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MARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, ~ ~301 .~ ~ <br /> .... ~.u iNgP~cTio~ <br /> I~ued by: <br /> <br />{ MECHANICAL PERMi:I:'"ApPLICATION I Fax: ~ss-?94a <br />Please complete all Sections, I through 5 <br /> <br />l. LOCATION OF INfi~fALLATION <br /> <br />cross st, NXll Creek <br /> <br />[PBRMITS AIdE NON.TRANSFEP-~,BLE AND NON-~DABLE AND <br /> ~PI~ IF WO~ IS NOT STARED ~ Ii0 DAYS OF I~UAN~ <br /> OR I~ WO~ IS SUSP~DED FO~ 1~0 DAYS. <br /> <br /> lA. CO~CTOR IN~ALLATION ONLY <br /> <br /> ~{tingAddmss P.0...BOX 12005, Sale, 0R 97309 .... <br /> Pmpe~O~cr ~k 9avidson ]Phone <br /> <br />Cout~cto~'s Board Rgg. No. <br />Contractor's Signature: <br /> <br />Job No; <br /> <br />¢ity/st~JZlp <br /> <br />Thc iustailoZion is b¢in$ made on properly I own which is not intcuded for sale, <br /> <br />,o~ees si6.,at~re <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you c~ple~ $egtion <br />5B ~ submit ~0 (2) ~ ofp~ ~d s~cifi~ious ~$ <br />· is ~plication. <br /> <br />This optional plan review program does not suspend the <br />required submission &plans, and specifications when required <br />by the Oregon Smictural Sl~cialty Code, Chapter 53. <br /> <br />4L'152'41 <br />Rev. 5/93 <br /> <br />4, FEE $C~DU~ (comi~x~m and ~m~a' ta~l in A 1 <br /> gaSiO~wrn~ [] COM~m~CiAL [] <br /> <br />BA81C FRR $10.00 <br />Forced Air Fonlace 1 $ 6.00 6. <br />100,000 BTU or less <br />Over 100,000 B~ ~ $ 7.50 <br /> <br />Floor F~ ~ S 6.00 <br />S~d H~ ~ $ 6.00 <br />W~l ~ .... $ 6.00 <br />~oor Mo~ted UMt ~t~ ~ $ 6.00 <br />Heat Pu~p ~ / Air Conditioner ~ <br />~pto 3 Ton .... $ 6,00 <br />Ton to 15 T~ $I 1.00 <br />Evaporati~ Cool~ $ 4.$0 <br />E~mt Syst~, Co~m~ ~ $ 4J0 <br />Hood ~d E~t, Co~i~ ~ S 4.$0 <br /> <br />Dom~tic ~8e Hood ~ $ 4.~0 <br />Domea~c ~mt F~ <br />~d ~ V~ts $ 3,00 <br />Fk¢ D~ ~ $ L00 <br />WoodStovc ~ $730 <br />~e~ts(Mt~afion, Ext~) ~ ~.50 <br /> <br />Co~iM or ~ ~tor ~ $30.00 <br /> <br />Gas Wat~ H~ (relocatian <br />or r~la~t) ~ $ 7.~0 7.. 50 <br />G~ C~tio~ <br />--~ o~lvt, up to ~ 2 .... $ ~-00 4~ <br />--ov~ 4, Sg.00 plm ~a. <br />additional ~ $ <br /> <br />For the Installation, Relocatioil <br /> or K~placemvnt of ea. Applia~z~ <br /> V~mt not ~u¢luded in an <br /> AppliImce permit, <br /> <br />Oth~ (as requi~d by Building Official) <br /> <br /> <br />