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( ) sedgy for <br /> <br />Data: <br /> <br />Type of Permit: <br /> <br />Wood Stove <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> 220 High St. Na <br /> <br /> Ph: 588-5147 <br /> MECHANICAL PERMIT <br /> <br /> ( ) Wi~l call for inspection <br /> <br />BLDG, PERMIT NO; 85-1165 <br />MECH, PERMIT NO: ! ~)OO <br /> <br />Address:9168 Silver Falls Hwy. SE <br /> <br />Owner: <br /> <br />Installer: <br /> <br />St. Mary' s Parish <br /> Adam Ziebart <br /> <br />Phone; __ Address: <br />Phone: 363-8202 Address: <br /> <br />Application Is made for: <br /> <br />' Appliance <br /> <br /> Make <br /> <br /> STU input <br /> <br /> Vent Size <br /> <br /> COMMENTS: <br /> <br />( 1 <br /> <br />Floor aras <br /> Fuel <br /> <br />New Installation ( ),Replacement <br />Addition ( ) Gas Connection <br /> <br /> NO. FEE AMOUNT <br />.Sase Price 1 10.00 <br />, Forced air furnace 100,000 S~J or less 6,00 <br />Forced air furnace over 100,00,0...BTU 7.50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.00 <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 ~ystem Comm'~rcial .... 4,50 <br />Hood and Exhaust Commercial 4.50 <br />,,.D,sn~eatic Ranl~e Hoods 4.50 <br />Domestj.c.., Exhaust Fans & Dr,,/er Vents ..... 3.00 <br />Domestic Wood Stove , t 7,50 ?°50 <br /> Comme. rcial or Industrial Incinerator ........ 30,00 <br /> Fire Damper 3,00 <br /> Gas Water Heater 7,50 <br /> Gas Connection w/o Appliance (1-4 each) 2,00 <br /> ove.?,,4~ $8,00 plus es, addnl. ,50 <br /> Appliance or accessory to any heating or <br /> Co.m,,~ort coolisf) system not covered 4.50 <br /> Other (as i~,er Mechan;cal Code).; ..... <br /> FEE $ 17.5C <br />Please return COMPLETE APPLICATION 4% <br />with the indicated faa. (~'~ PLAN REVtEW 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 Sta~e of Oregon and the <br />Ordinances of Marion County, PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS. I further warrant <br />that I comply with the provisions of ORS 701.005 f~o 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 pro~J~erty I own or occupy. ~/ <br />( ) Other (please specify) /.~'/ // <br />SIGNATURE OF APPLICANT: ,~-.~-.~-~----'.~*- ~"~'",,~,~¢''''~ BLDRS SOARD REGISTRATION# <br /> <br /> <br />