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Received <br />Date; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Ser~t~ B~:fl. <br /> 220 High Stpeet NE <br /> Salem, Oregon <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Address; <br /> <br />Phone; Mailing Address; <br />Site Ale.; :ross Street". <br /> <br />Phone: Address: <br /> <br />Use of~BUllding: <br /> <br />Alteration: ~ Addffioe; ~ Relocation; [] <br /> <br />Occupancy'Change; <br /> <br /> NO. FEE AMOUNT <br />Ba~e Price t0.00 <br />Force~ air furnaCe 100,000 BTU o~ less; 6,00 <br />Forced air furnace ever 100,000 BT.u 7,50 <br />S?~pended Heaier 6.00 <br />Wa~ Heater S.00 <br />.~Floor ~'oun!ed Unit Heater 6,00 <br />Heat Pump <br />"Air Handling U'i-~lt t~,10,000 cu, ft'i 4.50 .... <br />A._ir Handling, Unit over 10,000,cu. ft, ?,50 <br />Evaporative Cooler 4.50 <br />~x~aus1System Commercial .... 4.50 <br />: Hoodand Exhaust Commercial 4,50 <br />O~m~sti~ Ra~e ~oo~ .... 4.so <br />Dbt'n~$tlc EXhaUSt Fans & D?yer Vente <br />of each wood stove 7,50 <br /> <br /> NO. FEE AMOUNT <br />Commemiel or Industrial Incinerator 30.00 <br />Fir~ Damper $,00 <br />Gas Water Hee'ier 7,50 <br />For each gas piping system of up to ....... <br />4 outlets, minimum fee 2.00 <br />For each gas piping system of 5 ~'r more <br />outlets, per outlet .50 <br />For the installation, relocation or" <br />replacement of each appiiance vent <br />,,, not Included in an appliance permit 3.00 <br />Appliance or accessory to any heating er <br />C~mfort cooling system not covered 4,50 .... <br />Otl~er (as per Mechanical Code,); <br />Om~lte Techn~Cal Review <br />(App y et Marion CO only): <br />Reinepection Fee 15;00' <br /> <br /> STATE SURCHARGE ..... <br /> PLAN REVIEW FEE $ <br /> ~NWST~AT~OH FEE <br /> FLEET SURCHARGE <br /> CiTY FEE $ <br /> ~ TOTAL <br /> <br /> Please return COMPLETE ~~ ~~ / ~,~. /~7 <br />( ) I am performing work on a property I ~n or o~upy. <br /> <br /> a registered builder. ~ ~ ' <br />( ) The w0rk will be performed by a registered builder. = <br /> <br />Rev. 3/87 <br /> <br /> <br />