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· ION COUN <br /> G iNSPE : HANICAL PERMIT <br /> <br />Installer: <br /> <br />MECH. PERMIT NO; ~~ <br /> <br />· Phone:' Address: <br /> <br />Application is made,,f~or: <br /> <br />New Installation ( ) Replacement <br />Addition ( ) Gas Connection <br /> <br />Make <br /> <br />BTU input Floor area_ <br /> <br />Vent Size Fuel __ <br /> <br />'l <br /> <br /> NO. FEE AMOUNT <br /> Base Price 10.00 <br /> Forced air furnace 100,000 BTU or less 6,00 <br /> Forced air furnace over 100,000 E~TU ........ 7,50 <br /> Floor Furnace 6.00 <br /> Suspended Heater 6.00 <br /> Wall Heater 6,00 <br /> Floor Mounted Unit'S'eater ......... 6,00 <br /> Heat Pump ....... 6,00 <br /> Air Handlin~ Unit to..10.000 cu, ft, 4,50 <br /> Air Handling Unit over ]0,000 cuft ..... 7.60 <br /> Evaporative Cooler 4,50 <br /> Exhaust S~/stem Com,mercial 4,50 <br /> Hood an,~.i,~xhaust Commercial ............. 4.50 <br /> Domestic Range Hoods ......... 4.50 <br /> Domestic Exhaust Fans & DP/er Vee,!,S '" 3.00 -. '"iiii' <br /> Domestic Wood Stove ,, I 7,50 ,,~,~ <br /> Commercial Or Industrial IncineratorI 30.00 <br /> ~ire Damper 3,00 <br /> Gas W.,~er Heater 7.50 <br /> Gas Connection w/o App ance (1£4 each) 2,00 <br /> = over 4- $~8.00 Plu~ ca, addn!:. .50 <br /> Appliance or accessory to any heating or <br /> Comfort cooling system not covered 4,50 <br /> Other (as per Mec~,anical Codel; /,, ~ <br /> FEE ~ <br />Please return COMPLETE APPLICATION 4% <br />with the indicated fee. PLAN REVIEW FEE $ <br />INVESTIGATION FEE ~ <br />FLEET SURCHARGE <br />TOTAL $.$.$.$.$.$.$.$.$.~ <br /> <br />I agree to install acoording 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 <br />that I comply 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 />(,t) The work will be performed by a registered contractor. <br />(V) I am performing work on a property I own or occupy. <br />( ) Other (please specify~ /) ,,,-"3 /'~,~ /~ <br /> <br /> <br />