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Received By; _. <br />Date: _ <br /> <br />MARION COUNTY BI~ILDING INSPECTION <br /> Senator Bldg. Ne. 22S ~ <br /> Salem, Oregon 97301 <br /> <br /> Phone 5S8-5147 <br /> C~A..ho.~4=~O.....S=.OA.M. JUN ~ 7 79.9! <br /> <br /> MARION COUNTY <br /> BLI!LDING INSPECTION <br /> MECHANICAL, PERMIT APPLICATION <br /> <br />I~n~ped~ O~/ner: ' ,. Phone: Mailing Address; <br />Job Address? ~ ~b ~)"~ Site No.; Cr~ss Street; ~" <br />M~F~taller~ ' ~ ~ ~ Phone: Address: <br />H~ Bultder~ Reglstratio~ No,: J' ' ' ...... <br /> <br />New: ~ " Alteration: O Addition; ~ Relocation: ~ O~cupan~Chenge: ~ <br /> <br />Base Price I NO. FEE ! AMOUNT10,00 <br />-'~'orced air furnace i00,006 B~-U or ~'~ss 6,00 <br />Forced air furnace over 100,000 BTU 7,50 <br />Floor Furnace 6,00 <br />Suspended Heater 6,00 <br />Wa~l Heater 6.00 <br />Floor .M.,.o,,unted Unlt Heater 6,00 I <br />Neat Pum~ J 6,00 <br />Air Hacdling Uni! to 10,000 cu. fi, 4.50 <br />Air Handlin~,,Unit over 10,000, cu. ft. J 7,50 <br />Evaporative CoolerI 4,~0 <br />Exhaus~ Syste~ Commercle[ <br />Hood and Exhacst Commercial ,, I 4.50 <br />Domestic Range Roods 4-50 <br />~mesti~c Exhausl ~an~ & Dryer vents 3,o0 ]_ <br />For pre-installation or installation <br />of each wood stove 7,50 <br /> <br /> NO. FEE AMOUNT <br />Commemial or Iodustrie, I In~i'nerator 30.00 <br />Fire Damper 3,00 , <br />Gas Water He,tar 7.50 <br />For each gas piping system of up to ...... <br />4 outlets, minimum fee ~,. 2,00,,,, <br />For each gee piping system of 5 Or more <br />For the installation, relocation o~- <br />replacement of each appliance vent <br />not incl~Jded in an appliance permit ..... ;3.00 . <br />Appliance or accessory to any heating or <br />Comfort cooling system not covere~ ....... 4,50 __ <br />Other (es per MechanJaal Code): <br />On-Site Technical Review <br />(Apply at M~ion Co. only) ~ .... <br />Reinspection Fee! 15,0~0~ <br /> $ <br /> STATE SURCHARGE ~ ~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE <br /> CITY FEE $ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I am a registered builder OR ( ) the authorized repmsentagva of ,, <br /> <br />The work will be performed by a registered builder. <br />Other <br />[ agree to tnstatl acco~lng to the submil~ed plans and speclficabo~e, the laws of the state of Oregon ~d the o~dir~ences of Marion Cog~ty, <br /> <br /> <br />