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Mec, hanical Permit Application
<br /> · ~ DEPT. OF BUILDING INSPECTION
<br />~--~4~;:~ ~,~/~.~/..~ Senator Building, 225
<br />Appl. Recd::~ 220 High St., N.E. 2nd Floor Bldg. Permit No.
<br />.~ ] Salem, Oregon 97301
<br />By:: "'-'~¥',/-~ R.H. WITHROW, BLDG, ADMINISTRATOR Mechanical Permit NO,,
<br /> 6:00 P.M.- ........... COBE-^-Phone 666-6373 ............ :00 A.M.
<br />Date:
<br /> Date:
<br />
<br />Type of Permit: ~ ~'f ~'~['-- Tax Lot NO::
<br />Address: ~ ~'~-~<'~ /"BJ/--~-'~?~'c~x/~ ,?/~,' ~J'~xL~'.~ Sec. Twnshp,__
<br />
<br />Owner: /' , Phone:C~0 ~ -- ~w'~'/~E' '/~,~::~,'~
<br />Sldr. & No.: ~--~-~/,~"~ ~,~/,r..~' ~,~";~ Phone' /'~/ ~ ! 7-~ Address:,
<br />
<br />MARION COUNTY Mechanical Permit Application
<br />
<br />Plans by: Phone: Address:
<br />
<br />Application is made for: [] Addition
<br />
<br /> Appliance
<br /> Make ~,;~.
<br /> BTU Input.,,,~[~ ~ Floor Area
<br />
<br />New Installation [] Replacement
<br /> [] Gas Connection
<br />
<br /> Vent Size. Fuel ~--~
<br />Comments:,
<br />
<br /> ITEM NO. , FEE ~.MOUN1
<br /> For issuance Of Permit 10.00
<br /> New Install. Ls 1000,000 ~TU ........ 6.00
<br /> Replac,~ment Ls 100,000 BTU 600
<br /> New Install. More 100 000 BTU 7,,50
<br /> Repla(~ement More 100,000 BTU 6,00
<br /> New Insta!l. Floor Furnace .... 6:00
<br /> RePlaceme. pt, Floor Furnace .. 6,,00
<br /> New Install. Suspended Heater 6.00
<br /> Replacement Suspended Hea~?r 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 Floo[,Mounted Unit Heater 6.00
<br /> BoilerlCompr. 3 hp, 100 000 BTU 6.00
<br /> Bolle,r/Compr. 15 hp 500 000 BTU 11.00
<br /> Boller/Compr.,30 hp 1,000,Oq0 BTU 15.00
<br /> ,Boiler/Compr. ,~p hp 1,750,000 BTu 22,,50
<br />Boiler/Compr. ever 50 hp 1,750,000 BTU ., ,I 37,50
<br />Air HandliDg,Unit to 10 O0o cu" ft 4.50
<br />Air Handling Unit over 10 000 c.u. ft- 7.50
<br />Evaporative Cooler 4.50
<br />Exhaust System Com'rnercial .... 4.50
<br />Hood and Exhaust Commercla 4.50
<br />Dome.,atic Type Incinerator & Wo0,d §roves ' 7.50
<br />,., Commercial or Industr a Incinerator 30.00
<br />Gas Connection Without Appliance (1 to 4 each)
<br />Ov~r 4 - ~8.00 Plus Each Additional
<br />Appli~h'~'e or A~ce~so~y to Any Heating or '"
<br />Comfort Cooling ay.stern Not Covered Above 4.50
<br />
<br />I agree to install according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of
<br />Marion County,, Permit expires if work not commenced within 120 days I further expressly warrant that I comply with the prow-
<br />stons of ORS 701.005 to 701.125 because:
<br />( ) I am a registered contractor or ( ) the authorized representative of a registered contractor.
<br />( ) The work will be performed by a registered contractor.
<br />( ) I am performing work on a property I own or occupy
<br />( ) Other (p/ease specify)
<br />SIGNATURE OF APPLCANT ~/~,,~
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