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, , ,. Code-A-Phone: 588-7904 -.%,///~ -w S/0, "' ~ <br />MECHANICAL PERMIT APPHCATION } ~: ~s~-~ O~e' /~. , <br /> <br /> ,, I I~ued by: q~, <br /> <br />LOCATION OF INSTALLATION <br /> <br />Directions <br /> <br />PERMITS ARE NON-'tRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WOP. K. IS NOT ST,~tl.'Pf~D WIT~IIIq 180 DA¥~ el~ ISSUANCE <br />OR IF WORK 1S SUSPENDED FOR. 180 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor <br /> <br />Phone <br /> <br />Mailing Address <br /> <br />JPhone <br /> <br />Contracto fS Board ReS, No, J Job No. <br />Conirac%or'~ Signatur~ <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />We~. provide plan review service if you complete Section <br />5B and submit two (2) sets &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 required <br />by tl~e Oregon Structural Specialty Code, Chapter 53. <br /> <br />MC' <br />Rev. ~v,/94 <br /> <br /> RESIDENTIAL [] COIvl/v~RCIAL <br />~ o~ m~.~:/~p,. ;~ 51.9. .- ,&, N,~ ~ ~u ~ <br /> <br />GAS ~or ELECTRIC <br /> <br />Forced Air !hirnace <br />100,000 BTU or less <br />Over 100,000 BTU <br /> <br />NO, X FEE - SUM <br /> $10,00 <br /> <br /> / g~,00 d..~ <br /> <br />-- $ 7.50 <br /> <br />Floor l~nlac¢ $ 6,00 <br />Suspended Heater __ $ 6.00 <br />Wall Heater __ $ 6,00 <br />l~loor Mo/retail Ul~iI Iloatet $ fi,O0 <br /> <br />Heat Primp [] / Air Conditioner [] <br />Up to3Ton __ $6.00 <br />3 Ton to 15 Ton $11,00 <br />I~vaporative Cooler $ 4.50 <br />Exhaust System, Commercial ., $ <br />Hood and ~hausL Commercial $ 4,50 <br /> <br />Domestie Range Hood __ $ 4.50 <br />Domestic Exhaust Fens <br />and Dryer Vents __ $ 3.00 <br />Fire Damper $ 3,00 <br />Wood Stove __ $ 7,50 <br />FumaceDucts(Aheration, Extensinn) __ $4.50 <br /> <br />Commercial or Industrial Lucineratot $30.00 <br /> <br />Gas Water Hcatar (relocation <br />or replacement) ~ $ 7.50 <br />Gas Com~ectton <br />--per outlet, up to 4 tt $ 2.00 <br />--over 4, $8.00 plus ea. <br />additional $ ,50 <br /> <br />For tb, e Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not included in en <br /> Applience pennit. <br /> <br />Other (a~ required by Building Official) <br /> <br />__ $ 3.00 <br /> <br /> <br />