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Date: /.':~ <br /> <br />By: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> 220 High SL NE <br /> Salem, Oregon 97301 . ~ <br /> Ph: $88-5147 <br /> MECHANICAL PERMIT <br /> <br />Type of Permit; ~- ~- ~ .~'~'~-~' <br />Address: ,.~- z~-~ ~_ ~_,~_~ .j ~, ~- <br /> <br />Phone; ,, , Address: <br /> <br />Phone~o~''- ~' J ~',P-- Address: <br /> <br />BLDG. PERMIT NO: <br /> <br />MECH. PERMIT NO: <br /> <br />DAT~: <br /> <br />Odd <br />0008 <br />11-15-85 <br /> <br />Application is made for: <br /> <br />Appliance <br />Make, <br />BTU input <br />, Vent Size <br /> <br />( ) New InstaNatlon Replacement <br />( ) Addition . Gas Connection <br /> <br /> iTEM NO. FEE AMOUNT <br /> <br /> Base Price lq. O0 <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 />R_epiaoement Floor Furnace 6.00 <br />New Install Suspended Heater 6.00 <br />ReplaCement Suspended Heater 6.00 <br />New Install Wall Heater 6,00 <br />Replacement Well Heater ,. 6,00 <br />! N;ew Floor Mounted UnJt Heater, 6.00 <br />I R.~place FIq0r Mounted Unit Heater I, 6.,00 <br />Boiler/C0mpr. 3 hp 100~000 BTU ,, I 6.00 <br />! Boiler/Compr. 15 hp 500~000 BTU lt.,00 <br />Boiler/Compr, 30,,bp 1 ~000~000 ~TU 15,00 <br />I B.0.iler/C~mpr' 50 hp 1,750,0Q0 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 Hand. lin~i Unit oveflO,000 Cu. ft. 7.50 <br />_Evaporative Cooler 4.50 <br />Exhaust SyStem Commercial 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Incinerator & WOOd Stove 7,50 <br />Commercial o,r Industria nc, lnerator 30,00 <br />GaS Connection w/o Appliance (1~4 each) 2,00 <br />over 4 - $8.00 plus ea. addnh .50 <br />AppJlance or Accessory to any heating or <br />Comfort coolic.q system not coyered 4.6.g <br /> FEE <br /> TOTAL / <br /> <br />F~oor 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 performed by a registered contractor, <br />( ) I am performing work On a property I own or occu <br />( ) Other (please specify) <br /> <br />SIGNATURE OF APPLI( BOARD REGISTRATION # _ <br /> <br /> <br />