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MECHANICA~ PERMIT ~PPLICATI~N <br /> <br /> t. ~ATiON OF IN~A~TION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, Oregon 97301 ~i <br /> <br />Phone 588.514'/ S.-~0 ~rm - 4;30 p.n~ <br />Code-A-I'hon¢: 588-7g04 <br /> <br /> FA.X: 585-7948 <br /> <br /> . ......... <br />[P]~vI1T$ AI~ NON-TI~NSFF~LE AND NON-~DA~LE A~D <br /> ~I~ IF WO~ IS NOT STAR~ ~ 1~ DAYS OF I~ANCE <br /> O~ IF WO~ IS SUSP~DED FOR 180 DAYS. <br /> <br /> 2A. CONT~CTOR INSTAL~TION ONLY <br /> <br /> ConVair s Signatu~;~~~ <br /> 2~. ~R O~ER INSTA~ATION$ <br /> <br />I~ili~ Address pl~one <br />Ci[y/$ta~e/Zip <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br />We will pwvide plan review service if you complete Section <br />5B and submit ~wo (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not sozpend the <br />required submission of pla~s, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />5/93 <br /> <br />Date: ~/~,RION COBN~ <br />izzued by: B~[LOING i~Sp~.~fl~t'~ <br /> <br />RBSIDENTIAL [j~ COMlvIBRCIAL [] <br /> <br />GAS[] or EL~CralC[] <br />IL~SE FEE <br /> <br />NO, X ~ = s~ <br /> $10,00 <br /> <br />Forcext Air lhn~ce $ 6,00 <br />100,000 BTU or less <br />Over I00,000 BTU ~ $7.50 <br /> <br />~oor ~ $ 6,00 <br />S~d H~t~ $ 6.00 <br />W~I H~ ~ $ 6_00 <br /> <br />Hea~ Pump ~ / AR Condi~onet ~ <br />Up to ~ Ten $ $.00 <br />3 Ton to 15 Ten ~ $11,00 <br />Ev~oratiw Cool~ ~ $ <br /> <br />Hood ~d ~t, Camm~i~ $ 4.50 <br /> <br />Domasfic ~ge ~0od $ 4.50 <br />~omastic ~t ~ <br />~d ~ V~ts ~ $ 3,00 <br />Fire D~ _ $ 3.00 <br />WoodStov~ L~t 2~o ~ $7,50 <br />~e ~ts (~o~ ~t~ion) ~,50 <br /> <br />C~ial or ~d~ ~cM~:or $30.00 <br /> <br />Gas Water Heater (relocation <br />or replacement) ~ $ 7,50 <br />Gas Connection <br />--pet' outlet, up to 4 $ 2.00 <br />--over 4. $$.00 plx~s ea. <br />additional <br /> <br />For the Installation, Relocation <br /> or Roplacemea~t of ca, Appliance <br /> Vent not included in aa <br /> Appliance permit. <br /> <br />3.00 <br /> <br />Other (as requited by Building Official) <br /> <br />5. FEES <br /> <br />s - ./7.~? <br />s ,, , <br /> <br /> <br />