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( ) Ready for inspection <br /> <br /> 11-1 '~-86 <br />Date', <br /> <br />By: ~A~ <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> 220 High. St. NE <br /> <br /> MECHANICAL PERMIT <br /> <br />MECH, PERMIT NO: <br /> <br />Type ~f Permit: <br />Address: 11123 sEA~F <br /> <br />Owner: RO-~E FA[~UER <br /> <br />Phone; 769-5214 Address: <br /> <br />Installer: <br /> <br />Application is made for: <br /> <br />Appliance <br />Make <br /> <br />NESTOR VAN HANDET~ ~(A~ONR_$hone; 769-2704 Address: 42~79 EINGSTON LTONS DR STAYTON <br /> 97383 <br /> <br /> ( ) New Installatiod ( ) Replacement <br /> ( ) Addition ( ) Gas Connection <br /> <br />BTU input Floor area <br />Vent Size Fuel <br /> <br /> NO. FEE AMOUNT <br />Sase Price 10.00 <br />Forced air furnace 100,000 BTU or less 6.00 <br />Forced air furnace over 100.000 BTU 7.50 <br />Floor Furnace 6.00 <br />Suspended Heater 6.00 <br />Wall Heater 6.00 <br />Floor Mounted Unit Heater ....................... 6.00 <br />Heat Pump 6.00 <br />Air Handling Unit to 10,000 cu. ft. 4.50 <br />Air Handling Unit over 10,000 cu. ft. 7.50 <br />Evaporative Cooler 4,50 <br />Exhaust System Commercial 4.50 <br />Hood end Exhaust Commercial 4.50 <br />, Domestic Rankle Hoods 4,50 <br />Domestic Exhaust Fans & Dryer Vents 3,00 <br />Domestic Wood Stove I 7.50 <br />Commercial or Industrial Incinerator 30,00 <br />Fire Damper 3.00 <br />Gas Water Heater 7.50 <br />Gas Connection w/o Appliance (1-4 each) 2.00 <br />over 4- $8.00 plus ea. addnl. .50 <br />Appliance or access'Dry to any heating or <br />Comfort coolleg system not covered 4.50 <br />Other (as per Mechanical Code): <br /> FEE $ <br /> <br />Please return COMPLETE APPLICATION 4% <br />with the indicated fee. PLAN REVIEW FEE $ <br /> ,NVEST,GAT,ON FEE' <br /> FLEET SURCHARGE <br /> TOTAL $ <br /> <br />;OMMENTS: <br /> <br />I agree to install according to the submitted plans and specifications, the laws of the State of Oregon and the <br />Ordinances of Marion County, PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS. I furtherwarrant <br />that I comply with the provisions of ORS 701.005 to 701,125 because: <br /> <br />( ) I am a registered contractor or ( ) the authorized representative of a registered contractor, <br />( ) The work wJlJ be performed by a registered contractor. <br />( ) I am performing work on a property I own or occupy. <br />, , Other (please speci~.~/~ _ .~g.~ (1 .~/'~ <br />SIGNATURE OF APPLICANT: ~,y ~jg.,.E~,t.~-~ ~ REGISTRATION # <br /> <br /> <br />