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Mechanical Permit Application MARION COUNTY DEPT. OF BUILDING INSPECTION .... ~,~_ ~ Senator Building # 225 Appl. Recd: 220 High St., N.E. 2nd Floor Salem, Oregon 97301 By' "'"~_~ R.H. WITHROW, BLDG. ADMINISTRATOR 588-5147 -- 588-5148 Date: "~'~/~%.~,,.,~__ 5:00 P.M.- ........ CODE-A-Phone 588-5373 ............. 8:00 A.M. Date: Type of Permit: ~/~/,'~'~'~'~ ~',L~-- Tax Lot No: Mechanical Permit Application r~ldg. Permit NO ~- - Mechanical Permit No, _-~"~ -- Rge. Phone: 7~'~;;~'/-'~ .Address: ~;~1.~_~ Phone; Address: Phone: Address: Application i8 made for; ~' Addition Appliance Make ~ ~-.--)J,~'_/.~z~ BTU Input, Floor Area__ Vent Size Fuel Comments: New,Installation [] Replacement [] Gas Connection ITEM NO. FEE AMOUN1 For Issuance of Permit 10.00 New Install; Ls 1000,000 BTU 6;00 ~ement'Le 100,000 BTU 6.00 New Install. More 100,000 BTU 7.50 Replacement More 100,000 BTU 6.00 New Install. Floor Furnace 6,00 Replacement Floor Furnace 6.00 ~e. wlnstall. Suspended Heater 6.00 Replacement Suspended Heater .6.(~0 ·New Install. Wall Heater 6.00 Replacement Wall Heater 6.00 New Floor Mounted Unit Heater 6.00 Replace Floor Mounted, Uqit Heat'er 6.00 . · Boiler/Compr. 3 hp, 100,000 BTU . 6.00 Boiler/Compr. 15 hp, 500,000 BTU 11.00 Boiler/C..o.,mpr. 30 bp, 1,000,000 BTU - i, 19.00 Boiler/Com..pr. 50hp, 1,750,000 BTU 22.50 Boller./C~mpr. over 50 hp 1 750 000 BTU 37;50 Air Handling Unit to 10,000 c..g. f!. 4.50 Air Handling Unit over 10,000 cu. ft. 7.50 Evaporative Cooler 4.50 Exhaust Sy.,Stem Commercial 4.50 Hood and Exhaust Commercial ' 4.50 · D. omestic Type Incinerator &.Wood.,'Stoves / 7.50 , Commercial or. Industrial Inclne.rator , 30.00 · Gas Connection Without Appliance (1 to 4 each) 2-00 Over ~. - $8.00 Plus Each Additlona ,50 Comfort CooJlng.~¥stem Not ~Y(~vered Above 4,50 ~//~'/~' FEE $ / ~.._.c- 0 Approved By: ,.. //~ SURCHARGE $ -~7~) . Date: ,, ~- ~/ . 19 ~ TOTA U $ /~. ~ 0 I agree to install according to the submitted plans and specifications the laws cf the State of Oregon and the Ordinances of Marion County, Permit expires if work not commenced.within 120 days. I further expressly warrant that I comply with the provi- sions of ORS 701.005 to 701.125 because: t ~ I am a registered contractor or ' ) the authorized representative cf a registered contractor. f ] The work will be performed by a registered contractor. ( ) I am performing work on a p.r~rty I own or occupy ( ) Other rplease specify) [~ I ~ .....