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( t Ready for inspection MARION COUNTY <br /> BUILDING INSPECTION <br /> 220 High et, NE <br />Date; sa em, Oregori 97301 BLDG. PERMIT NO: <br /> Ph; 585-5147 <br /> <br />By: MECHANICAL PERMIT MEOH, PERMIT NO: <br /> <br />Type of Permit; <br /> <br />( ) Will Call for inspection <br /> <br />DATE; <br /> <br />Application is made for: ( <br /> ( <br /> <br />BTU input Floor area <br />Vent Size Fuel __ <br /> <br />COMMENTS: <br /> <br />Addition (') Gas Connection <br /> <br /> NO. FEE AMOUNT <br /> Base Price 10.00 <br /> Forced air furnace 100;00,0 BTU or less 6,00 <br /> Forced air furnace ova( ,!,,00,000 BTU 7,50 <br /> Floor Furnace 6,00 <br /> Suspende~, Heater ..... 6.0q, <br /> Wall Heater 6.00 <br /> F ocr Mounted Unit Heater 6,00 <br /> Heat Pump 6,00 <br /> Air Ha~!.!.,n..g Unit to' '10,000 cu, ft, 4.30 <br /> ,~!,r Handlln~ Unit over 10 000 cu. ft. 7.50 <br /> Evaporative Cooler 4.50 <br /> Exhaust System Co~.marc'i~'i ....... 4,50 , <br /> Hood and Exhaust Commercial 4.50 <br /> Domestic Rankle Hoods 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 ...................... ~,00 <br /> Gas Water Heater. 7.50 <br />Gas Connection w/o Appliance (1-4 '~ach) 2,00 <br />Over 4- $8.00 plus es, addnJ. , ...... ,50 <br />Appliance or accessory to any heating or <br />Comfort cooling sys!e,rr),,..not covered 4.5~, <br />Other (as per Mechanical Code): ....... <br /> FEE $ <br />Please return COMPLETE APPLICATION <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 registered contractor. <br />( ) I am performing work on a property I own or occupy. · <br />( ) Other (please specify) <br /> <br />SIGNATURE OF APPLICANT: ....... BLDRS BOARD REGISTRATION # <br /> <br /> <br />