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Cate:
<br />
<br /> Dot~ie
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<br /> MARION COUNTY
<br />DEPT, OF BUILDING INSPECTION
<br /> 220 High St, NE
<br /> Salem, Oregon 97301
<br /> Ph: 588-5147
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<br /> MECHANICAL PERMIT
<br />
<br />( ) Will call for Inspection
<br />
<br />BLDG, PERMIT NO:
<br />MECH. PERMIT NO: $~-1865
<br />DATE: 12/ILS/84
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<br />Type of Permit: wood stove in addn. to mobile home
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<br />Address:
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<br />8721 Little Roadt SE
<br />
<br />Owner: Geor~te ]~ttier
<br />
<br />Installer: same
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<br />AUmsEille
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<br />Phone: 769~5503 Address: ~1459 Star,on Road~ SE
<br />
<br />Phone: Address: ,
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<br />Application is made for:
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<br />Appliance
<br />
<br />Make
<br />
<br />BTU input
<br />
<br />Vent Size
<br />
<br />COMMENTS:
<br />
<br />( x ) New Installation ( ) Replacement
<br />( ) Addition ( ) Gas Connection
<br />
<br /> ITEM NO, FEE AMOUNT
<br />Base Price 10,00
<br />
<br />New or r.eplacement forced air
<br />furnace Is 100,000 BTU 6.00
<br />New or replacement forced air
<br />, furnace over 10,0.,000 BTU 7.50
<br />New Install Floor Furnace 6.00
<br />Replacement Floor Furnace 6.00
<br /> 6,00
<br />New In~tal] Suspended Hea. ter .....
<br />Rep acement Suspen,,~led Heater 6.00
<br />Nsw Install Wall Heater ..... 6.00
<br />R. eplacement Wall Heater 6,00
<br />New F,o.or Mounted Ucit Heater 6.00 '
<br />Replace Floor, Mounted Unit Heate. r 6.00
<br />Boi,l, er/Compr~ 3 hp 100.~000 BTU 6,00
<br />Bo er/Compr. 15 hp 500,000 BTU . 11,00
<br />B0iler/Compr. 30 hp ,1,000,000 EITU 15,00
<br />Bo er/Compr. 50 hp 1,750;000 BT,U 22,~50
<br />Bo er/Compr, over 50 h,P 1,750,000 BTU ,,, 37,50
<br />Air Handling,,,.Unit to 10,000 cu, ft.,, 4.50
<br />Air Handling Unit over 10~000 cu. ft ..... 7.50
<br />Evaporative Cooler 4.50 .....
<br />Exhaust System Commercial 4.50.,
<br />Hood and Exhsu$t Commer. cial 4.50
<br />Domest c I ncine,~,.t, pr & Wood Stove 7.50 ?,. ~0_
<br />Commero al or Industria,l,,,tncinerator .... 30.00
<br />GaS Connection w/o Appliance (1-4 each) ,, 2.00
<br />....... over 4 - $8.00 plus, ea. addnl. .50
<br />Appliance or Accessory to any heating or
<br />Comfort ,c. oolin¢l system not covered 4,50
<br /> FEE 17.50,,
<br /> 4% .?o
<br /> TO/AL
<br />
<br />Floor area --
<br /> Fuel
<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 work on a property I own or occupy.
<br />( ) Other (please specify)
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<br />;IGNATURE OF APPLICANT: BLDRS BOARD REGISTRATION #
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