br /> <br />MARION COUNTY BUILDING INSPig~[~O.~ <br /> <br /> salem, o gou 97301 <br /> <br /> Pe~ NO. <br /> P~eC 58g-5147~A_~one: 8:~ ~ ~ 4:se p.~588~7904 S~ ~ARiuN COUnTy <br /> 588-794S <br /> <br /> i ued <br /> <br />i. LOCATION OF INSTALL&TION <br /> <br />~toss St, <br />Directions <br /> <br />/pJ~R34F[~ ~P3~ NON-TRANSFERABLE AND NON-P,.EFLTNDABL~ AND <br /> I~XPIRti lg WORK IS NOT STARTED WITHIN IS0 DAYS OF ISSUANCI~ <br /> OP. IF WORK IS SUSPI~NDED FOR lse DAYS, <br /> <br />Contractor's License No, <br /> <br /> 2B. FOR OWNER iNSTALLATIONS <br /> <br />P~openy Own~£ <br /> <br /> ~one <br />MaJlJ~8 Address <br /> <br />City/State/Zip <br /> <br />We will provide plan review service if yOu complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application, <br /> <br />This optional plan review pm~m does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Stroctural Specialty Code, Chapter 53. <br /> <br />Pay, $/93 <br /> <br />For~ed Air l~'~ace $ 6.00 <br />100,0001~"/'~] or le~s <br />Over I00,000 BTU -- $ 7.50 <br /> <br />Floor Furnace __ $ 6.00 <br />Suspended Heater __ $ 6.00 <br />Wall Heater __ $ 6,00 <br />Floor Moullted U~Jt Heater __ $ 6.00 <br /> <br />Heat Pump [] / Air Conditioner [] <br />Up to ~ Ton -- $ 6.00 <br />3 Ton to 15 Ton $11.00 <br />Evaporative Cooler __ $ 4,50 <br />Exhaust Syst~m~, Commelx:ial __ $ 4,50 <br />Hood and Exha~t, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer V~nts __ $ 3,00 <br />Fire Damper __ $ <br /> S~ove~an,~ $ 7,50 <br />Wood <br />~%mac~ Duels (Alte-tatio~, Extension) __ $4.50 <br />Commercial or Industrjui I~¢ia4~rator __ $30.00 __ <br /> <br />Gas Water Hea~ (relocation <br />or replacement) __ $ 7.50 <br />Gas Cowection <br />--i~r outlet, up to 4 __ $ 2.00 <br />--over 4, $8.00 plt~ ~a. <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement ofe.~, Applian~ <br /> Veto not included in ~ <br /> Appli~e <br /> <br />O*.h~r (as required by Balldmg Official) <br /> <br />__ $ 3.00 <br /> <br /> <br />