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Mechanical Permit Application MARION COUNTY Mechanical Permit Application
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<br />DEPT. OF BUILDING INSPECTION
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<br />~,~/~_ ,~Y ~ Senator Bfiilding # 225
<br />Appl. R'ecd --=,~, 220 High St., N.E. 2nd Floor $1dg. Permit NO.
<br /> ,~ / ~' Salem. Oregon 97301
<br />By: /~-c...~ R.H. WITHROW, BLDG. ADMINISTRATOR Mechanical Permit NO.
<br /> 588-5147 -- 588-5148
<br />Date: /_~_ -..=D_? ,-~ .~ 5:00 P.M.- ............ OODE-A-Phone 588-5373 ............. 8:00 A.M. Date:
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<br />Owner:. ~ -- PhoNe:
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<br /> Odd
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<br />17
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<br />1/5/82
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<br /> Sac. Twnshp.__Rge.
<br />Address:
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<br />Bldr. & NO.: Phone: Address:
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<br />PI,ans by: Phone: Address:
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<br />Application is made for:
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<br /> Appliance
<br /> Make ,
<br /> BTU Input,
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<br /> · Vent Size
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<br />Comments:
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<br />[] New Installation
<br />[] Addition
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<br />Floor Area
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<br />Fuel ' ,
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<br />[] Replacement
<br />[] Gas Connection
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<br /> · iTEM NO. FEE AMOUNT,
<br /> For Issuance of Permit 10.00
<br /> New Install. Ls 1000,000 BTU 6.00
<br /> Replacement Lsl00 0~0.BTU 8.00
<br /> New Insta More 100,000 BTU 7.50
<br /> Replacemer~t More 100,000 BTU 6.00
<br /> New install· Floor Furnace · 6.00
<br /> Replacement Floor Furnace 6.00
<br /> New Instal! ,Suspended Heater ,6.00 '
<br />· .R, eplacement Suspended Heater 6.00
<br />New Install, Wall Heater 5.00
<br />ReplaCement Wall Heater. 6.00
<br />New Floor Mounted Unit Heater 6.00
<br />, Replace Fl?or Mounted Unit Heater 6.00
<br />Boiler/Compr. 3 hp, 100,000 BTU 6.00
<br />BollerlCompr. 15 hp, 500 000 BTU 11.00
<br />Boiler/Co,pr. 3(~ hp, 1,000,000 BTU 15.00,
<br />Boller/Comp. r. 50 hp; 1,750,000 BTU 22.50
<br />Boiler Compr over 50 bp, 1,750,090 ~,TU 37.50
<br />Air Handling Unit to 10,000 cu. ft. 4.'50
<br />Air Handling Unit over 10,000 cu, ft. 7.5,0
<br /> · Evaporative Cooler : ' . , I 4.50
<br /> Exh .auSt System~D0mm~rcial . ,4.50
<br /> Hood and Exhaust C~pmmercial 4,50
<br /> Domestic Type Incinerator & Wood Stoves 7.50 ~,,~..~
<br />, Commercial or Industrial, Incinerator, 30.00
<br /> ,'Gas Connection Without ,~ppliance (1 to 4 each) 2.00
<br /> · Over 4. $~;00 Plus Each Additional .§0
<br /> Comfort Cootin~ System Not Covered,~,~ove 4.50
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<br />Approved By:
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<br />/ agree to Insta//according to the submittedp/ans andspecificatiohs, the/aw~ of the State ofOrego~ andthe Ordinances of
<br />Marion County, Permit expires if work not commenced Within 120 days, I further expressly warrant that /~omp/y with the provi-
<br />sions of ORS 701.005 to 701.!25because:
<br />( ) I am a registered contracto~ or( ) theauthorized representative of a registered contractor.
<br />( ) The work will be performed:by a registered contractor·
<br />( ) I am performing work on a prope~y I own or occupy
<br />( ) Other (p/ease specify) _~ /
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