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FOR OFFICE USE ONLY <br />[Re~e[ved by: __ 220 High S~a'eet lq~ <br /> <br /> Phone 588-~147 $:00 ~.m. ~ 4:~0 p,m. <br /> .......... Code-A-Phon~: S85-790a <br />JMECHANICAL PERMIT APPLICATION F,~x, ss~-7~4s <br />Please complete ell Sections, 1=through 5 <br /> <br />~ 00I <br /> <br /> MARION COUNTY <br />srrE #:BUILDING <br /> <br />Date: <br /> <br />Issued by: <br /> <br />]1. LOCATION OF INSTALI,~4,TION <br /> <br />Direction0 <br /> <br />PEEMIIB A93g NON-TRANSFERABLE AND NON.R.~FUNDABL~ AND <br />EXPIRE IF WORK IS NOT STAKT~D WITHIN Is0 DAYS OF ISSUANCE <br />OK ]~F WORK IS SUSPENDED FOIl. 1 SO DAYS, <br /> <br />CONTRACTOR I N.~TALLATION ONLY <br /> <br />FOR OWNER INSTALLATIONS <br /> <br /> [ <br />Mailing A. ddm~, ,[~ Phone <br /> <br />City/State/Zip <br /> <br /> 3 Pt,AN REVIEW SEC'lION <br /> <br />We wEl prowde plan review ~rvice if you complete Section <br />5B ~ld suhm~i two (2) sets of plans and specifications with <br />tills ;Ms2:::: .~tion. <br /> <br />I'[us optional plan review pro~a.m does not suspend tb.e <br />r'¢qmrell subtnis$ioo of plans, and specifications when required <br />~',,,, tttc Oregon Structure Specialty Code, Chapter 53. <br /> <br /> - ¢ <br /> RESIDENTIAL COMMt~RCiAL [] <br /> <br />BASE'I~E $10,00 <br /> <br />100,00O I~TU or less <br />Over 100,000 BTU $ 7,50 <br /> <br />i:loor Furnace __ $ 6.00 <br />Suspended Heater __ $ 6.00 <br />Wall Heater $ 6.00 <br />t].oor Mounted Unit Heater .__ $ 6.00 <br />Heat Pump ~ / Air conditioner ~ <br />Up to il Ton -- $ 6.00 <br />3 Torito 15 Ten $11,00 <br />]5vapolative Cooler -- $ 4,50 <br />Exhan~t Syswm, Commercial __ $ 4.50 <br />I-toad and Exhanst, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4,50 <br />Domestic Exl~ust Fans <br />and Dryer Veats __ <br />F/ze Damp~ __ $ 3.00 <br />Wood Stow __ $ 7.50 <br />~'Malacc Ducts (Alt~mtion, F. act~:nsion) __ $4.50 <br /> <br />Gommemial or Industrial ]no,orator __ $30.00 ..... <br /> <br />Gas Water Heater (relocation <br />or replacemeaO __ $7,50 <br />Ccas Connection <br />--per outlct, up to 4 / $ 2-00 <br />--over 4, $8,00 plm ea. <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replace-mant of ea. Appliance <br /> V~t not included in an <br /> Applimuce lx.'nnit, <br /> <br />Other (a~ r~qui~d by Building Official) <br /> <br />FEES <br />1. Entrr total of Fee~ from S,~, 44 $ ~/...~, <br />/,2 Add :,% m~¢knSe 605 ~ A <br /> <br /> <br />