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-B~L~G INSPECTION <br /> <br />~Y: ~/ ~,~g ~t0N C0U~CHANICAL PERMIT <br /> BUILDING <br /> <br />Type of Permit: ~ <br /> <br />BLDG. PERMIT NO: Odd <br /> <br />MECH. PERMIT NO: 0013 <br /> 2/26/86 <br /> DATE: <br /> <br />Address: ;, <br /> <br />Application is mede for; <br /> <br />Appliance <br /> <br />Make <br /> <br />New Installation [ ) Replacement <br />Addition ( j Gas Connection <br /> <br /> ....... FEE' UN <br /> Base Price 10.00 <br /> Forced air furnace 100,000 BTUor less 6,00 <br /> Forced elf furnace over 100,000 BTU 7.50 <br /> Floor Furnace 6.00 <br /> Suspended Heater 6,00 <br /> Wall Heater 6,00 <br /> Floor Mounted Unit Hea~er ,..; 6.00 <br /> Heat Pump :6;00' <br /> Air Handling Unit to 10,000 cu. ft. 4,50 <br /> Air Handling Unit over 10,000 cu, fl, 7~50 : <br /> Evaporative Cooler 4:50 <br /> Exhaust System Co,mmersial · 4.50 <br /> Hood and Exhaust Commercial 4,50 <br /> Domestic Range 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, .," ' 3.00 , <br /> Gas Water H~ater ......., .. 7,50;, <br /> over 4- $8.00 plus es, addnJ, <br /> Appliance or accessory to any heating or <br />Comfort cooling system not covered 4.50 <br />Please return COMPLETE APPLICATION . . <br />with the nd sated fee, PLAN REVIEW FEE <br />INvEs~rlGATION FEE $, <br />: ' FLEETSuRoHARGE ~ <br /> <br /> Fuel __ <br /> <br />COMMENTS: <br /> <br />BTU input <br />Vent Size <br /> <br />i agree to nstall according to the submitted plans and specifications, the laws of the Stare'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 Dy a registered contractor. <br />( ) I am performing work on s property I own or occupy. <br />( ) Other tplease specify) <br /> <br /> <br />