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Mechanical Permit Application <br /> <br />Appl. Recd:~ <br />By: ~ <br />Date: <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 /> <br /> 81dg, Permit No. <br /> <br /> Mechanical Permit NO. ~'-J7 <br />5:00 P.M.- ............ CODE-A-Phone 588-5373 ............. 8:00 A.M. Date: <br /> <br />Mechanical Permit Application <br /> <br />Type of Permit:, ~/,~'7~ ~~ ~ Tax Lot No: <br /> <br />Address: 'P°-~;r~ ~ *"f"/- ' ? '~-"~'~ Sec. Twnshp. Rge <br /> <br />Bldr. & No.: ~ Phone: Address: <br />Plans by: Phone: Address: <br /> <br />Application is made for: <br /> Appliance <br /> <br /> Make .. <br /> BTU Input Floor Area <br /> Vent Size, Fuel <br /> <br /> Comments: <br /> <br />[] New.Installation <br />-] Addition <br /> <br />[] Replacement <br />[] Gas Connection <br /> <br /> ITEM NO. FEE AMOUN3 <br /> For Issuance of Permit . 10.00 <br /> New lasts Ls 1000,000 BTU ., 6.00 <br /> Replacement Le 100 000 BTU' . 6.00 <br /> .... ~ew Install. More 100,000 B.T.U 7.50 <br /> Replacement More 100,000 BTU _ 6.00 <br /> New Install: ,Floor Furnace 6.00 <br /> RePlacern. ent Floor Furnace 6.00 <br /> New.Install. Suspended Heater 6.00 <br /> 'Replace~nent Suspen'd'ed Heater ' 6.00 <br /> New Install. Wall Heater 6,00 <br /> Replacement Wall Heater 6.00 <br /> New Floor Mounted Un t Hea.te~-" ' 6.00 <br /> ,~eplace Floor Mounted ~n t Heater 6.00 <br /> Boiler/Compr. 3 hp 100,000 BTU 6.00 <br />Boiler/Compr, 15. hp, 500,000 BTU 11.00 <br />Boiler/Compr. 30 bp, 1,000,000 BTU 15.00 <br />Boiter/Compr. 50 hp, 1,750,000 .BTU 22.50 <br />Boller/Compr. over 50 hp I 750 000 BTU ' ' 37.50 <br />Air.Handlin~ Unit to 10 000 cu. ft. 4.50 <br />Air Handling Unit ove( 10 000'cu. ft. 7.50 <br />· Evaporati¥~ Coo er . '4.5.0 <br />Exhaust S~stem Commercial . 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Type Inciner.a~or & Wood Stoves. , 7.50 ?,.~"~ <br />_ (~ommercialorlndustrial Incinerator 30.00 <br />Gas Connection W thout ApI~ ance (1 to 4 each) 2.00 <br />Over 4. $8.00 Plu~ Each Additional .50 <br />Appliance or A~cessery to Any Heatln or <br />Comfort Coolln~ S;/ste~ Not Covered ~,gbove 4.50 <br /> <br />Approved By: <br />Date: , <br /> <br /> FEE $ / ? '~ <br /> <br /> /d~'/'~ ,197..~ TOTAL $ [,,~ '~._~ <br /> <br />I agree to install according to the submittedl~lsns and specifications, the laws of the State cf Oregon and the Ordinances cf <br />Marion County, Perm/t expires if work not ~ommenced 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 />~ I The work will be performed by a registered contracto~ <br />( ) lam performing work on $ property I own or occupy <br />( ~ Other (please specify) '~ <br /> <br /> <br />