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Mechanical Permit Application
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<br />Appl,, Recd:
<br />IBy: ......... ~
<br />
<br /> MARION COUNTY , Mechanical Permit Application
<br /> DEPT. OF BUILDING INSPECTION
<br /> Senator Building # 225
<br /> 220 High St., N.E. 2nd Floor Bldg. Permit NO.,
<br /> Salem, Oregon 97301
<br /> R.H. WlTHROW, BLDG. ADMINISTRATOR Mechanical Permit No. 434
<br /> 588-5147 -- 588-5148 .........
<br />Date: ~-/~'-~/ 5:00 P.M ........... CODE-A-Phone 588,5373 ............ ~:00 A.M, . Datg: . _
<br />
<br />Bldr~ & No.:, Phone:
<br />
<br /> [] New Installation
<br />Application is made for: ,~ Addition
<br />
<br /> Appliance .............
<br /> Make ,,,
<br /> BTU Input, Floor Area
<br /> Vent Size,, Fuel
<br />
<br /> Comments: .........
<br />
<br />Address:,
<br />
<br />Address:
<br />
<br />[] Replacement
<br />[] Gas Connection
<br />
<br /> ITEM .............. NO. FEE AMO,gN1
<br /> For Issuance of Permit 1000
<br />New Install.,Ls 1000 060 BTU ....... 6.00 ....
<br />Replacement Ls 100,000 BTU 6.00
<br />New Install. More 100 000 BTU 750
<br />Replacem~n,t More 100,000 BT[~ 6,00
<br />New Install. Floor Furnace 6,00
<br />~lacement Floor Furnac,e 6.00
<br />New Install. SuSpended Heater 6.00
<br />,Replacement Suspend,?d Heater 6.00
<br />New Install. Wall Heater ....... 6.00
<br />Replacement Wall Heater 6.00
<br />New Floor Mounted Unit Heater 6.00
<br />Replace Floor Mounted Unit Heater 6.00
<br />Soiler/Compr. 3 hp, 100~00 BTU .... 6.00
<br />Boiler/C,gmpr. 15 hp 500 000 BTU, 11.00
<br />Boiler/Oompr. 30 ~p 1,000~000 BTU 15.00
<br />Boiler/Compr. 50 hp, 1,750 000 BTU 22,50
<br />Boiler/Compr. over 50 hp, 1,750,000 BTU 3750
<br />Air HandlLng Unit to 10 000 cu. fi:, 4.50
<br />Air Handling,Unit over 10 000 cu. f,~. 7.50
<br />Evaporative Cooler 4,,50
<br />Exhaust System Commercial 4,50
<br />Hood and Exhaust Commercial 4,50
<br />Domestic Type Inci,0erator & Wood Sto..v,~ 7.50
<br />Commercial or Industrial Incinerator ....... 30.00
<br />Gas Connection Without Appliance (1 to 4 e~,?,! ,, 2.00
<br />Over 4- S~00 Plus Each/(dclitJonal .50
<br />Appliance or Accessory to Any Heating or
<br />Comfort O~,o!ti3~ System Not Covered Above, ,,u' ~ 4.50
<br />
<br />Approved By: D, t.,,-/~¢_._.~ SURCHARGE $ gLO
<br />
<br /> I agree to inatall according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of
<br /> Marion County. Permit expires if work not commenced within 120 daya, I further expressly warrant that I comply with the provi-
<br /> sions of ORS 701,005 to 701.125 becausec
<br />( ) I am a registered contractor or ( ) the authorized representative of a registered contracto~
<br />( ) The work will be performed by a registered contractor.
<br />~ I am performing work on a property I own or occupy
<br />() Other(p/easespecify) ,.),,
<br /> SIGNATURE OF APPLICANT: ¢1'~'~-¢~/
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