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~ity of Aumsville <br /> Ms <br /> <br />Type of Permit: WoOd Stove <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br /> MECHANICAL PERMIT <br /> <br />Address: 285 Cleveland, Au~$ville <br /> <br />Owner: ~- Elmer Richards Phone: <br /> <br />Address: 285 Cleveland <br /> <br />Installer: Willamette Woodstoves Phone: 370-7286 A~dress: 3195 Liber~ Rd. S. <br /> Salem 97q0R <br /> <br />Application is made for: <br /> <br />Appliance , /~~ <br />Make <br /> <br />BTU input Floor area <br />Vent Size &¢ <br /> <br />Fuel <br /> <br />( New Installation <br />(. ~( Addition <br /> <br />( x Replacement Chimney Reline <br />( Gas Connection <br /> <br />COMMENTS: <br /> <br /> NO. FEE AMOUNT <br /> Base Price 10.00 <br /> Forced air furnace 100.000 BTU or leas J,,, I 6,00 <br /> F0,rced air furnace over 10,0,000 BTUI I 7.50 <br /> Floor Furnace 6.00 <br /> Suspended Heater 6,00 <br /> Wall Heater 6,00 <br /> Floor Mounted '~lnit Heater 6,00 <br /> Heat Pump 6.00 <br /> Air Handlin~l Unit to 10.000 cu. ft. 4,50 <br /> Air Handling Unit over 10,000 cu, ft, 7,50 <br /> Evaporative Cooler 4,50 <br /> Exhaust 6~,'stem Commercial 4.50 <br /> Hood and Exhaust Commercial 4,50 <br /> Domestic Range Hoods 4.50 <br /> Domestic Exhaust Fans & Dr/er Vent~ 3.00 <br /> Domestic Wood Stove 7,50 ?..5 0 <br /> Commercial or Industrial Incinerator $0.00 <br /> Fire Damper 3.00 <br /> Gas,,Water Heater 7.50 <br /> Gas Connection w/o Appliance' (1-4 each) 2,00 <br /> over 4- ~8.00 plus ea. addnl. ,50 <br /> Applianoe or accessory to any heating or <br /> <br /> ,, Comfort cool!.n_g system not covered .... 4.50 <br /> Other (as per Mechanical Code): <br /> FEE $ 17.5~ <br />Please return' COMPLETE APPLICATION 4% .7 C <br />with the indicated fee, COA 5~;EE:~'~E( $ . ~'~ <br />INVESTIGATION FEE $ <br />FLEET ~URCHARGE <br />TOTAL <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 701.125 because: <br /> <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 property I own or occupy. <br />( ) Other (pleaae specify) <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />8LDRS BOARD REGI§TRATION # _~G,-~ <br /> <br /> <br />