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Received by: <br />IDate: - <br /> <br />MECHANICAL PE~MIIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />i. LOCATION OF INSTALLATION <br /> <br />/PEI~-Mi'I'S AKI~ NON-TRAN S~IL~, BLB AND NON-I~EFU~DABLE AND <br /> EXPIRB IF WOKK IS NOT STARTED W1THIN Iff0 DAYS OF ISSUANCI~ <br /> OR IF WORK I$ SUSPENDED FOR 180 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br /> 2B, FOR OWNER INSTALLATIONS <br />Property Owner <br /> <br />MailinS Address I~aon¢ <br /> <br />City/StalefZip <br /> <br />'l~e iestallation is being made ou property I own Which is aot intended for sale, <br /> <br />PLAN RE, ViEW SECTION <br /> <br />FAX: 588-7948 <br /> <br />RESIDENTIAL ~ COMMERCIAL <br /> <br />~ SE OF STRUGruIE~; <br /> <br /> NO, X FEE <br /> <br />BASE FEE <br /> <br />Forced Alt lqLn~ace / $ 6.00 <br />100,000 BTU or les~ <br />Over 100,000 BTU -- $ 7.50 <br /> <br />Floor Fu~ace __ $ 6-00 <br />Suspecaded Heater $ 6,00 <br />Wall Heater __ $ 6,00 <br />Floor Mountod Unit Heater __ $ 6.00 <br /> <br />Heat Pump or Air Condition~ <br /> Up to 3 Ton <br /> 3 Ton to 15 Ton <br />Evaporative Cooler <br />F. xhaust System. Co~mercial <br />Hood and Exhaust, Commercial <br /> <br />-- $ 6.00 <br /> $11,00 <br /> $4.50 <br /> $4.50 <br /> ... $4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans ~ <br />and Dryer Veats __ $ 3.00 <br />Fire Daml~r __ $ 3.00 <br />Wood Stove $ 7.50 <br />Furnace Dacts (Alteration, Extension) ~ $ 7.50 <br /> <br />Comraercial or Industrial Incinerator $30.00 __ <br /> <br />Gas Water Heater (relocation <br />or replaeeanant) ] $ 7.50 <br />Gas Conaection w/o Appliance <br />--per outlet, up to 4 ~ $ 2,00 <br />--over 4. $8.00 plus ca, <br /> <br />For the Installation, Relocation <br /> or R~placeme~t of ea. Appliance <br /> Vent not included in an <br /> Appliance permit, <br /> <br />Other (as required by Building Official) <br /> <br />$ 3.00 <br /> <br />$10,00 <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) set~ of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of plans, and specifications when requ~d <br />by the Oregon Struetaral Specialty Code, Chapter 53. <br /> <br />tev, 2/92 <br /> <br /> <br />