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Date f¢..-.~.,~.~ SE? 2 b 1986
<br />By:: ~- ~4~ ~A~ION COUN~M~n--- PERMIT
<br /> ' / ' BU[Ld'i'NG iNSPECTf~-HANICAL
<br />
<br />Owner:; ,2~2/~// ~J/'7~7z~ pho ne;: ~/~.~ Add tess::
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<br />Will call for inspection
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<br />BLDG, PERMIT NO::
<br />MECH PERMITNO::~
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<br />Installer::
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<br />Phone:: Address::
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<br />Application is made for::
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<br />Appliance
<br />Make
<br />BTU input Floor area __
<br />Vent Size Fuel __
<br />
<br />COMMENTS:;
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<br />( New Installation ( ) Replacement
<br />( Addition ( ) Gas Connection
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<br /> NO FEE AMOUNT
<br />; Base Price 1000
<br />Forced air furnace 1,00,,~0.,0 BTU or less 6,,00
<br />Forced air furnace over 100,000 BTU 7,50
<br />Floor Furnace 6-00
<br />Suspended Heater 600
<br />Wall Heater 6.00
<br />Floor Mounted Unit Heater 6,00
<br />Heat Pump 6.00
<br />Air Handling Unit to 10.000 cu,, ft, , ....... 4.50
<br />Air Handling Unit over 10.000 cu,, ft,, 7,50
<br />Evaporative Cooler 4.50
<br />Exhaust Syste,m,, ,~(~,m,.m,e,,r.~ial ............ 4.50 ........
<br />Hood and Exhaust Commercial 4,50
<br />Dom~,~tic Range Hoods 4,50 ...........
<br />Domestic Exhaust Fans & Dr,./er Vents 3,00
<br />Domestic Wood Stove 7.50' "'"""'~.~O
<br />Commercial or Industrial Incinerator 30,,00
<br />Fire Damper 300
<br />Gas Water Heater 7,50
<br />Gas Connection w/o Appliance (1-4 each) 200
<br /> over 4- $8.00 plus ea, addnl 50
<br /> Appliance or accessory to any heating or
<br /> Comfort coolin~l system not covered 4,,50
<br /> Other (as per Mechanical Code):; f~/?r~/"EE $ ...............
<br />Please return COMPLETE APPLICATION 4% .
<br />with the indicated fee,, PLAN REVIEW FEE $
<br />INVESTIGATION FEE $
<br /> FLEET SURCHARGE ,;~-
<br /> TOTAL
<br />
<br />I agree tO install according to the submitted plans and specifications, the laws of the State of Oregon and the
<br />Ordinances of Marion County. PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS I furtherwarrant
<br />that I comply with the provisions of ORS 701,005 to 701.125 because:
<br />
<br />( ) I am a registered contractor or ( ) the authorized representative of a registered contractor.
<br />( ) The work will be performed by a registered contractor,
<br />( ) I am performing work on a.p~'opert, y I own.or occup~v. ~
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<br />SIGNATURE OF APPLICANT, ~ ~-~/'~-~ ~J~ BLDRS BOARD REGISTRATION #
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