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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 <br /> <br />( ) Will call for inspection <br /> <br />BLDG. PERMIT NO: <br /> <br />MECH. PERMIT NO: <br /> <br /> °ATE: <br /> <br />Phone: Address: <br /> <br />Application is made for: <br /> <br />Appliance <br /> <br />Make <br /> <br />BTU input <br />Vent Size <br /> <br />COMMENTS: <br /> <br />( ) New Installation ) Replacement <br />( ) Addition ) Gas Connection <br /> <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 ~ <br /> <br />Floor area <br /> <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 per[ormed by a registered contractor~ <br />( ) I am performing work on a property I Own or occupy. <br />( ) Other <br /> <br />SIGNATURE OF REGISTRATI, <br /> <br /> <br />