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IFOR. OFFICE USE ONLY] <br />,~[];~eee~ved by: <br /> ~Date: <br /> <br />l~oae 588-5147 $,'00a.m.-4:30 p,m. S~[~ ~: <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br /> t, ~ATION OF ~STALLATION <br /> <br />pEP, MITS AIL~ NON-TRANSFERABLE AND NON.g3:FUNDABLE AND <br />ISXPIRE IF WORK tS NOT STARTED WZTHIN 180 DAYS OF ISSUANCE <br />OR IF WORK tS SUSPENDED FOR I$0 DAYS, <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />211, FOR OWNER INSTALLATIONS <br /> <br />, Pmpe~ Owngr <br />~hiliag Address Phone <br /> <br />City/Stal~/Zip <br /> <br />The iasOllation is being made on property Iowa which is not iatended for sale, <br /> <br />PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B ;md submit two (2) s~ts &plans mid specifications wflh <br />this application, <br /> <br />Th~s optional plan review program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53, <br /> <br /> S10.00 <br /> <br />Forced Afl Pmmace ~ $6.00 <br />100,000 BTU or less <br />Over 100,000 BTU ~ $ 7,50 <br /> <br />Floor Furaace ~ $ 6,00 <br />Suspended Heater $ 6,00 <br />Wall. lieater ~ $ 6,00 <br />Floor Mounted Unit Heatgr ~ $ 6.00 <br />Ileal Pump ~ / Air Condilioner ~ <br />Up to 3 Ton -- $ 6,00 <br />3 Ton to 15 Ton $11-00 <br />Evaporative Coole~ ~ $ <br />Exhaust Syste~n, Comm~,cial __ $ 4,50 <br />Hood and Exhaust, Commercial $ 4-50 <br /> <br />Domesti~ Range Hood ~ $ 4,50 <br />Domestic Foxhaust Fans <br />and I)[yer Vents $ 3,00 <br />Fire D~mper __ $ 3.00 <br />WoodStove __ $ 7,50 <br />Fttmace DucI~ (Alteration, ~.xtension) ~ $4~fi0 <br /> <br />Commercial or Ind~s~a~ ~omerator ~ <br /> <br />Gas Water Heater <br />or replaccm~t) .., $ 7,50 <br />Gas Connection <br />--i~r outlet, up to 4 $ ~,00 <br />--over 4, $8,00 plus ea, <br />additional __ $ <br /> <br />For the Itxstallation, Relocation <br /> or Replacvment of ca, Al~liance <br /> Vent not included/a an <br /> Appliance lg~mit. <br /> <br />O~her (a~ required ~y B~ilding Official) <br /> <br />3,00 <br /> <br /> <br />