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Recejved by:_ _ <br /> I <br />Date ........ <br /> <br /> Phone 5SS-5147 S.'00 a.m, - 4:30 p.m, <br /> .... Cod~-A-Phoae: 5SS-7904 <br />MECHANICAL PERMIT APPLICATION ~'nx: sas-794s <br /> <br />Please complete all Sections, I through 5 <br /> <br />issued by: <br /> <br />LOCATION OF INSTALLATION <br /> <br /> I Cross St. <br /> <br />Directions <br /> <br />PERMITS ARE NON-TRANSFERABLE AND NON-IU~FUNDABLE AND <br />EXPIRE IF WORK IS NOT STAP`TED WITHIN 1 S0 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOP. 180 DAYS, <br /> <br />Prope~W Owner <br />Mailing Addwss Phone <br />City/State/Zip <br /> <br />~he installation is bein8 made on ptopeay I own which ia not intended for ~ale, <br /> <br />3- PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and ~pecifications with <br />this application. <br /> <br />This 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 />dC 15.47 <br />Rev. 5/93 <br /> <br />gC' 'coummar [] <br /> <br />USE OF 5TRUCTIJRE: <br /> <br />NEW [~ ALTERATION ~ ADDITION ~ RELOCATION <br /> <br /> GAS~ or ELECTRIC~-] <br /> NO. X ~ <br /> <br />Fore~dAirFmnaea ~e-V,:~k~r ~ $6,00 <br />100,000 BTU or less <br />Over 100,000 BTU -- $ 7,50 <br /> <br />Floor Furnace $ 6.00 <br />SUSl~mded Heater __ $ 6,00 <br />Wall Heater __ $ 6-00 <br />Floor Mou~ted Unit Heater $ 6.00 <br />Heat Pump ~?7~Air Conditioner <br />Up to 3 Ton ] $ 6,00 <br />3 Ton to 15 Ton __ $11.00 <br />~vaporative Cooler __ $ 430 <br />Exhaust Sys~, Commercial __ $ 4.50 <br />Hood and Exhaust, Commea~clal __ $ 4,50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fa~s <br />and Dryer Vents __ $ 3,00 <br />Fke Daml~r __ $ 3.00 <br />Wood Stove $ 7,50 <br />Furnace Ducts (Alteration, Extension) __ $4,50 <br /> <br />~Comme. mlal or Industrial Incin¢Yalor __ $30,00 __ <br /> <br />Gas Wat~ Heater (t~location <br />or replacement) __ $ 7,50 <br />Ga~ Co,section <br />--per outlet, up to 4 __ $ 2,00 <br />--over 4, $8.00 plus ea. <br />additional $ .50 <br /> <br />SUM <br />$10.00 <br /> <br />For lhe Installation, Reloeation <br /> or Replacement of ea. Appliance <br /> Vent not included iii a~ <br /> Appliance permit. <br /> <br />Other (as required by Building Official) <br /> <br />__ $ 3,00 <br /> <br />5. FEES <br /> <br /> Aeeeipt ~o, <br /> <br /> <br />