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BLDG. PERMIT NO: <br />MECH. PERMIT NO: <br /> <br /> DATE: <br /> <br /> NO. FEE AMOUNT <br /> Base Price 10.00 <br /> Forced air furnace 100,000 BTU or less 6.00 <br /> Forced air furnace over 100,000 BTU . 7.50 <br /> Floor Furnace 6,00 <br /> Suspended Heater 6,00 <br /> Wall Heater 6.00 <br /> Floor Mounted unit Heater 6.00 <br /> Heat Pump 6,00 <br /> Air Handling Unit to 10,000 cu. ft. 4.50 <br /> Air Handling Unit over 10,000 cu, ft, 7,50 <br /> Evaporative Cooler 4.60 <br /> Exhaust System Commercial 4.50 <br /> Hood and Exhaust Commercial 4.50 <br /> Domestic Ran~,e,.,~,oods 4,50 <br />Domestic Exhaust Fans & Dryer Vents 3.00 <br />Domestic Wood Stove 7.50 <br />Commercial or Industrial Incinerator 30,00 <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 plu,§~ ea. addnl. .50 <br />Appliance or accessory to any heating or <br />Comfort cooling system no~..~0vered 4.50 <br />Other (as per Mechanical Code); <br /> $ <br />Please return COMPLETE APPLICATION ~.-4~/~ <br />with the indicated fee. PLAN REVIEW FEE $ <br />INVESTIGATION FEE <br />FLEET SURCHARGEToTAL ~ <br /> <br />Installer: Phc.ne: Address: <br /> <br />ApplicatiOn is made for; ( ~ }' Replacement <br /> ( ) Addition ) Gas Connection <br />Appliance ~~ r ~ '., <br /> <br />Make <br /> <br />BTU input Floor area <br />Vent Size Fuel __ <br /> <br />COMMENTS; <br /> <br /> ; <br /> <br />I agree to install according to the submitted plans and specifications, the laws of the State of Crag <br />Ordinances of Marion County. PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS. I furfher 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 occ..upy. <br />( ) ' ' ¢ oood, ¢o <br /> <br />REV 7/85 <br /> <br /> <br />