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Received by: <br /> ,, <br /> <br />MECHANICAL ~'~RMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />MARION COUNTY' BUILDING <br /> <br />  ~.-A.r~o~.:~ss-~9~ MARION COU~ <br /> ,~u.v~ INSPECT[O~ <br /> I~ued <br /> <br />l. ]LOCATION OF INSTALLATION <br /> <br />IpERMITS ARB NON,TRANSFERABLE AND NON-~DABLE AND <br /> EXPIRE IF WORK IS NOT STAR'I~ WITHIN 150 DAYS OF ISSUANCE <br /> OR IF WORK Is SUSPENDED FOP,, lse DAYS. <br /> <br /> IA, CONTRACTOR INSTALLATION ONLY <br /> <br />] Conilactor <br /> <br />Contr~tofs Boord Reg. No, <br />,,.~ant~ac~r's Signatu~: <br /> <br /> 2B. I~OR OWNER INS~ALIa~,TIOPlS <br /> <br />JAb No+ <br /> <br />¢ityfst~le/Zip <br /> <br />The installation is being made on ptopeay I own which ia not intgnded for ~ale, <br /> <br />3, I~LAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B a~d submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review prog~nara does not suspend the <br />required submission ofplaus, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />Rev, <br /> <br />S. 1~ EA~I[gDULE (Com~le~ ~d m~t~r ~ in Al I~flow) <br /> <br /> sm . mAz [] <br /> <br />BASE FEE <br /> <br />Forced Air Furnace $ 6,00 <br />100,000 BTU or less <br />Over 100,000 BTU ~ $ Z50 <br /> <br />FloorFumace ~ $ 6,00 <br />Sx~sptmded Heater $ 6.00 <br />Wall Heater __ $ 6.00 <br />l~loor Mounted Unit Heater __ $ 6.00 <br /> <br />Heat Pump I~ / Air Conditioner <br />Up to 3 Ton -- $6,00 <br />3 Ton to lS Ton Sl 1,00 <br />Evaporative Cooler __ $ 4.50 <br />Exhaust System, Corn.me,iai $ 4.50 <br />Hood a~d Exhanst. Commercial ~ $4.50 <br /> <br />Domestic Range Hood <br />Domestic Exhaust <br />and Dryer Vents $ 3,00 <br />tire Damper $ 3.00 <br />Wood Stove $ 7.$0 <br />l%mace Duets (Alteration, Extension) --']-- $4.50 <br /> <br />Commercial or Industrial Invnierator ~ $30.00 <br /> <br />Gas Water Heatvr (relocation <br />er replacement) __ $ 7,50 <br />Gas Counection <br /> --per outlet, up to 4 $ ZOO <br /> --over 4, $8.00 plus <br /> additional $ ,50 <br /> <br />For thc Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vant not included in an <br /> Appliance petmit. <br /> <br />Other (as required by Buil6ing Official) <br /> <br />3.00 <br /> <br />5. <br /> <br /> A2. Add 5% ~hat~e (,05 x Al) <br /> <br />s ' 7"/ <br />S <br /> <br /> <br />