Laserfiche WebLink
Mechanical Permit Application <br />Appl. Recd~ <br />By: ~/-'~ <br />Date: '~/'-o~-'~/~'~ 5:00 P.M.- ............ CODE-A-Phone 588.5373-.,.-=----=8:00 A.M. <br /> <br />MARION COUNTY <br />DEPT. OF BUILDING iNSPECTION <br />Senator Building # 225 <br />220 High St., N.E. 2nd Floor BIdg. Permit No. <br />Salem, Oregon 97301 <br />R.H. WlTHROW, BLDG. ADMINISTRATOR Mechanical Permit No. <br />568-5147 -- 588-5148 . <br /> Date: <br /> <br />Mechanical Permit Application <br /> <br />504 <br />514183 <br />Dottie <br /> <br />Type of Permit: ~,~-.~ ~,-~-~-- -~'~-~,~' Tax Lot No: <br /> <br />Address: <br />Owner: ~ ~~ Phone~: Address:,.. <br /> <br />Bldr. & No.: ~.~ ~-.2 Phone:, Address: <br /> <br />Rge. <br /> <br />Plans by: Phone: Address: <br /> <br />Application is made for: <br /> <br /> [~'~ ew Installation <br /> [] Addition <br /> <br />Appliance .. <br />Make <br />BTU i~l:)u~ Floor Area <br />Vent SIze Fuel ' <br /> <br />Comments: <br /> <br />[] Replacement <br />[] Gas Connection · <br /> <br /> ITEM NO- FEE AMOUN1 <br /> i For ]$S..ance Of Permit 10.00 <br /> New Instalh Ls 1000,000 BTU 6.00 <br /> Replacement LS 100,000 BTU 6.00 <br /> New Install. More 100,000 BTU 7.50 <br /> Replacement More 100,000 BTU 6.00 <br /> New Install. Floor Furnace 6.00 <br /> Replacement Floor Fumase 6.00 <br /> New Install. Suspended Heater 6.00 <br /> Replacement Suspended Heater ............... 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 Floor Mounted Unit Heater 6.00 <br /> IBoi!~r/~omPr~ 3 ~P, 100,000 BTU 6.00 <br /> , Boiler/Compr. 15 hP, 500.000 BTU 11,00 <br /> Boiler/Compr. 30hp, 1,000,000 BTU 15.00 <br /> Soiler/Compr. 50 hpl 1,750;000 BTU 22.50 <br /> $oiler/Compr. ove~ 50 hp, 1,750,000 I~TU 37.50 <br /> Air Handlin0 Unit to 10,000 cu. ft. <br /> Air Handling Unit over 10,000 cu. ft. "~7.50 <br /> ::'Evaporative cooter 4.50 <br /> .~ ~x~U~t System commercial 4.50 <br />Hood and Exhaust Commercial ~.50: <br />' Domestic Type Incinerator & Wo~',~",Stoves_,, <br /> 7.50 <br />Commercial or Industrial Incinerator 30.00 <br />Gee Connection Without Appliance (1 to4 e.~.c.h.) 2.00 <br />Ove~ 4- $8.00 Plus Each Additional .50 <br />....... Com,fort CoolJn~ System Not ~Yovered ~A~ove 4.50 <br /> <br /> , FEE <br />Approved Ry- ~ C_..~,~,~,.~p,_.__ SURCHARG <br />Date: ' <br /> . ............. 19. TOTAL $ <br /> <br />sionsMari°nofC°untY'ORS 701,005Perm/t'expiresto 701.1251fw°rkbeca~e:n°t commenced w/thin 120 dsys. I further expres~h~ ~l~it~ <br />( ) The work will be performed ~) ~iste~d c~ntr~M~/ / / '"" <br /> <br />( ) Other (please spec/fy) <br /> ' ~ ~~ "Gu~LDiNG INSPECTION <br />81GNATURE OF APPLICANT: ~/~-' ~ v F ~ ~v <br /> <br /> <br />