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Mechanical Pecmit Application
<br />Appl. Recd: "7--~
<br />
<br /> MARION COUNTY
<br /> DEPT. OF BUILDING .INSPECTION
<br /> Senator B~ilding #' 225
<br /> 220 High St.. N.E. 2nd Floor
<br /> Salem, Oregon 97301
<br /> R.H. WITHROW, IBLDG. ADMINISTRATOR
<br /> 588.5147 -- 688-5146
<br />P.M.. ........... CODE-A-Phone 588-5373---:------8:00 A.M.
<br />
<br /> Mechanical Permit Application
<br />
<br /> Bldg. Permit NO. ~
<br />
<br />Mechanical Permit No. ~,""~
<br />
<br />Type of Permit: .. ~k~OODSTO.~'~ ~ A iV~ILg I-IOME
<br />
<br />Address: 21861 BOONES FERRY RD i~ , AT_Tt~)P,A
<br />
<br />Tax Lot NO:.
<br />Sec; Twnshp, Rge.
<br />
<br />Owner: JO~tN ~[TRRAY
<br />
<br />Phone:~ Address:''1:).'0, ~ 488 CANBy 97013
<br />
<br />BIdr. & No.:
<br />
<br />Phone:,, Address:
<br />
<br />Plans by:
<br />
<br /> [] New Installation
<br />Application is made for: [] Addition
<br />
<br /> Appliance W00D ~'lT)'v'g
<br />
<br /> Make AERO~ IvD~Kr, .1800'
<br /> BTU In ;)ut Floor Area
<br /> Vent Size Fuel ,
<br />
<br /> Comments:
<br />
<br />Approved By
<br />Date:
<br />
<br />Phone: Address: .,
<br />
<br /> [] Replacement
<br /> [] Gas Connection
<br />
<br /> ;. '.;FEE ' AMOUNT:
<br /> ITEM
<br /> For issuance of Permit · .;' '.';' ': ' 10.00
<br /> New Install. LS 1000,000 BTU .... ' ~6.0~
<br /> Replacement Ls 100,000 BTU , 6i00 '
<br /> · New nsta I. More 100 000 BTU 7,50
<br />Rep acement'More'100;000 BTU · .' 6,00
<br />,.. NewJn~alLFIoorFurnace~,,' ~ ~:,;;~,~;~,;~ ,, ,,,,. 6.00
<br /> Replacement Floor Furnace ' '" :' i :': . 6.00
<br /> Newlnstall:Suspended Heater ' , .... ~' '. 6.00
<br /> Rep acement Suspended Heater · , :, ' ', 6 00
<br /> New'Install. Wall Heater ,, : ~ .h,, 6.00
<br /> " .,' 6.00
<br /> Replacement Wall Heater ,, ' 6,00
<br /> New Floor Mounted Unit Heater
<br /> Replace Floor Mounted Unit Heater ' , r:' 6:(~0 '.
<br />., .Soiter/Compr. 3hp, lO0,O00 BTU .:.:;
<br />BoilerlCompr, 15 bp, 500,000 BTU 11.00 ,'
<br />Bo er/Compr "30~hp;~.l~00G,000 B~U 15,00
<br />BollerlCompr. 50 hp~'1;750;000':BTU;,..:, ,. 22.50
<br />Boiler/Compr, over 50 hp, :K%50,OD0:'B3'U I 37,50
<br />'A r'Hand ng Onltto-"10;000.ou ,,ft ~,' .:i 4,50
<br />Air Handling Unit oyer ] 0,00~:dt~:iYt.,~,,-:;:m,.;,., 7.50
<br />Evaporative Cooler· "'" "' ' 4,50
<br />Exhaust System Commercial ' '¢',,,',~,,,"" ,,' . 4,50
<br />Hoodand Exhaust Cemmerc a~,~,, ,~:-',' :'.', 4.50
<br />Domest c Type Inc nerat0r &;WoOd
<br />Commercial or Industrial Incinerator,
<br />'~Gas, Cos'nsctldn Without .Appliance (1:,to zF,~;6~-;
<br /> Over 4 - SS,gg Plus F-E~,h AdditiO~t .50 I
<br /> Appliance or Accessory to Any Heating or
<br /> Comfort Coolin~ e~stem Not Oo,vered Above 4.50 '
<br />
<br />FEE
<br />
<br />SURCHARGE $ .,,, ~70
<br />
<br />I agree to install according to the submitted plans and specifications, the laws of the State of
<br />Marion County, Permit expires if work not commenced within 120 days. I further expressl~
<br />siena of ORS 701.005 to 701.125 because;
<br />t I I am a registered contractor or ( ) the authorized representative ~£,a~:l'e~i~terad contractor.
<br />~ ) The work will be i~erformed by a registered contraCtor, '~, ~:,,%i~:~;r~ .
<br />
<br />the Ordlnat;ces of
<br /> ~ witi~ the crow-
<br />
<br />
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