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MARION COUNTY
<br />BUILDING INSPECTION
<br />220 High St, NS
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<br /> MECHANICAL PERMIT
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<br />Installer::
<br />
<br /> ( ) Will call /or Inspection
<br />
<br />Site No. 1501
<br />BLDG PERMIT NO
<br />
<br />MECH, PERMIT NO
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<br />Phone:: Address,
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<br />Application is made for::
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<br />App,iance ~~
<br />
<br />BTU input
<br />Vent Size
<br />
<br />COMMENTS::
<br />
<br />( /.~N~n.~'~ ( ) Replacement
<br /> AdditiOn ( ) GaS ConneCtiOn ~.,x~'/¢?'/2~~--~
<br />
<br /> NO, FEE ~
<br /> Rase Price / ~16..00
<br />
<br />Forced air furnac, e 100,000 BTU or leas 600 ......
<br />Forced air fqrnace over 100~000 BTU 7..50
<br />·loor Furnace 6..00
<br />Sq~pended Heater 6.00
<br />Wall Heater 600
<br />Floor Mounted Unit";Haater 6,00
<br />Heat Pump.. 6,,00
<br />Air Hand,,lin~l Unit to 10 000 cu,, ft, 4,50
<br />Air HandliQg Unit over 10 000 cu, ft 7 50
<br />Evaporative Cooler 4,,50
<br />Exhaq§t S~'stem Commercial, 4,,50
<br />Hood and Exhaust Commercia!,, 4,,50
<br />Domestic Range Hoods ....... 4,50
<br />Domestic Exhaust Fans & D_ryer Vents 3,00
<br />Domestic Wood Stove 750
<br />Commercial or Industrial Incinerator 30,00
<br />.... 300!
<br />Fire Dam pe.i~ ....
<br />Gas Water Heater 750
<br />G~s Connection w/o Applianc~ (1-4 each) ' ' 2.00
<br />over 4- $8.00 plus ea.. addnl.. 50 .........
<br />Appliance or accessory to any heating Or
<br />Comfort cooling system not covered 4.50
<br />Other (as per M~.~hanical Code)::
<br />
<br />Please return COMPLETE APPLICATION 4% ~'~
<br />with the indicated fee PLAN REVIEW FEE $
<br /> INVESTIGATION FEE ~
<br /> FLEET SURCHARGE
<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 registerer contractor,
<br />( ) I am performing work on a property I own ~r o.c~upy.
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<br />SIGNATURE OF APPLICANT:: // ~,j~c~/,c./.zj~ ! , · L,' ,~,,/,~,---~/ BLDRS ~OARD REGISTRATION #
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