Laserfiche WebLink
Mechanical Permit Application <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H, WlTHROW, BLDG. ADMiNiSTRATOR <br />588-5147- 588-5148 <br />5:00 P.M.- ........... CODE-A-Phone 588-5373 ............ 8:00 A.M. <br /> <br /> Mechanical Permit Application <br /> <br /> Bldg. Permit NO. <br /> <br />Mechanical Permit No..~409 <br /> 2/23/$3 <br /> Date: Dottle <br /> <br />Type of Permit:, ~,(~g/C~(.~U/~. F&re ~q[ace ±t3..~ert Tax Lot NO: <br /> <br />Bldr. & NO.: Phone: Address:. <br /> <br />Plans by: Phone: Address: <br /> <br /> [] New Installation <br />Application is made for: [] Addition <br /> <br /> t <br /> BTUlnput/&~.B~b FloorArea //D& <br /> <br />Comments: <br /> <br />[] Replacement <br />[] Gas Connection <br /> <br />ITEM NO. FEE AMOUN1 <br />For Issuance of Permit 1000 <br />New Install. Ls 1000,000 BTU 6.00 <br />Replacement LS 100,000 BTU 6.00 <br />New Install. More 100,000 BTU 7.50 <br />Replaq~.m.~t..M.o.re 100,000 BTU 6.00 <br />New Install. Floor Furnace 6.00 <br />Replacement Floor Furnace 600 <br />New Install. Suspended Heater 6.00 <br />Re Iplacement Suspended Heater 600 <br />New install. Wall Heater 6.00 <br />Replacement Wall Heater 6.00 <br />New Floor Mounted Unit Heater 600 <br />Replace FIpor Mounted Unit Heater 6.00 <br />Boiler/Compr. 3 hp, 100,000 BTU 600 <br />Boller/Compr. 15 bp, 500,000 BTU 11.00 <br />Boiler/Compr. 30 bp, 1,000.~.g0.0 ~,TU ' 15.~o <br />BoJlerlOompr. 50 hp, 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 10,000 cu. ft. 7.50 <br />Evaporative Cooler 4..50 <br />Exhaust System...Ce.mmercial 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Ty.p...e. Incinerator & Wood Stoves 7.50 ~,,~'¢ <br />Commercial or Industrial Incinerator 3Q.00 <br />Gas Connection Without Appliance (1 to 4 each) 2.00 <br />Over ~, - $8,00 Plus Each Additional ,~[0 <br />Appliance or A~¢essory to A~y Heatln or <br />Comfort Cooling system Not Covered ~?bove 4,50 <br /> <br /> FEE <br />Approved By: ~ F ~---/~ ~~,.~..-~ SURCHARGE <br /> <br />Date: ........... ~2~--~,~ ~ ~ 19~ TOTAL <br /> <br />I agree to install according to the aubmlttedplan$ and specifications, the laws of the State of Oregon and the Ordinances of <br />Marion County. Permit expires/f work not commenced within 120 days I further expressly warrant that I comply w/th the prow. <br />·tons 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 /> <br />( ) Other (please specify) . <br />SIGNATURE OF APPLICANT: .......... /~ ~-t'/~'~, <br /> <br /> <br />