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Mechanical Permit Application MARION COUNTY Mechanical Permit Application
<br /> DEPT. OF BUILDING INSPECTION
<br /> senator Building # 225
<br />Appl. Recd: .,, .~ 220 High St., N.E. 2nd Floor Bldg. Permit NO,r
<br /> / '~ ~/'~J~r-~.g/ 'C~ Salem. Oregon 97301
<br /> R.H, WlTHROW, BLDG. ADMINISTRATOR Mechanical Permit No ....... 412
<br />By:: (]'" ~ / ~'~ ' k -~ , ~ 5~5147 -- 588-51~
<br /> -- 5:00 P,M.- ............ CO E-A-Phooa ............. 5:00 A,,M,,
<br /> Date::
<br /> 3/17/83
<br />
<br /> Sec~ Twnshp.__Rge
<br />Owner:: *~ SyJ~ ${~Phone: Address:..
<br />IBIdr. & No.: Phone: Address: _
<br />
<br />Plans by: Phone: Address:
<br />
<br /> [] New Installation
<br />Application is made for: ~ Addition
<br />
<br /> Appliance b/j~)O c~
<br /> Make o v
<br /> BTU Input, Floor Area.--~__--
<br /> Vent Size Fuel
<br />
<br />Comments:,
<br />
<br />[] Replacement
<br />[] Gas Connection
<br />
<br />ITEM NO FEE e, MOUN't
<br />For Issuanee of Permit 10.00
<br />New i~statt. Ls 10.00,000'r~TU ..... 604
<br />Replacement Ls 100,000 BTU 6,00
<br />New Install, More 100,000 BTU 7.50
<br />Replacement More 1,0,0,000 BTU 6.00
<br />New Install. Floor Furnace 6,00 .....
<br />Rep.!,acement Floor Fu, rnace 6,00
<br />New Ins/~all. Suspended Heater 6.00
<br />Replacement..Suspended Heater 6,00 ......
<br />New Install. Wall Heater 6,,qQ
<br />ReR.lacement Wall Heater 6,,00
<br />New Floor Mounted Unit Heater 6,,00
<br />,,Replace Floor Mounted Unit Has,tar 6,,00 ....
<br />Boller/Compr. 3 bp, 100,00.0 BTU 6,,00
<br />Boiler/Compr, i5 hp, 500,000 BTU 11 ,,00
<br />BoilerlCompr. 30 hp, 1,000 000 BTU., 15.00
<br />BeilerlCompr. 50 hp, 1.750,000 BTU., 22,50
<br />Soile~'!Compr. over 50 hp 1 750.000 BTU 37,50
<br />Air Handl!,,.ng Unit to 10,,000 ou. it. 4.50
<br />Air Hand!!ng Unit over ~0,000 cu. ft,,, 750
<br />Evaporative Cooler 4.50
<br />Exhaust ~ystem Commercial "4'50
<br />Hood and Exhaust C'0mmerciai' 4.50 ' '
<br />Domestic Type Incinerat? & Wood S!ovee ......... 750 //. ~
<br />Commercial or Industrial Incinerator 30.00
<br />Gas C;onneci'i~n Without Appliance (~ to 4 each) 2.00
<br />Over 4- ~6.Q0 P us Each Additlqn~l ~n ......
<br />Appliance or"A~cessory to An~,'heAtlng or
<br />Comfort Coolin~ System ....... Not Covered Above 4,50
<br />
<br /> , rp ~ FEE
<br /> Approved Byr'?, ~ ~. ~ ~ ~ ~'~ ~ . SURCHARGE ,..
<br />
<br /> I agree to install 8ccording to the_~ed pla~s and ~peclfications, the laws of thel~te of Oregon and the Ordnances of
<br /> Mar~on County Per. it ~ ~~enced wlthi. 120 days I further expre~l~arr~t ~ha{ ~ ¢~ withe provi-
<br /> sions of ORS 701005 td"7~b~e.
<br />~ The work will be performed by a registe~d contractor,
<br />( ) I am performing work on a property~n Or occupy~ ~~ :,
<br /> ( ) Other (please specify) I/I ,U 11.
<br /> SIGNATURE OF APPLICANT" ~/~,
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