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Date" <br /> <br />By:: <br /> <br />Type of Permit:: <br /> <br />Mechanical <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> 220 High ~,, NE ( ~' <br /> Salem, Oregon 97301 <br /> Ph: 588-5147 <br /> MECHANICAL PERMIT <br /> <br /> ( ) Will call for inspection <br /> <br />MECH. PERMIT NO:: <br /> <br /> DATE:: 0'u. ne 1~,~L987 <br /> <br />Address:; 7323 Shaw ~. S.E., A~msville, Oregon <br /> <br />Owner:: wayne Rebo Phone:: 749-2635 <br /> <br />Installer Stayton RefriGeration Co. Phone;: 769-3495 <br /> <br />Address Sarae <br /> <br />Address:: 207 N. 3rd. Ave. t Stayton <br /> <br />Apprication is made for:: ( ) New Instarlation ( ) Replacement <br /> ( ) Addition ( ) Gas Connection <br /> <br /> NO, FEE AMOUNT <br />Base Price 10.00 <br />Forced air furnace 100,000 BTU Or leas / 6,00 <br />~oree~ ~,ir furnace over 1001~06 B'ru 7 50 <br />Floor Furnace 6,00 <br />...S_u_spended Heater 600 <br /> Wall Heater 600 <br /> Floor Mounted Unit Heater 6.00 <br /> Heat Pump 6..00 <br /> Air Handling Unit to 10=000 cu. ft. 450 <br /> Air Handling Unit over 10,000 cu. ft 750 <br /> Evaporative Cooler j 450 <br /> Exhaust System Commercial <br /> 14 0 <br /> Domeatic Range Hoods 450 <br /> Domestic Exhaust Fans & Dryer Vents 3..00 <br /> Domestic Wood Stove 7.50 <br /> Commercial or Industrial Incinerator 30 00 <br /> Fire Damper .................. = .............. . -- 300 <br /> Gas Water Heater / 7,50 ,,,,,,,,.~,~ <br /> Gas Connection w/o Appliance (1~4 each) 200 <br /> over 4- $800 p=lus..ea, a.ddnl.. .50 <br /> Appliance Or accessory to any heating or <br /> Comfort tooting system not covered 450 <br /> 0the£ (~ Pg~ Mechanical Code);: <br /> <br />Please return COMPLETE APPLICATION 4% . "-)'~' <br />with the indicated fee PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />FLEET SURCHARGE '~ ,~';~' <br />TOTAL <br /> <br />Appliance qs~ furnace <br /> <br /> Lennox G14Q3-60 Pulse <br />Make <br /> <br />BTU input Floor area __ <br /> <br /> . Fuel~ <br />Vent <br />Size <br />COMMENTS:: <br /> <br />I agree to install according to the submitted plans and specifications, the laws of the State of Oregon and the <br />Ordinances of Marion County.. PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS. I further warrant <br />that I comply with the provisions of ORS 701.005 to 701125 because; <br /> <br />The work will be performed by a registered contractor. <br />I am performing work on a property I own or occupy,, <br />Other (please specify) <br /> <br />) I am a registered contractor or ( ) the authorized representative of a registered contractor <br /> <br />BLDRS BOARD REGISTRATION <br /> <br /> <br />