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Reedy for inspection <br /> <br />Date: <br /> <br />By: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />220 High st. NE <br /> Salem, Oreson 97301 <br /> Ph: 588-5147 <br /> MECHANICAL PERMIT <br /> <br />Type of Permit: (~,-~ ~ ,~ <br />AddresS: g ~:~,.-.'~- /J/. ~ ~ <br /> <br />Installer: <br /> <br />C~'ty of ~t=naville <br /> <br />BLDG. PERMIT NO: <br /> <br />MECH, PERMIT NO: __ <br /> <br />DATE: <br /> <br /> 54O <br /> <br />Dottle <br /> <br />Phone: ~74/~./'/,~;~. o Address: <br /> <br />Phone: Address: <br /> <br /> / <br />Application Is made for: (~/) New Installation ( ) Replacement <br /> ~ ) Addition , ) Gas CoQnection <br /> <br /> ITEM NO. FEE AMOUNT <br /> Base Price 10.00 <br /> New or replacement forced air <br /> furnace Is 100,000 BTU 6.00 <br /> New or replacement forced air <br /> furnace over 100,000 BTU 7.50 <br /> New Install .F. Ioor Furnace 6.00 <br /> Replacement Floor Furnace 6.00 <br /> New Install Suspended Heater. 6.00 <br /> Replacement Suspended Heater ..... 6.00 <br /> New Install Wall Heater 6.00 <br /> Replace...m..ent Wall Heater . 6.00 <br /> New Floor Mou.nted Unit Heater 6.00 <br /> R~place Floor Mounted Unit Heater .6.00 <br /> Boiler/Compr.. 3 ..h.p 100~000 BTU .. 6.00 <br /> Bofler/Compr. 15 hp 500,000 BTU · 11..0p <br /> Boiler/Compr. 30 hp. 1~000,000 BTU 15.00 <br /> Boiler/C.qmpr. 50 hp 1,750,000 BTL~.. 22.~0 <br /> Boiter/Compr. over 50 .hp 1,760,000 BTU 37.50 <br /> Air Handlln~l Unit to 10 000 cu. ft. 4.~0 <br /> Air Handling Unit eve? 10,pO0 cu. ft. 7.50 <br /> Evaporative Ceo. let .. 4.50 <br /> Exhaust System Commercial 4.50 <br /> Hood anc[ Exhaust Commerc a .... 4.50 <br /> Domestic Incinerato.r & Wood Stove . 7.50 ~.~.:5'~ <br /> CommerciaJ or Industrial Incinerator . 30.00 <br /> Gas Connection w/o Appliance (1-4 each) 2.00 <br /> over 4 - $8.00.plus ea. addnh .50 <br /> Appliance or Accessory to any heating or <br />.. Comfort coolin~ syste..m, not covered 4.5~ <br />TOTAL ~ <br /> <br />Appliance <br /> <br />Make <br /> <br />BTU input Floor area _ <br />Vent Bize Fuel <br /> <br />COMMENTB: <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 that I comply <br />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 w~rk on a property I own or occupy. ' <br />( ) Other (please spe{;jfy) <br />S GNATURE OF APPL CANT .,~3~"~,~/ <br /> ' . 11"' . .... BLDRS BOARD REGISTRATION # __ <br /> <br /> <br />