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{ . ) Ready for inspe~tlo~ <br /> <br />Date; <br /> <br /> Do[tie <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> 220 High SI, NE <br /> <br /> MECHANICAL PERMIT <br /> <br />SLDG PERMIT NO ,, <br /> <br /> 85-30 <br />MEOH, PERMIT NO: <br /> <br /> ,1/7/85 <br /> DATE: <br /> <br />Type of Permit:: I~/,E-~-~'¢ ~/~, <br /> <br />Address;: ~-¢ ~,.~ <br /> <br />Installer: ~--.OLF:"~"~ ~¢' t£ ~.~._e.- <br /> <br />Phone', ~-'~$-~- Address:: <br />Phone: ~?c/--V~'-~ / .... Address: <br /> <br />Application is made for:: <br /> <br />( ~"'New Installation ( ) Replacement <br />( ) Addition ( ) Gas Connection <br /> <br />Appliance ~//v' <br /> <br />Make ¢~ ~,,,,,~ 0 <br /> <br />Vent Size ~ <br /> <br />COMMENTS:: <br /> <br /> xb <br /> <br /> ITEM NO FEE AMOUNT <br /> Base ,Price, 10,00 <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 ,7,60 <br />New Install Floor Furnace 600 j <br />Re. placement Ftc.or Furnace 6.00 ' <br />New Install Suspended Heater 600 ~ o.c, <br />Replacement Suspended Heater 6.00 <br />N~,W Install Wall Heater, 6,00 <br />Replacement Wall He. ater 6.00 <br />Ne,W Floor Mounted Unit Heater .... 6,00 <br />Replace Floor Mounted Unit Hea~er 6.00 <br />Boiler/Compr. 3 hp 100~00o BTU 6.00 , , <br />B¢ler/Oompr 15 hP 500,000 BTU !,1,o0 <br />Boiler/Comp,r, 30 hp 1~000~000 BTU, 15.00 <br />Boiler~,Compr, 50 bP 1,750~000 BTU 2250 <br />Boiler/Oompr, over ~0 hp 1,750,,000 BTU 37.50 <br />Air H,¢ndling Unit to 10,000, cu, ft 450 <br />,,.Air Handlin~ Unit over 10 000 cu, ft,, 7,50 <br />Evapora,~ive COoler 450 <br />Exhaust System Commercial 450 <br /> Hood and Exhaust Commercial 4,50 <br /> Domestic Incinerator & Wood Stove 760 <br /> Commercial or ,,!,ndustrial I,ncJnerator 30,00 <br /> Gas Connection w/o Appliance (1-4 each) 200 <br /> .... over 4 - $8.00 plus aa. addnl. .50 <br /> Appliance or Accessory to any heating or <br /> Comfort coolin~ system ,not covered, 4.50 <br /> 2U¢ <br /> TOTAL ~ <br /> <br />I agree to install according to the submitted plans and specifications, the taws 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 701.008 to 701.125 because: <br />( ~ I am a registered contractor or ( ) the authorized representative of a registered contractor, <br />( ) The work wilt be performed by a registered contractor,, <br />( ) I am performing work on a property I own or occupy. <br />( ) Other (p(ease spec{fy) <br /> <br />SIGNATURE OF APPLll ORS BOARD REGISTRATION <br /> <br /> <br />