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[Received by: /~.~ ~ <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />Phone 588-5147 8:00 a.m+ ~ 4!30 p.m. <br />Code-A-Phone: 5SS-7904 <br /> FAX: 58S-794S <br /> <br />Salem, Oregon97301 J,~'~ 13 I~;.~ <br /> SITE ~: Perm~ No, <br /> i~ARIUN COUNTY <br /> <br />Issued by: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> FOR OWNER INSTALLATIONS <br />Pwpetty Owller <br /> <br />Mailing Address <br /> <br />City/State/Zip <br /> <br />installation is being made on property I own which is not intended for sale, <br /> <br /> 3, PLAN REVIEW SECTION <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 program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code. Chapter 53. <br /> <br />Rev. 10/92 <br /> <br />BAS]~ KIgR $10,00 <br /> <br />Forced Air Furnace $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />Floor Furnace __ $ 6,00 <br />Suspended Heat~ __ $ 6.00 <br />Wall Heat(n' __ $ 6,00 <br />Floor Mounted Unit Heater __ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br />Upto 3 Ton / $6.00 <br />3 Ton to 15 Ton $11.00 <br />Evaporatiw Cooler __ $ 4.50 <br />Exhaust System, Commercial __ $ 4.50 <br />Hood and Exhaust, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood __ $4.50 <br />Domestic .Exhaust Fans <br />and Dryer Vents __ $ 3.00 <br />Fire Damper __ $ 3.00 <br />WoodStove __ $ 750 <br />Furnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Commercial or Industrial Incinerator __ $30.00 <br /> <br />Gas Water Heater (relocation <br />orrcplacemem) __ $ 7,50 <br />Gas Connection <br />--l~t outlet, up to 4 { $ 2.00 <br />-~over 4, $8.00 plus <br />additional $ .50 <br /> <br />For the Installation. Relocation <br /> er Replacement ofea, Appliance <br /> Vent not included Jz an <br /> Appl!aace permit, <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 3,00 <br /> <br /> <br />