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Mechanical Permit Application
<br />Appl. Reed: . .
<br />
<br />By;
<br />
<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. WITHROW, BLDG. ADMINISTRATOR
<br /> 588.5.147 -- 588.5'148
<br />~r~'- / ,~ ~. ~ ~.~ 5;00 P.M.--- ----CODE-A.Phone 588-5373 ......... 8:00 A.M.
<br />
<br /> Mechanical Permit Application
<br />
<br /> BIdg,, Permit No.
<br />
<br />Mechanical Permit No. 509 ·
<br />
<br /> Date: /~/~'~ DOtt+e
<br /> 8/22/8'-~
<br />
<br />Type of Permit .r~.~.~.~ .~'~..~L.- Tax Lot No:
<br />Address: ~p'~&.o~ ~.~:~'~._~. , City of Aumsville Sec.
<br />
<br />Twnshp. Rge,,
<br />
<br />Bldr.& No,,: .eo~- ~' ,,. ,, Phone: Address:,
<br />P!ana by; , Phone: Address:
<br />
<br />Application Is made for:
<br />
<br /> Appliance ,,,
<br /> Make
<br />
<br /> BTU input,
<br />
<br /> Vent Size
<br />
<br /> Comments:,
<br />
<br />Approved Bye'
<br />
<br />[~'New Installation
<br />[] Addition
<br />
<br />Floor Area
<br />Fuel
<br />
<br />Date:
<br />
<br />[] Replacement
<br />[] Gas Connection '
<br />
<br />For issuance of Permit 10.00
<br />New !netall. Ls 1000,000 BTU ,, 6.00
<br />,Replacement 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 In~tall. Floor Fa,mace 6.00
<br />Replacement Floor- Furnace ,, 6.:00
<br />,New Instal!,. Suspended ~leater 6.00
<br />Replacement Suspended Heater 6,00
<br />New Install. Wall Heater 6.00
<br />Replace,merit Wall Heater 600
<br />New Floor Mounted Unit Heater. 600
<br />Replace Floor Mounted Unit Heater 6.00
<br />EtoilerlCompr. 3 bP., 100 000 BTU B,,O0 ......
<br />Boiler/Compr. 15 bp, 500,000 BTU 11.00
<br />Boiler/Compr. 30 bp, 1,000,000 BTU . 15,00
<br />Boiler/Compr. 50 hp 1 7§0,000 BTU, ,, 22.50
<br />Boller/Compr. over 50 bp, 1,750,000 BTU 37.50
<br />Air Handling Unit to 10 000 ca. fi,, 4.50
<br />Air Handling Unit over i0,000 cu. ft. 7.50
<br />Evaporative Cooler 450
<br />Exh~st'S~tem Cot~merci"al 4.50 ....
<br />Hood and Exhaust Commercial 4.50
<br />Domeet!c Type Incie~rator & Wo°d S~oves 7.50
<br />Commercial or Industrial Incinerator 30.00
<br />Gas Connection Without Appliance (1 to 4 eachi 2.00
<br />Comfort Cooling System Not Covered Above 4,50
<br />
<br /> SURCHARGE $
<br />~ .2 ~_-- .... , 19Vf~.~ TOTAL $ / ~ ~-
<br />
<br />I agree to install 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 prow.
<br />slons 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 property I own or occupy
<br />
<br />SIGNATURE OF APPLICANT: ,,
<br />
<br />
<br />
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