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FOR' OFF.fC.E USE 0NL¥/ MARION COUNTY BUILDING iNSPECTION <br />Received by,. ~ C._ 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> P/ease complete al/Sections, 1 throut~/~ I$£P ] 9 1995 <br /> <br /> I, LOCATION OF INStilLATION <br /> <br />Dirovtions <br /> <br /> SITE #: <br /> [:)ate: <br /> Issued by: <br /> <br /> MARION (;,Pt ~T~ <br />BUILDING INSF !CT <br /> <br /> PERMFrS ARE NON.TI~ANSFERABLE AND NON- P,~InJNDABLE AND <br />I EXPIP~E IF WOPd( I$ NOT STARTED Wi'a/IN 180 DAYS OF ISSUANCE <br /> OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Pcop¢fly Owner , [,Phone <br />Cont~toFs License No, <br /> <br />Contractor $ Signature <br /> <br />3, PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />51t and submit two (2) sets of pla'as 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 required <br />by the Oregon Struct~al Specialty Code, Chapter 53, <br /> <br />vic 1).41 <br /> <br />ON RESIDENTIAL ~ COMMERCIAL [-'/ <br /> <br />Forced ~ ~ce $ 6.00 <br />100,000 B~ or less <br />Ov~ 100,000 B~ ~ $ 7.50 <br /> <br />Floor Furnace __ $ 6,00 <br />Suspended Heatur __ $ 6.00 <br />Wall Heater -- $ 6,00 <br />Floor Mo~mted Unit IIeatcr __ $ 6.00 <br /> <br />l-~at Ptm~p or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Tor~ <br />Evaporative Cooler <br />Exhaust System, Commercial <br />Hood and Exhaust, Commercial <br /> <br />Domestic Range Hood <br />Domestic Exhaust Fans <br /> and Dryer Vents <br />Fire Damper <br />Wood Stove <br />Furnace Ducts (Alteration, Extension) __ <br /> <br />Commercial or Industrial Incinerator <br /> <br />$ 6.00 <br />$11.00 <br />$ 4.50 <br />$4.50 <br />$ 4,50 <br /> <br />__ $4.50 <br /> <br /> $ <br /> <br /> $ 7.50".~ <br /> <br />$30.00 <br /> <br />GasWatcrHeater (rolocation <br />or replaccmem) __ $ 7,50 <br />Gas Cemmc~on <br />--pet eutlct, upto 4 __ $ 2,00 <br />--over4, Sg,00plas ea. <br />additional __ $ ,50 <br /> <br />For tile Installation, Rclocatiou <br /> or Replacement of ea. Appliance <br /> Vent not included in an <br /> Appliance permit. <br /> <br />Other (a~ required by Bulling Official) <br /> <br />__ $ 3.00 <br /> <br /> <br />