Ready for Inspaction
<br />
<br /> MARION COUNTY
<br />DEPT. OF BUILDING INSPECTION
<br /> 22S High at. NE
<br /> ,Salem, Oregon 97301
<br /> Ph: 58S-$147
<br /> MECHANICAL PERMIT
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<br />( ) Will call for inspection
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<br />BLDG. PERMIT NO:
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<br />MECH. PERMIT NO:
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<br /> °ATE:
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<br />Phone: Address:
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<br />Application is made for:
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<br />Appliance
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<br />Make
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<br />BTU input
<br />Vent Size
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<br />COMMENTS:
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<br />( ) New Installation ) Replacement
<br />( ) Addition ) Gas Connection
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<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 Floor Furnace 6.00
<br />Replac~r0pe!.,,[:l~0r" Furnace 6.00 , ........
<br />New Install Suspended Heater 6,00
<br />Rep.,la,q,ffmg,pt ,S,~spended Heater 6.00
<br />New Install Wall Heater 6.00
<br />Replacement Wall Heater 6.00
<br />New Floor Mounted Unit Heater 6.00
<br />Replace Floor Mountf~d ,Unit, Heater 6.00
<br />B. oil,~r/.,~p,mp,~, 3 hp 160,000 BTU 6.00
<br />Boiler/Corn, pr, 15 hp 500,000 BTU · 11.00
<br />Boiler/Compr, 30 hP 1~000~000 BTU ................... 15,00
<br />Boiler/Compr, 5q..,h.,p 1~750~000 BTU 22,50
<br />Boiler/Compr. over 50 hp 1,750,000 BTU 37,50
<br />Air Handling Unit to 10,000 cu. ft. 4.50
<br />Air Handling Unit over 10,0,0p cu. ft. 7,~0
<br />Evaporative Cooler ,, 4.50
<br />Exhaust System Commercial ~ 4.50
<br />Hood ~pcl Exhaust Commercial 4.50
<br />Domestic Incinerator &.,.,Wood Stove j ~,5~ ~
<br />Commercial or Industrial Incinerator 30,00
<br />Gas Connection W/o Appliance (1-4 each) 2.00
<br />over 4 - $.8...,0.0,.1~!~s ea. addel. .50
<br />Appliance or Accessory to any heating or
<br />Comfort coolin~ system not covered 4.50
<br /> FEE
<br /> TOTAL ~
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<br />Floor area
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<br /> Fuel __
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<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:
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<br />( ) i am a registered contractor or ( ) the authorized representative of a registered contractor,
<br />( ) The work will be per[ormed by a registered contractor~
<br />( ) I am performing work on a property I Own or occupy.
<br />( ) Other
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<br />SIGNATURE OF REGISTRATI,
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