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Mechanical Permit Application MARION COUNTY Mechanical Permit Appli¢~;tion <br /> DEPT, OF BUILDING INSPECTION <br /> senator Building # 225 <br />Appl. Recd: 220 HIgh St., N.E. 2nd Floor Bldg. Permit No. 78~288]. <br /> Salem. Oregon 97301 <br />By:, dm R.H. WITHROW, BLDG. ADMINISTRATOR Mechanical Permit No. 660 <br /> 588-5147- 588-5148 <br />Date: 4/27/81 5:00 P.M.- .......... CODE.A-Phone 588-5373 ............. 8:00 A.M. Date: <br /> <br />Type of Permit' <br /> <br />Tax Lot No: <br />Sec. Twnshp. Rge. <br /> <br />Address: <br /> <br />8561 Little_Road S. E. Aumsville <br /> <br />Owner: Steve Stourdivane Phone: 749-2622 Address: <br /> <br />Bldr. & No.: same Phone: Address: <br /> <br />Plans by; Phone: Address: <br /> <br /> [] New Installation <br />Application is made for: [] Addition <br /> <br /> Appliance homemade ....... <br /> Make , <br /> BTU Input Floor Area <br /> <br /> Vent Size Fuel ' <br /> <br /> Comments: <br /> <br />Approved By: <br />Date: <br /> <br />[] .Replacement <br />[] Gas Connection <br /> <br /> ITEM NO. FEE AMOBN1 <br /> For Issuance of Permit 10.00 <br />New Install Ls 1000~000 BTU 6.00 <br />Replacement Ls 100,000 BTU 6.00 <br />NewInsta More. 100 000 BTU .,, 7,50 <br />Replacement More 100 000 BTU 8.00 <br />New, Install. Floor Furnace 6.00 <br />Replacement Floor Furnace 6.00 <br />New Install. Suspended I~at~'~- '6.00 <br /> Replacement Suspended Heater 6.00 <br /> New Insta!,l..Wall Heater 6,00 <br /> Replacement Wa He~.ter 6.00 <br /> New Floor Mounted Unit Heater 6.00 <br /> Replace Floor Mounted Unit Heater 6.00 <br /> Boiler/Compr. 3 hp 100 000 ByU 6.00 <br /> BO er/Compr 15 bp, 500,000 BTU 11.00 <br /> Boller~C0mpr. 30 bp, 1,000,000 BTU 15.00 <br /> Boiler/Compr. 50 hp 1 750 000 BTU , 22,50 <br />· Boile~/Compr. over 50 hp 1 750 0(~0 BTU ' 37.50 <br />Air Handling Unit to 10 OOOcu, ft. 4.50 <br />Air Handling Unit over 10,000 cu. ft. 7.50 <br />Evaporative Cooler " 4.50 <br />Exhaust System Commer~;ial 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Type incinerator.& Wood Stoves 7,50 7.5 ( <br />Comrriercial or Industrial In~i~lerator 30:00 <br />Gsa Connection Without Appliance (1 to 4 each) ~'.00 <br />Over 4, $8,00 PI'us EaCh Additional .50 ' <br />Comfort Coolln,~ System Not ~Yove red Above 4.50 <br /> <br /> ~,~ FEE $ 17,50 <br /> SURCHARGE ~. ' .70 <br />19~/ TOTAL ~ 18.20 <br /> <br />I agree to install according to the aubmittedplans and specifications, the laws of the State of Oregon and the Ordinances of <br />Marion County, Permit expires if work not commenced within 120 days. I further expressly warrant that I coml~ly with the provi- <br />sions of ORS 701,005 to 701; 125 because: <br />( ) I am a registered contractor or ( ) the authorized representative of a registered contractor. <br />( ) The worl~ will be oerformed by a registered contractor. <br />( ) lamperforming workonap,~pertylownoro~c~py <br /> <br /> <br />