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MARION CQUNTY'BUILDING INSPECTION <br /> <br />220 High Stxeet NI~ <br />Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:00 a.ra, ~ 4:SO p.m. <br />Code. A.Pho~e:555.7904 <br /> "FAX:S88-7948Date: <br /> <br /> I~sued by: <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through 5 <br /> <br />E~UILDIN~ Ih~SPEGTION <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-'IKANSI?ERABLE AND NON-I~FU~DABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 1 S0 DAYS OF ISSUANCE <br />OR. [F WORK IS SUSPENDED FOR. lS0 DAYS. <br /> <br />IA. CONTRACTOR INSTALLATION ONLY <br /> <br />Property Owner ! J Phone <br /> <br />Contractors Board Reg, No. Iob No. <br /> <br />Contractor's Signature: <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br />l>mpcrty Owner / <br /> <br />~e ina~llallon ia being ~e on pmpeRy I own which is not in~nded for <br />lease, or ~nt. <br /> <br />S. 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 &plans, and specifications when required <br />by lhe Oregon Structural Specialty Code, Chapter 53. <br /> <br />Rev, ]0/92 <br /> <br />4. FEE SCHEDULE (Compl~t~ and ~n~r~ in Al ~low) <br /> RF~SIDF~NTIAL ~CO~RCIAL ~ <br /> <br /> NO. X F~ = SUM <br />BAS~ ~ $10,00 <br /> <br />Forced Air Famace $ 6.00 <br />100,000 BTU or less <br />Over 100,000 BTU --- $ 730 <br /> <br />Floor Furnace __ $ 6-00 <br />Suspended Heater __ $ 6,00 <br />Wall Heater __ $ 6.00 <br />Floor Mounted Unit Heater $ 6,00 <br /> <br />Heat Pump or Air Conditioner <br />Up to 3 Ton __ $ 6,00 <br />3 Ton to 15 Ton $11,00 <br />Evaporative Cooler __ $ 430 <br />Exhaust System, Commercial __ $ 4,50 <br />Hood and ~xhaust, Commercial __ $ 4.$0 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhenst Fans <br />and Dryer Vents __ $ 3,00 <br />Fixe Damlx:r __ $ 3.00 <br />Wood Stove i $ 7.50 <br />Furnace Ducts (Alteration, Extension) __ $ 7.50 <br /> <br />Cnmmemial or Industrial hminerator __ $30,00 <br /> <br />Gas Water Heater (relocation <br />orreplacemem) __ $ 7.50 <br />Gas Counection <br />-per outlet, up to 4 __ $ ZOO <br />--over 4, $8.00 plu~ ea. <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement ofen~ Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 3.00 <br /> <br /> <br />