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New Const. <br /> <br />Altetatinna <br /> <br />Occupancy <br /> <br />Number of Stories <br /> <br /> Marion County nuildin9 Department <br /> W. K. Graber, Bldg. Administrator <br /> <br />APPLICATION FOR PERMIT FOR <br />HEATING SYSTEMS <br /> <br />Fee for Permit <br /> <br />Application is hereby made to <br /> <br />Location <br /> <br />Contester <br /> <br />1, Pennit shall bo obtained print to commenocment of installation. <br /> <br />Install without piping __ Install Complet~ ~ ~Yff ~ '~ ~ ~ <br />Rough in piping Replace__Repair ) Heating system per spealfieations given below: <br /> <br />Adth*ss ..... <br /> <br />Addxess Phon~~ <br /> <br />2. Permit shall be for all heating unit8 whioh are l~e standing c~r fixtures of the building. <br /> <br />3. Relocation, Replacements, Alterations, or changes to burners and duct work require permits. <br /> <br />4. All work to be concealed must be inspeotod before cover. <br /> <br />5. All installations to be done under Marion County Heating Code or Uniform Mechanical Code, Vol. II 1970 Edition. <br /> <br />Furnace Manufac~r] Name and Model Number of Fumaae <br /> <br />HEAT LOSS EACTORS (~of mulflpllaation with areas): <br />CONSTRUCTION BTU per Hour <br /> Glass and doors .......................................... ........... ............. 62 <br /> Wall, urdnmlatcd, frmne, stucco, brick veneer ................................................. 14 <br /> Wail, insulated, frame, stucco, brick veneer .................................................. 5 <br /> Cement block, bare, 8-la .............................................................. 34 <br /> Cement block, 84u. phstered .......................................................... $1 <br /> Ceiling, frame, unlnsulat~d ............................................................ 20 <br /> Ceiling, frame, insulated ................................... .......................... <br /> Roof, frame, without e~iling ........................................................... 35 <br /> Floo:s (crawl space) .... ~ ........................................................... 9 <br /> lnl~akage (per 1000 cubia feet of building volume) ............................... ............... 1200 <br /> If othe~ source of fa~tors is used~ give reference here. <br /> <br />Total Sq. Ft. Main Flon~ <br /> <br />Requi~ed BTU for Heat Loss <br /> <br />(Not less tha~ 20% ~eatet than total bldg. heat lOSS) <br /> <br />Top Floor Easement <br /> <br />TYPE OF MEAT: ~ / <br />a. Gas b. Oil- <br /> <br />f, Other <br /> <br />e- Elect. Cable . d. Elect. Ba,qe Ed, e. Elect. Eumaee <br />FLUE SIZE x VENT SIZE x <br /> <br />I agra* to install according to above speetfieatlons and the Heating Code of Marion COunty~ Oregon. <br /> <br />APPLICATION RECEIVED <br /> <br /> Applicant <br /> <br />APPROVED <br /> <br />PERMIT ISSUED <br /> <br /> <br />