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( ) Ready for inspection
<br />
<br />Date::
<br />By: PATTY
<br />
<br />DEI~T.
<br />
<br />Type of Permit:
<br />
<br />WOODSTOVE
<br />
<br /> d~ARION COUNTY
<br /> BUILDING INSPECTION
<br /> 220 High St. NE
<br /> Salem, Oregon 97301
<br /> Ph; 588-5147
<br />
<br />MECHANICAL PERMIT
<br />
<br />DATE::
<br />
<br />Address:
<br />
<br />12265 BELDEN MR SE AUMSVLIIE 97325
<br />
<br />Installer::
<br />
<br />JAMES JACKSON Phone:: 769-623 7 Address:: SAME
<br /> Phone:: Address::
<br />
<br />SELF
<br />
<br />Application is made for: ( ) New Installation ( ) Replacement
<br /> ( ) Addition ( ) Gas Connection
<br />
<br /> iTEM NO, FEE AMOUNT
<br />Base Price lQ,S0
<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 750
<br />New Install Floor Furnace 600
<br />Replacement Floor Furnace 6.00
<br />New Install Suspended Heater 600
<br />Replacement Suspended Heater 6,00
<br />New Install Wall Heater 6.00
<br />Replac~meQt Wall Heater 600
<br />New Floor Mounted Unit Heater 6,00
<br />Replace Floor Mounted Unit Heater 6,00
<br />Boiler/Compr. 3 hp 100,000 BTU 6,00
<br />Bo~ler/Compr. 15 hp 500,O.Q,q.,BTU .... 1100
<br />Boiler/Compr, 30 hp 1,000,000 BTU 15.00
<br />Boi, ler/,Compr. 50 hp 1JS0,000 ,BTU · 22,50
<br />Boiler/Compr. over ~0 hp 1,750,000 BTU 37.50
<br />Air Handling Unit to 10,000 cu,, ft, 4,50
<br />Air Handlln.q U. nit over 10~000 cu. ft 7,50
<br />Evaporative Cooler .......................... 450
<br />Exhaust Syste .m. ,,Commercial 4.50
<br />Hood and Exhaust Commercial 4.50
<br />Domestic Incinerator &Woo. c~,,,Stove 1 750 775
<br />Commercial or In,dUstrial Incinerator 30.00
<br />Gas Connection w/o Appliance (1-4 each) 200
<br />over 4..:.,~8.0,0" plus aa,, addnl, ,50 ~
<br />Appliance or Accessory to any heating or
<br />Comfort c..o,.o.,J,i.c,g ,system not covered 4,50
<br /> TOTAL 1R 9
<br />
<br />Appliance
<br />
<br />Make
<br />
<br />BTU input __ Floor area __
<br />
<br />Vent Size Fuel
<br />
<br />COMMENTS::
<br />
<br /> I agree to install a¢oording 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 performed by a registered contractor,,
<br /> ( ) I am performing workgJL~ property I own or occupy.
<br />' ()Other (please spe~/~// ~/.~
<br /> SIGNATURE OF APPLICANT~'~-~/~'~'~ ~ BLDRS BOARD REGISTRATION ~
<br />
<br />
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