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( ) Ready foe inspection
<br />
<br />Date:
<br />
<br />By:
<br />
<br />Type of Permit:
<br />
<br /> MARION COUNTY
<br />DEPT. OF BUILDING INSPECTION
<br /> 220 High St. NE
<br />
<br /> MECHANICAL PERMIT
<br />
<br />HeatL~Eecho
<br />
<br />Address:
<br />Owner:
<br />
<br />Installer:
<br />
<br />( ) Will call for Inspect/on
<br />
<br />BLDG. PERMIT NO: 84-1903
<br />MECH. PERMIT NO: 1424
<br />
<br /> DATE: 10-
<br />
<br /> Kent ~.llmra~ Phone; 749--1899 ' Address: 10564 Poz, tez, ~ SE, A~,=ville
<br />Sta~i;OZ). ~efz. igez-,a,t;ie~. 0oo Phone; 26~.-]~495 Address: 207 S~'d Si;t, S~or~, O~ 97585
<br />
<br />Application is made for:
<br />
<br />Appliance ~w~nA~e ,,
<br />
<br />Make ,,, %ez,mo~ .
<br />
<br />BTU input
<br />
<br />Vent Size
<br />
<br />COMMENTS:
<br />
<br /> C~1402~-80
<br />
<br />( X New Installation ( ) Replacement
<br />( Addition ( ) Gas Conhection
<br />
<br /> ITEM NO, FEE AMOUNT
<br />
<br />Ba.,se Price ..... ,' 10.00
<br />New or replacement forced air
<br /> 1 6.00
<br />furnace I~,.100,000 BTU 6.00
<br />New or replacement forced air
<br />furnA.ce over 100,000 BTU.. 7.50
<br />~ew Install Floor .Fu.rnace .... 5.00
<br />Replacement Floor Furnace , 0,~00
<br />New Install Sqspended Heete~' · '" 6.00
<br />Replacement Suspended Heater, 6,00,
<br />N'ew Install Wall Heate(' "~,] r~ ~ 6.00
<br /> Replacement wa,Il Heater · r~ i~ /7 ~ ~-~ O0
<br />N~wFl°°rM'°untedUnitHeater ~~-~ u~' L~ j] ~ [~-'
<br />Rep.ace F esr Mounted Unit. Heater
<br /> Bo er/Compr; 3 hp 10.0,000 BTU , 0~T'""~ ~ lll~5 ;'~.00
<br /> Botler/Compr. 15 hp 500,000 BTU · ..... 11,00
<br /> Boiler/tempt. 30 hp 1.,po0,o00 BTU ~.4~lrl~l ~, ,~ ,~,, 15.00
<br /> "'Boiler/Compr. 50 hp .... '~ ~ !
<br /> 1,750,000 BTU ~llll nlMr~ ~,n,,. 22.~0
<br /> ...... "~ ,~OFE ;IJUf~ 37.50
<br /> So er/Comp,(.,..over 50 hp 1,750,000 BTU ,
<br /> Air Handling Unit to 10 000 cu. ft, 4.0.0
<br /> Air Handling Unit over 10~O00, cu.~,ttl 7.50
<br /> Evaporatlv~,,Co01er 4.50
<br /> Exhaust System Comme,~cial '"' 4,50
<br /> Hood and ,Exhaust Commercial ....... 4,50
<br /> Domestic nc nerator & Wood Stove 7.50
<br /> Commercial or Indu~,~rial Incinerator ..... 30.00
<br /> Gas Connection w/o Appliance (1-4 each 2.00
<br /> over 4 - $8.00 plus ea. addpl, -50
<br /> Appliance or Accessory to any heating or
<br /> Com~prt coolin~l system no~ cpvered 4.50
<br /> FEE ~[6.00
<br /> TOTAL 16.64
<br />
<br />Floor area --
<br />Fuel ~
<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 further warrant that t comply
<br />with the provisions of ORS 701.005 to 701.125 because:
<br />(X ) I am a registered contractor or ( ) the authorized representative ~f a registered contractor.
<br />( ). The work will be performed by a registered contractor.
<br />( ) I am performing work on a property I own or occupy.
<br />( ) Other (please specify)
<br />
<br />SIGNATURE BOARD REGISTRATION # 2~47
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