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Received by. ~;~f~ <br />Da,e: /~-~q-/q~ <br /> <br /> Codc-A.Pbooc: 555-7904 <br />MECHANICAL PERMIT APPLICATION <br />Please compiete all Sections, I through 5 <br /> <br />MARiON COUNTY BUILDING INSPE~OI~I, <br /> <br /> 3 <br /> Phone 588-5147 8:00a, m,~4:30p.m. SITE~: ~No, <br /> D~e: ~ <br /> <br /> I~ued by: <br /> <br />1, LOCATION OF INSTALLATION <br /> <br /> / <br /> <br />Dire~ions <br /> <br />PERMITS ARE NON.TRANSFERABLE AND NON-ILEPUNDABLE AND <br />EXPIILE IF WORK IS NOT STARTED Wl'IHl~ 180 DAYS OF ISSUANCE <br />OR Ile WOR. K IS SUSPENDED FOR 180 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />Mailing Address <br />P~ly Owner [ Phon~ <br />Contractors Licena¢ No, <br /> <br />Contractors Board l~,g, NO, <br /> <br />Contractor's Signature: <br /> <br /> 2S, FOR OWNER INSTALLATIONS <br /> <br />No. <br /> <br />Thc insta]labon is being made on property I own which is not intended for ~ale, <br /> <br />3. PLAN REVIF~W SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) $~ts of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of plans, and specifications when r~quired <br />by the Ocegon Structural Specialty Code, Chapter 53. <br /> <br /> RESIDENTIAL ~ COMMERCIAL [] <br /> <br /> c,,s ~, z~ZCTn,CD <br />BAS]~ ~.~E $10.00 <br /> <br /> Forced Air l%rnace $ 6,00 <br /> 100,000 B'IIJ or less <br /> Over 100,000 BTU $ 7.50 <br /> <br /> Floor t'~ace __ $ 6,00 <br /> SUSlxmde~ Heater I $ 6,00 <br /> Wall Healer __ $ 6,00 <br /> Floor Mouuted U~it Heatex __ $ 6.00 <br /> Heat Pump [] / Air Conditioner [] <br /> Ustc 3 Ton -- $ 6.00 <br /> onto 15 Ton __ $11,00 <br />Evaporative CooDr __ $ 4.50 <br />Exhaust System, Commercial __ $ 4.50 <br />Hood and Exhaust, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vents __ $ 3.00 <br />Fire Daml~r __ $ 3.00 <br />Wood Stove __ $ 7.50 <br />Furnace Ducts (Alteration, Extension) __ $4.50 <br /> <br />Commerc al or Industrial In¢incrator __ $30,00 <br /> <br />Gas Water Heater (relocation <br />orrepla¢~nent) __ $ 7.50 <br />G~ Cotm¢ction · ,. <br />--per outlet, np to 4 t', $2,00 <br />--over 4, $8.00 plus ea. <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not J.tlcltldcd in <br /> Appliance permit. <br /> <br />Other (as rcquired by Building Official) <br /> <br />__ $ 3,00 <br /> <br /> <br />