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IFOR OFF~CE USE ONLY] <br /> Receiv~ by: <br /> Da~e: <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />220 High Su'eet NE <br />Salem, Oregon 97301 <br /> <br />Phone 558-5147 8.00 a,m. - 4:30 p,m, <br />Code-A-Phone: 588-7904 <br />~A~: 588-7948 <br /> <br />Please complete al! Sections, I through 5 <br /> <br />SITE #: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />Perm~ bio, <br /> <br /> 1. LOCATION OF INSTALLATION <br />Job Adch-eas <br /> <br />Directions <br /> <br />~'gP-,MtT5 A'KB lq ON .~blSYERABL~ AND }.IONAEEgUI,IDAI}LY, AND <br />EXPIRE IF WORK Is NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR ~F WORX IS SUSPENDED FOR I~0 DAYS, <br /> <br />CONTRACTOR INSTALLATION ONLy <br /> <br />Pmp¢~y Owaer <br /> <br />M~iIins Address <br /> <br />City/Sta~/Zip <br /> <br />Tho in~gallaiion is beinS made oll properly I own which is not intended for <br /> <br />Owner's Signature <br /> <br />$. PLAN REVIEW SECTION <br /> <br />RESIDENTIAL [] COMMERCIAL [] <br /> <br />Foged Air Furnace <br />100,000 BTU or less <br />Owr 100,000 BTU -- $ 730 <br /> <br />Floor Furnace __ $ 6.00 <br />Suspended Heater __ $ 6.00 <br />Wall I~Ieater __ $ 6.00 <br />Floor Mounted Uuit l-~ater __ $ 6.00 <br /> <br />lleat ]Pump [] / Air Conditioner [] <br />Up to 3 Ton -- $ 6.00 <br />3 Ton to lS Ton __ 511.00 <br />Evaporative Cooler __ 5 4.$0 <br />Exhaust System, Commercial $ 4.50 <br />Hood and F. xhanst, Comm~ial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and D~ Veat$ __ $ <br />Fl~e Damper __ $ 3.00 <br />Wood Stove __ $ 7.50 <br />l%maceDucts(Alteratiera, EXlC~Slun) __ $4.50 <br /> <br />Commercial or Iudusirial Inalnerator __ $30.00 <br /> <br />Gas Water Heater (ralocatio~t <br />orrepla~ement) __ $ 730 <br />G~ Co~oa <br />--~ outl~, up tO 4 <br />--ov~ 4, 58.00 pl~ <br />a~dilio~l $ .50 <br /> <br />For ~he Installation, Relocatian <br /> or R~'placement of ca. Appliance <br /> Ve~t not i~cludvd i~ a~ <br /> Appliance pemmit <br /> <br />Other (as required by Building Official) <br /> <br />__ 5 3.00 <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 stmpend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />~C' 13.41 <br />Rev, 5/93 <br /> <br /> <br />