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Mechanical Permit Application
<br />
<br /> ·
<br />Appl. Recd,, -
<br />
<br />By:
<br />
<br />Date: 2-24-rJl
<br />
<br /> MARION COUNTY
<br /> DEPT. OF BUILDING INSPECTION
<br /> senator Building # 225
<br /> 220 High St., N.E. 2nd Floor
<br /> Salem, Oregon 97301
<br />R.H. WlTHROW, BLDG. ADMINISTRATOR
<br />588-5147 -- 588-5148
<br />5:00 P.M.- ............ CODE-A-Phone 588-5373 ............. 6:00 A.M.
<br />
<br /> Bldg Permit No,,
<br />Mechanical Permit No,,
<br />
<br /> Date:
<br />
<br />Mechanical Permit Application
<br />
<br /> -}
<br />
<br />Type of Permit:,,
<br />
<br />Address: 9P63
<br />
<br />Owner: F~,~CgS i[illin,,:Jer Phone:
<br />Bldr. & NO.;, ~c],f Phone:
<br />Plans by:: Phone:
<br />
<br />7492605
<br />
<br />Tax Lot No:
<br />Sec.
<br />Address:
<br />Address:,
<br />Address:
<br />
<br />Twnshp.__Rge,,
<br />
<br /> [] New Installation
<br />Application is made for: [] Addition
<br />
<br /> Appliance wood~ove
<br />
<br /> Make earth stove
<br />
<br /> BTU Input, Floor Area~
<br /> Vent size ........ Fuel,
<br />
<br /> Comments: .......
<br />
<br />[] Replacement
<br />[] Gas Connection
<br />
<br />ITEM NO,, FEE AMOUN'I
<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 />New Install. More 100,000 BTU 7.50
<br />Replacement More 100=000 BTU 6,00
<br />New Install· Floor Furnace 6,,00
<br />Replacement Floor Furnace 6.00
<br />New Install,, Suspended Heater 6.00
<br />Replacement S~,~,~,~gd~d Heater 6,00
<br />New Install, Wall Heater 6.00
<br />,.R,,ie.,placement Wall Heater 6,00
<br />New Floor Mounted Unit Heater 600
<br />Replace Floor Mounted,,U,n,,!,~,,.H,~ter 6.00
<br />Boiler/Compr. 3 hp, 100,000 BTU 6,00
<br />Boiler/C0mpr. 15 bp, 500,000 BTU 11.00
<br />Boiler/Compr. 30 hp. 1,000,~),~0 BTU 15.00
<br />Boiler/Compr. 50 hp, 1,750,000 BTU 22.50
<br />BoilerlCompr. over 50 hp, 1,750,000 BTU 3750
<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 System Commercial 4.50
<br />Hood and Exhaust Commercial 4.50
<br />Dome.~,!,,!e Type Incinerator & Wood Stoves , , 7.50 ?. 50
<br />Commercial or Industrial Incinerator 30.00
<br />Gas Connection Without Appliance (1 to 4 e~'~h) 2.00
<br />Over 4 - $800 Plus Each Additional -50
<br />Appllance or Accessory to A~ Heatin or
<br />Comfort COOIIn~ Sy.~,.e. rn ,N?~ ~overed ~gbove 4.50
<br />
<br />Approved By:, SURCHARGE
<br />Date:, 19 TOTAL
<br />
<br />I agree to install according to the submitted plans and apecifications, the laws of the State of Oregon and the Ordinances of
<br />Mar/on County. Permit expires/f work not commenced w~thin 120 days. I further expressly warrant that I comply w~th the provi-
<br />sions of ORS 701,005 to 701.125 because:
<br />( ) I am a registered contractor or ( ) the authorized repreaentative of 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 OF APPLICANT;
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