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Mechanical Permit Application
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<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. WITNROW, BLDG. ADMINISTRATOR
<br />588-5147 -- 588-5148
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<br /> Mechanical Permit Application
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<br /> Bldg. Permit No.~~'~;~ ~
<br />Mechanical Permit No.. i g
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<br />Type of Permit: , . / ~¢- Tax Lot No:
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<br />Address: /f'[- */J ~ ~'~;-~ J'~/'~'~------ ~ ~' Sec, , Twnshp. Rge.
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<br />Owner~U~5~4~ ~~< ~hone:.....~~ Address:.
<br />Bldr. & No,: ~~~hone: ,~ ~ ~ Address: ~--~~
<br />Plans by: Phone; Address:
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<br /> [~' New Installation
<br />Application is made for: [] Addition
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<br /> Appliance
<br /> Make ~,~,Z' S/",~ ~--
<br /> BTU I.nput ~.E.~r__~__ Floor Area
<br /> Fuel ~./,- ~"~.-$' -
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<br /> Vent Size
<br />Comments:
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<br />~'~[~, Replacement
<br /> Gas Connection
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<br /> ITEM NO. FEE AMOUNT
<br /> For issuance of Permit 10.00
<br /> New Install. Ls 1000,0.00 BTU 6.00 ~.~0
<br /> ~lacement Ls 100,000 BTU 6.00
<br /> New Install. More 100,000 BTU 7.50
<br /> Replacement. More 100 000 BTU 6.00
<br /> New Ins,~all. Floor Furnace 6.00
<br /> Replacement Floor Fur.n.~ce 6.00
<br /> N~W Install. Suspended Hca{er, 6,00
<br /> Replacement S.,u~pended Heater 6.00
<br /> New Install. Wall Heater 6,00
<br /> Replacement Wall ,Heater 6.00
<br /> New Floor Mounted Unit Heater 6,00
<br /> Replace Floor Mounted Unit Heate~ 6,00
<br /> Boiler/Compr. 3 hp~ 1.00 000 BTU .... 6;00
<br /> Boller/C?mpr. 15 bp, 500~000 BTU 11:00
<br /> Boller/Compr, 30 hp~ 1,000,000 BT.U. 15.00
<br /> Boi!er/Compr, 50 hpj 1,750,000 BTU 22.50
<br /> Boiler/Compr. over 50 hp 1 750,000 E~3:'U 37.50
<br /> Air Handlln~ ~nlt to 10 000 cu. ft. 4.50
<br /> Air Handling Unit over 10 000 cu. fi. 7.50
<br /> ..... .Evaporative Cooler ,,, 4.50
<br /> Exhaust Sy~.t~m Commercial 4.50
<br />,., Hood and Exhaust C.,0mmeroisl 4,50
<br />Domestic Type Incinerator & Wo,0d'Stoves ' 7,50
<br />Commercial or Industrial incinerator 30.00
<br />Gas Connection Without Appliance (1 to 4 each) 2.00
<br />Over 4. ~8.~.~ Plus Each Additional
<br />Appliance or'Accessory tO An~/ HeatJn~or 50
<br />Comfort CooPing System ,,N, ,ct,covered AbOve 4.60
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<br /> FEE .$. ....
<br />Approved By: ...................... SURgHARGE $
<br />Date: ..... ,19~ TOTAL
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<br />I agree to instal/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 arty I own or occupy
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<br />SIGNATURE OF APPLICANT: ..... ·
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