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IFOR OFI~iCE IJSlg ONLY[ <br /> Received by: __ __ [ <br /> Date:__ : ] <br /> <br />220 High Stzeet NL:J ~ ,. ~-~, n 9 <br />S-tern, oregon 97301OCr u 1993 <br /> <br />BUILDING INS?~CTLON <br /> Date: ~epc, 8, 1993 <br /> <br />~001 <br /> <br />II~I~ICHANJCAL PERMIT APPLIcATIoN <br />Please complete all Sections, 1 through. <br /> <br />Issued by: <br /> <br /> L LOCATION OF INSTALLATION <br /> <br />jobAddress 9804 Mill Creek Rd. SE <br /> Aumsville~ O~ 97325 <br />City <br /> <br />, ,, <br /> <br />PEKMfI'S AIUg N ON-'flLANSFERABLB AND NON-REFUNDABLIt AND <br />IiX P{RE iF WORK ]$ NOT STARTED Wi'ri{IN 180 DAYS OF ISSLIANCE <br />OR IF WORK 1S SUSPENDI~D FOR 180 DAYS. <br /> <br /> 2A, CONTRACTOR iNSTALI~S, TION ONLY <br /> Rios & sons ~ating, ] <br />Co,t~ao, A/C ~ ~eg.~ Vho,, 259-3322 <br /> <br />MailinsAddt~$s 2320 Primrose St., Lebanon, OR 97355 <br />~mp~o~,.r Larrv Klein ]?h..~ 749-2405 <br /> <br />CoaWactor~ License No. 53862 <br /> <br />lB. FOR OWNER INSTALLATIONS <br /> <br />The in s~ill~tioa is b~ius nxade o}l plopo~y I own which is uot intended for sale, <br /> <br />3. PLAN R~VIEW SECTION <br /> <br />RESIDENTIAL [] COMMERCIAL <br /> <br />l'~wE} ALTERATION I[] ADDmON [] PmLOaATION <br />EAS~ ~ <br /> <br />Yoreed ,Mr Fumaec $ 6,00 <br />lO0,000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />Floor Funmc¢ __ $ 6,00 <br />Saspend~d Hoatia- __ $ 6,00 <br />Wall Heater __ $ 6,00 <br />Floer Mounted Ulflt Heater $ 0.00 <br /> <br />Heat Pump or Air Conditioner <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative Cooler <br />Exhaust System~ Commea~ial <br />Hood and Exhauat, Comme. r~tal <br /> <br />Domestic Rimgo Hood <br />Domestic Exha~t Fans <br /> aud Dryer Vests <br />Fire Dz~mper <br />Wood Stove <br />l%macc Duels (Alteration, Extm]~ion) __ <br /> <br />Commereial or Industrial Incinerator <br /> <br />Oas Water }[eater (relocation <br /> or replacement) <br />Gas Cozmectiou <br /> --pct- outlet, up to 4 <br /> --over 4, $8.00 pl~ ea. <br /> additional <br /> <br />For the Installation, Relocation <br /> or Replacement' bfea. Appliance <br /> Vent not included in m <br /> AppH~ce <br /> <br />Other (as requffed by Buildin$ Official) <br /> <br />6,00 <br />$11,00 <br />4.50 <br />4.50 <br />4.50 <br /> <br /> 4,50 <br /> <br /> 3,00 <br /> 3.00 <br /> 7,50 <br /> 7.50 <br /> <br />$30.00 <br /> <br /> 7.50 <br /> 2.00 <br /> .50 <br /> <br /> 3,00 <br /> <br />[] <br /> <br /> $IO,00 <br /> <br />//,bO <br /> <br />We will provide pla~ review service if yell complete Section <br />aB and submit two (2) sets &plans and specifications with <br />this application. <br /> <br />This optiomal plan review program does not suspend the <br />required submission of plans, and specifications when required <br />by tixe Oregon Structural Specialty Code, Chapter 53. <br /> <br />~U lJ;4l <br /> <br />Rev, lO~92 <br /> <br />$. FEES <br /> <br /> <br />