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Mechanical Permit Application
<br />Appl, Recd: ~/'~,~
<br />
<br /> MARION COUNTY
<br /> DEPT. OF BUILDING INSPECTION
<br /> Senator Building # 225
<br /> 220 High St,, N,E. 2nd Floor
<br /> Salem, Oregon 97301
<br />R.H. WlTHROW, BLDG. ADMINISTRATOR
<br />588-5147 -- 588-5148
<br />5:00 P.M.- ........... CODE-A-Phone 588,5373 ............. 8:00 A.M.
<br />
<br /> Mechanical Permit Application
<br />
<br />Bldg. Permit No.~--~-'-'-'~-'-~
<br />Mechanical Permit No.. o(~,-~ ~/~--~/~;>,5;~'
<br /> Date:
<br />
<br />Type of Permi~.??d stove ~.n....m0b£1a home ..............
<br />
<br />Address:: 7276 Sherman Road, g. E. Aumsville 97325
<br />
<br />Owner: Gladys Courtmey Phone: 749-1095
<br />
<br /> ~ Tax Lot No::,
<br />
<br /> Sec. Twnshp..
<br />
<br />Address: same
<br />
<br />Rge..
<br />
<br />Bldr. & NO..: Phone:
<br />
<br />Address:
<br />
<br />Plans by: Phone: Address:
<br />
<br />Application is made for:
<br />
<br /> Appliance
<br /> Make
<br /> BTU Input,
<br /> Vent Size.
<br />
<br />[~New Installation
<br />[] Addition
<br />
<br />Floor Area
<br />Fuel wood
<br />
<br />Comments:,
<br />
<br />[] Replacement
<br />[] Gas Connection
<br />
<br />ITEM NO, FEE e, MOUNr
<br />For Issuance of Permit 10.00
<br />New Install_ LS 1000,000 BTU 6,00
<br />Replacement Ls 100,000 BTU 6,00
<br />New Install. More :100,000 BTU 7,,50
<br />,R~p,!~cement More 100,000 BTU 6,00
<br />New Install. Floor Furnace 6,,00
<br />Replacement Floor Furnace 600
<br />New Install. Suspended Heater 6.00
<br />Replacement Suspended Heater 600
<br />New Install. Wall Heater 6..00
<br />Replacement Wall Heater 6..00
<br />New Floor Mounted I,)nlt Heater 6.00
<br />Replace Floor Mounted Unit Heater .... 6..:0..0..
<br />Boiler/Comp[.. ~.~.p, 100,000 BTU 600
<br />BollerlComPr, 15 hp, 500,000...B.~.U 11..00
<br />Boller/Compr. 30 hp, 1,000,000 BTU ?..5.:q.0
<br />S?!!~r~C0mpr.. 50 hp, 1,750,000 BTU 22.50
<br />BoilerlCompr. over 50 bp, 1,750,000 BTU 37.50
<br />Air Handling Unit to 10,00.0. ~u. ft. 4.50
<br />Air Handling Unit over 10,q00 cu. ft. 750
<br />Evaporative Cooler 4.50
<br />~xha~st System Commer(~ial 450
<br />Hood and Exhaust Commercial 4.50
<br />Domestic Type Incin_erator & Wood Stoves 7.50 ~. 50
<br />Commercial or Industrial incinerator 30.00
<br />Gas Conneotion Without Appliance (1 to 4 e~'~h) 2.00 .......
<br />Appliance or Accessory to An Heatin( or
<br />Comfort COolin~l S}'stem Not ~Yovered ~.O y e 4.50
<br />
<br /> FEE $ 17.50
<br />~ ~/ SURCHARGE $ .70
<br />~e'~,~, 19 ~', ~r TOTAL $ 18.20 ....
<br />
<br />Approved By:
<br />Date: ..........
<br />
<br />I agree to install according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of
<br />Marion County. Permit expires if work not commenced within 120 days. I further expressly warrant that I comply with the provi-
<br />sions of ORS 701.005 to 701.125 because:
<br />( ) I am a registered contractor or ( ) the authorized representative of a registered contractor.
<br />( ) The work will be performed by a registered contractor.
<br />( ) i am performing work on a p oper,y I own or occup /
<br />( ) Other (please specify) -- ~ V
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