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IFoR, OFFICE VSE oNLY <br /> Received by: <br /> Date: <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete afl Sections, I through 5 <br /> <br />Plmnc $88-5147 g,'~ s-m- ~ 4:30 p,n~ <br />C.X~-A.Ph~: 58g-7904 <br />~A~: 5S8-7948 <br /> <br />MARION COUNTY BUILDING I .I~g~ <br /> <br /> 5 , n97301 2 1994 <br /> ~IN~ IN~P~T~O~ <br /> <br />Issued by: <br /> <br />PBRM/TS AILE NON.TRANSFERABLE AND NON-R~DABLE AND <br />~XPIRI~ IF WOP, J~ IS NOT STARTED WITHIN 180 DAYS OF I~UANCE <br />OR IF WOEK IS SUSPENDED FOR 180 DAYS. <br /> <br /> :ZA: ~0]~TI~CTOI~ INSTALLA~T)ON ONLY .u , <br /> <br />:,.~ .:;, : :~ .,', ~ ~.).~:.;~;':.'..1~::'.:.(;~,~:~; <br /> <br /> -/ .... ' / <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br />MailinS Address <br /> <br />Ci~y/State/Zip <br /> <br />Thc installation is beil~g made on pmpc~ I O~ which is not in~nd~ ~r <br /> <br />O~e~s Sign~u~ <br /> <br /> 3- PLAN REVIEW SECTION <br /> <br />We will provide plan review s~rvice if you complete Section <br />5B a~l submit two (2) sets of plans and sp~cificatious with <br />this application. <br /> <br />This optional plan ~view program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon St~uctm'al Specialty Code, Chapter 53, <br /> <br />4. ~ ~Ur r (C~,kn~,~l~d ~A] ~low) <br /> <br /> [] <br /> <br />BA~E FEE $10.00 <br /> <br />Forced Air Furnace <br />100.000 BTU or less <br />Ove~ 100.000 BTU <br /> <br />Floor Furnace <br />Su~p~d~d He~t~r <br /> <br />~oor Mo~d U~t H~t~ <br /> <br />Hint Pam~ A~ Conditioner Up to 3 Tot <br /> 3 Ton to 1~ TO~ <br />Evapo~w Cool~ <br /> <br />Dom~sfi~ ~ Hood ' <br />DomestiC ~t F~ <br /> <br />Fife D~ <br />Wood Stove <br /> <br />Gas Water Heater (relocation <br /> or replacement) <br />C~s Con~ection <br /> --p~r outlet, up to 4 <br /> --ov~ 4, $8.00 plu~ <br /> additional <br /> <br />For the ~stalhti0n, Relocation <br /> or Replac~nne-aI of ca, Appli~ce <br /> V~t not ~lud~ ~ ~ <br /> Appli~e ~it, <br /> <br />O~h~r (as r~xlulr~ by Building Official) <br /> <br />6.00 <br />730 <br /> <br />6,00 <br />6,00 <br />6,00 <br />6.00 <br /> <br />$ 6.00 <br />$I 1.00 <br />$ 430 <br />__ $ 4+50 <br />__ $ 4.50 <br /> <br />4,$0 <br /> <br />3.00 <br />3,00 <br />7,50 <br /> <br />__ $30,00 <br /> <br />__ $ 7.50 <br />__ $ 2.00 <br />__ $ 30 <br /> <br />__ $ 3,00 <br /> <br /> <br />