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IFOR CITY VALIDATION <br /> Re~eiv~i by: <br /> Date: ,,, <br /> <br />~Please yomplete ~1, ~tlons, I through 5 <br /> 1. LOCATION O~ ~LA~ON <br /> <br /> lob A~ ~' <br /> <br /> ~y ~ <br /> <br />COMM~ITY DEVeLOPMeNT CE~R P~RM~ NO: ~ <br />285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />Issued by; <br /> <br />24 Hr Inspc~tlon L/n~ 5118-7904 <br />Offic~ 5118-514'/ ~:~ a.m. - 4:30 p.m. <br />F~: ~8-~ <br /> <br /> 4. ~E SCH~ (~lnpl~ and ent~ ~1 ~ A1 below) <br /> <br /> ~D~I~ ~ COMM~RCI~ ~ <br /> U~ OF ~RUCT~: <br /> <br /> GAS O or ~C~IC ~ <br /> <br /> B~E F~E $1~ <br /> <br />[I~R.MiT~ ~ NON-TRAN~FI!Y. ABL~ AND ~EtRti I~ WORK IS NOT <br /> ~TARTFeD WITHIN 180 DAYS OF I~SUANC~ OR IF ' <br /> WORK I$ SUSPENDED FOR 180 DAY~. <br /> <br />CONTRACTOR IiNSTALLATION ONL~ <br /> <br />I 1ob No. <br /> <br />211. FOR OWlqltR I~$TALLATIONS <br />Property Owner (plea~ prlnt)i ~ ' ~ "'"~ ' <br /> <br />Agmt'~ 8~tm: ' / <br /> <br /> 3. PLANP,.BVItlW SI~CTION <br />Marion County does not .requirq a pl~ review. I <br />I We will provide plan review service if you complete <br />I <br />Section 5B and submit two (2) sets of plans and <br />[ specifications with this application , <br /> <br />MC 15~ I <br /> <br /> FO~.CED AIR <br /> up to 100,000 BTU <br /> ov~ 100,000 BTU <br /> <br /> Floor Furnace $ 6.00 <br /> Suspended H~at~ <br /> Wall Heater $ 6.00 <br /> l~oor Moup~d 14~atef ,,. $ 6,00 <br /> <br /> m~nT rUMP <br /> under 3 Ton $ 6,50 <br /> 3 TOn/md up $ l 1.00 <br /> <br /> AIR CONDITIONER <br /> unde;r 3 To~ <br /> 3Tonand up $11.00 <br /> <br /> ~v&povatiYeCoot~r $ <br /> Connncr~ial Eadmnat <br /> Commercial Hood elld Exhaust ...... $ 4,50 <br /> Domestic ttang~ Hood $ 4.50 <br /> <br /> *nd Dryer Vents ~ $ 3.00 <br />~irephee <br /> <br /> Gas Barb~qu~ $ 7,~0 <br /> <br /> GAS PIPING SYISTiIM <br /> 14 outl¢~ (per outlet) $ 2,00 <br /> 4 and up oufle~ (~r outl~0 $ 30 .... <br /> <br />~H~ (as ~qui~ by ~MI&~ O~i~D <br /> <br />5, <br /> <br /> ~, A~ 5% s~ha~c (.05 x Al) $ ~ <br /> ~bt~al <br /> <br /> <br />