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Date; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senet~r Bldg. NO. 225 <br /> 220 High Street NE <br /> Seisin, O~egon 973~1 <br /> <br /> Phone 888.5147 <br /> Cede-A. Pl~o~e 4:30 RM. - 8:00 A.M. <br /> <br />I AR 0 19 5 <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />MARION COUN]Y <br />BUILDING INSPECTION <br /> <br />Property Owner: ~1 a ,_~, Phone: Mailing Address: .......... <br />Job Address; <br />M~h~ni~al In~t~' ' Phone: A~d~8~ ........ <br /> <br />~ "' , <br />New: ~ ...... Alter~ti0n:~ ' Addit~on: ~ Relocation: ~ / O~upan~yChange: ~ <br /> <br /> NO. FEE <br /> Base Price /' ~0.00~/ <br /> Forced air f,,'~nece 100,O00;,BTU Or les~- .... 6,00 '*~ <br />Fen=ed air furnace ?er 100,000 BTu 7,50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Un'ii 'Heater 6.00 <br />Heat Pump 6.00 <br />Air Handling IJnjt to 10,0,00 cu. ft, 4.50 <br />Air Han01ing Unit over 10,000 cu, ff. 7.50 <br />Evaporative 'Cooler 4.50 <br />Exhaust sYStem Co,rcm~'rcia{ 4,50 <br />Hood and Exhaust Commercial 4.50 <br />O7,; -es~i-- Range · ,oods : .4;50 :: : <br />Ddrnesbc E!xl~eustFans.~,Dryer'Vents ,'..,, "73;00'~::: <:: <br />For pre-installation or installation <br /> of each wood stove 7,50 <br /> <br /> NO, FEE AMOUNT' <br />.... Commercial or industrial Incinerator $0,00 <br />Fire Damper 3.00 <br />Gas Water Heater J I 7.60 <br />For each gas piping systerc of up to <br />4 outlets, rcinircarc fee 2.00 <br />For each gas piping systerc of 5 or more <br />outlets, per outlet .50 <br />For the installation, r~lccation or <br />replacement of each appliance vent <br />not included in an appliance permit 3.00 <br />Appliance or accessory to any nee ng or <br />Comfort cooling=~ysterc not covered ,, 4,50 <br />Other(as per Meqhanical Code): <br />On-Site/T~e~c,h nicel Review <br />:,: (Appl~atM~ri~qC0 ony) :: ,'., :: <br />Rein~,pec~ion Fee 15,00 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REV EW FEE $ -,:~-- <br /> INVESTIGATION F~rE <br /> FLEET SURCHARGE $ <br /> C~TYFE~ <br /> TOTA' <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />(~) lamamgiSteredbullcierOR( )tl~eauth0rizedrepresentatlveof $1GNATUREOFAPPLICANT~ .._ <br /> a registered builser, <br />(,;) Theworkwillbecerformedbyaregisteredbuilder. <br />( ) Other <br />( ) {agmetoin~talie¢cordlngrothe submitted slans and speoifieations, thelaws0fthestateof Omgona~dtheordlnance~of Madon County. <br /> <br />MC 15-41 <br />Ro~ 3/87 <br /> <br /> <br />