Laserfiche WebLink
MARION <br /> ... <br />Received by: ~ 220 ~ <br /> <br />Please complete all Sections, I through~ 5 [ ~ J <br /> <br />PERMI"(~ A~ NON.~AKSF~BLB AND NON~'DABLE AND ..... <br />~PI~ IF WORK IS NOT STARED ~t~ 1~0 DAYS OF ISSUANC~ <br />OK IF WO~ IS SUSPENDED FOR 1 g0 DAYS. <br /> <br />2A. CONTRACTORINSTALLATION ONLY <br /> <br />Mailiag Address <br /> <br />p~pcrty Owner <br /> <br />C_l,~.n tractor's Signature: <br /> <br /> lB, FOR OWNER INSTALLATIONS <br /> <br />J Job No, <br /> <br />BASEFEE $10,00 <br /> <br />Forced Air Furnace $ 6,00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />FloorFumace ~ $ 6.00 <br />Suslxmded Heater . $ 6.00 <br />Wall Heater __ $ 6,00 <br />Floor Mounted Unit Heater $ 6.00 <br /> <br />IIeat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative Cooler <br />Exhaust System, Comm~rclal <br />Hood and Exhaust, Commercial <br /> <br />-- $ 6.00 <br /> $11.00 <br /> $4,50 <br />__ $ 4,50 <br />__ $4,50 <br /> <br />Domestic Range Hood __ $ 4,50 <br />Domestic Exhaust Fans <br />and Dryer Vents . $ 3,00 <br /> <br />Wooa stove ,x, $ <br />Furnace Ductg (Alteratiofi~tension) $ 7,50 <br /> <br />Commercial or Industrial rncine~ater __ $30.00 __ <br /> <br />Gas Water Heater (relocation <br />or replacement) __ $ 7,50 <br />Gas Cormection <br />--per outlet, up to 4 __ $ 2.00 <br />--over 4, $$.00 plus ca, <br />additional $ .$0 <br /> <br />For the lnstalletion, Relocation <br />or Replacement of ca, Appliatlce <br />Veto not included in an <br />Applianoopezmit, ~ $ 3,00 <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets &plans and specifications with <br />this application. <br /> <br />This optional plan review program does llot suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter <br /> <br />~L' 1>41 <br /> <br />Rev. lO/92 <br /> <br />FEES <br />A2. Add 5%mlreharg¢ (,0J X Al) $ __ <br /> <br /> (Al x.25) ifrequlrcd $ __ <br /> <br /> <br />