{ . ) Ready for inspe~tlo~
<br />
<br />Date;
<br />
<br /> Do[tie
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<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
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