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FOR/SFFICE USE ONLYI <br /> I <br />R~eived by: <br />Date:~ <br /> <br /> MECHANICAL PERMIT APPLIcATIoN <br />P/ease complete all Sections, 1 through 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Su~t 1~ <br /> <br />Date; <br />issued by: <br /> <br />Directions <br /> <br />I PERMITS AP,]3 NON.TRANSFERABLE AND NON-P, EFLrNDABLE AND <br />~ t/XP]Pdg IF WORK IS NOT STARED ~ 1 ~ DAYS oP I~ <br />~OR IF WO~ I$ SUS~DED ~ ~80 DAYS. <br /> <br /> ...... ~. Co~cTo~ ~0~ o~rr .... <br /> <br />Mailil~g Address <br /> <br />C/fy/State/Zip <br /> <br />The inn~llation is being madc on property ! ov~ 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) ~ets of plans and specifications with <br />this application. <br /> <br />This optional plan review prOgram does not suspend the <br />reqnired submission of plans, and specifications when required <br />by the Oregon Su'uc~ra[ Specialty Code, Chapter 53, <br /> <br />4, 1~.~ ~"IIEOIOLI~ (Con~k'~ a~t m~t t~OI~AI blow) <br /> RESIDENTIAL [] COMMERCIAL [] <br /> <br /> oa~ OF STRUCroRI~ <br /> <br />~ ~ $10.00 <br />Fomed ~ ~ $ 6.00 <br />~ 100,000 ~ $ 7.50 <br /> <br />W~i ~ ~ $ 6.00 <br />hoot Mo=~t ~ $ 6.00 <br /> <br />Evaper~w Cool~ ~ ~ <br />~t Sys~, Co~ciM ~ $4,50 <br />Hood ~ ~t, C~ $ <br /> <br />Dom~s~c ~g~ Hood ~ $4,$0 <br />Domestic ~t <br />~d ~ V~ts ~ $ 3.00 <br />F~e D~ $ 3,00 <br />Wood Stove ~ $ 7,50 <br /> <br />Co~ial or ~d~ ~c~ator $~0.00 <br /> <br />Gas Water Heater (rdocation <br />orreplacemtm0 __ $ 7,50 <br />Gas Connection <br />--per outlet, np to 4 __ $ 2,00 <br />--over 4, $8.00 plus ea, <br />addition,~l $ ,50 <br /> <br />For Iho Installation, Relocation <br /> or R~phe~ment of ea. Applian~ <br /> Vent not included in ~u <br /> Appliance permit. <br /> <br />Other (as rcqnitcd by Buildthg Official) <br /> <br />· $ 3,00 <br /> <br /> <br />