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Mechanical Permit Application MARION COUNTY DEPT. OF BUILDING INSPECTION Appl. Recd: . 220 High St., N.E. 2nd Floor ' Salem, Oregon 97301 By: ~ n.H. WITHROW, BLDG. ADMINI{STRATOR 588-5147 -- 588-5148 Date: Bldg. Permit No. Mechanical Permit NO. 5:00 P.M.- .........CODE-A-Phone 588-5373 ........... q~:00 A.M. Date: Mechanical Permit Application Type of Permit: Mechanical Tax Lot No: . Address: ~72 Ne 11th ST,Aumsville Sec. Twnshp. Rge Owner,. Aumsvflle School Dfst Phone: 7/~9--2~'72 Address: P.0~ Box lc)c) Bldr. & NO.: Valley Heat~ ;~2~ Phone- 581-~397 Address: 1"/90 16th ST..SE..Salem. Plans by: Phone: Address: Application is made for: [] Addition Appliance Unit Heater Make geznor New Installation I-- Replacement ~ Gas Connection BTU Input. z~SA. Floor Area ' . _ Vent Siz6 /~" Fuel Nat ~'... Gas Comments: ITEM NO. FEE AMOUN1 For Issuance of Permit 10.00 New Install. Ls 1000,000 BTU '" 6.00 ~00 Replacement Ls 100,000 BTU 6.00 New Install. More 100,000 BTU 7.50 Replacement Mo~'e.100,000 BTU 6.00 New Install. Floor Furnace 6.00 Replacement Floor Furnace 6.00 New nsta Suspended Heater 6.00 Replace..m..ent Suspended Heater 6.00 New Install. Wall ·Heater 6.00 Replacement Wall Heater· 6.00 New Floor Mounted Unit Heater 6.00 Replace Floor Mounted Unit Heater 6.00 · BoilerlCompr. 3 hp, 100,000 BTU 6.00 Boi ler/Compr, 15 ho, 500,000 BTU 11.00 "'BoilerlCompr. 30 hp, 1,000,000 BTU 15.00 Soiler/Oompr, 50 hp; 1 ,750;000 BTU· "' 22 .50 Boiler/Compr. over 50 hp, 1,750,000 BTU 37.50 Air Handling Unit to 10,000 cu. ft. 4.50 Air Handling Unit ove.r 10,0.0.0 cu. ft. . 7.50 Evaporative Cooler 4.50 Exhaust System Commercial 4.50 Hood end Exhaust Commercial 4.50 Domestic Type Incinerator & Wood Stoves 7..50 Commercial or Industrial Incinerator 30,00 Gas Connection Without Appliance (1 to 4 each) 2.00 Over 4'- $8.00 Plu~ Each Additional .60 Appliance or Accessory to An Heatln or Comfoll Cooling System Not ~Yove r ed ~gbove 4,60 Approved By: Date: I agree to inatall according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of Marion County. Permit expires If work net commenced within 120 days. I further expressly warrant that I comply with the provi. sions of ORS 701.005 to 701.125 because: ~ I am a registered contractor or I ) the authorized representative of a registered contractor. ~ The work will be performed by a registered contractor. ( ) I am performing work on a property I own or occupy SIGNATURE OF APPLICANT: