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mRSm oNnV - 5 1996 <br /> <br />FOR CITY VALIDATION <br />Received by:.. <br />D~te: <br /> <br /> 285 C~urch St NE · Room 132 <br /> Salem, OR 9730! Date: MABION COUNTY <br /> ~ ~r ln~ U~-~ ~ss-v~o4 BUILDIN~ <br />O~e~ $88-$147 $~OOa~n,-4~3Op~n. I$$U~1 by; <br />FAX: <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF IIq~"rALLATION <br /> <br />2A. CONrKACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNBR INSTALLATIONS <br /> <br />4. FEB SCHI~UL~ (Complete and enter total in Al below) <br /> <br /> RESIDENTIAL~ COMMERCIAL [] <br /> USE OF grRUCTURE: <br /> NEW O ALTERATION O ADDITION ~-RELOCATION <br /> <br /> GAS O or ELECTRIC 0 <br /> <br />BASE FEE $10.00 <br /> <br />FORCED AiR FURNACE <br />up to 100,000 BTU $ 6.00 __ <br />over 100,000 Irru $ 7.00 <br /> <br />Floor Furnace $ 6.00 <br />Suapended Heater $ 6.00 <br />Wall Heater $ 6.00 -- <br />Floor M~unled Henter $ 6.00 <br /> <br />HEAT PUMp <br />under3 Ton $ 650 <br />3 Ton and up $11.00 -- <br /> <br />AIR CONDITIONER <br />under 3 Ton $ 6.50 <br />3 Ton and up $11.00 <br /> <br />EvnporntiveCooler $ 4.50 <br />Commemial Exhau~ System $ 4.50 <br />C~nmer~ial Hood and Exhamt $ 4.50 <br />Domesfi~ Range Hood $ 4.50 <br />Domentio Exhaunt Fans <br />nnd D~er Vents $ 3.00 <br />Rte Damper~ ~ 7-~.t[4 b ~ ~,6 '~' $ 3.00 <br />Furnace Du¢~ (Alterntion/Exteminn) $ 7.50 <br />Commer~hl / lndus~nl Incinerntor $3000 <br /> <br />ADDITIONAL APPLIANCES <br />Gm Wn~r Heater $ 7.50 <br />Gms Log Lighter $ 7.50 <br />Gm Badoeque $ 7.50 <br />Ot~r $ 7.50 -- <br /> <br />GA8 PIPING SySTeM <br /> 1-4 ou0=l~ (per outlet) <br /> 4 ~nd up omlet~ (per outlet) <br /> <br />A~li~e Ve~ mt ~cl~ ~ <br /> ~ ~pl~z ~it <br /> <br />D~ING PE~ L~L ~of~ <br /> <br />$ 2.00 <br />$ .50 <br /> <br />$ 3,00 <br /> <br />N/C <br /> <br /> 3. PLANRBVXBW SBCTION <br />IMarion County does not require a pla. n review. <br /> We will provide pla~ mvi~r ~'vice ffyou ¢omple~ <br /> Section 5B and submit two (2) .sets of phns and <br /> specificafiom with ~his application. <br /> <br />~4C 15-41 <br /> <br />5. FEES <br /> Al. ~er total of fees from See. ~4 <br /> A2, Add 5% su~hnr~ (.05 x Al) <br /> ~btotai <br /> <br /> B, Fm~r 25% of lin~ Al for Plan Revlow <br /> (Al + ~5), if required <br /> C. Inv~ntiga6onF~ (ifrequlrod) <br /> D. Reinup~ntion Fee ($25.00) <br /> <br /> TOTAL AMOUNT DU~ <br /> Receipt No. <br /> <br /> <br />