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Received <br /> <br />M&BI~N~LINTY BUILDING INSPECTION <br /> <br />Property Owner; Phone; Mailing Address: <br />Deen Murharm~er 390-3696 <br />Job Address: Site No.; ....... Cn3ss Street; <br />5510 Windsor Island N. ~2 I <br />Mechanical InStaller:I Phon~'i' Address'. ....... <br />Loren's Heatin§ 370-7640 2355 Hyacln~h N.E., Salem <br />Home Builder% Registration NO.: <br />7594 <br />Realdenti~t: C0mmerclat; ..... <br />' j L.~ of Building: <br />New; ~ Alteration: [] ,, A(JdJtJon: ~ Relocation: [~ "OdcupancyOhange:"' [] <br /> <br />J NO, FEE AMOUNT <br /> Sase Price 10.00 <br /> Forced'alt furnace 100,00(~'BTU or less 6,00 <br /> Forced air furnace over 100,000 BTU 7.50 <br /> Floor Fore,ce 6,00 <br /> Suspended Heater 6,00 <br /> Wall Heater 6.00 <br /> Floor Mounted UniI'Heater 6.00 <br /> Hea. t Pump ) 6.00 6, O0 <br /> Air Randl!n,g Unit to i0,000 cu,. ft, 4.50 <br />_,A,.!r Handling Unit over 10,000 cu, ft. 7.50 <br />Evaporative Cooler 4.50 <br />Exhaust System ~ommerci~l 4.50 <br />Hood and Exhaust Commercial 4.50 <br />Domestic Range Hoods 4,50 <br />Domest!c Exhaust Fans & Dryer Ve~ts 3.00 <br />For pre-inatallation or installation <br />of each wood stove 7.50 <br /> <br /> NO, FEE AMOUNT <br /> Commerciai or Industrial Incinerator 30.00 <br /> Fire Damper 3,00 <br /> G~s Water Rearer 7.60 <br />...... For each gas piping system 'of up to .... <br />4 outlets, minimum fee 2.00 <br />For each gas piping aystem of 5 or more <br /> cotters, per quttst .,, ,50 <br /> For the installation, relocation or <br /> replacement of each appliance vent <br /> not included in an applianCe permit 3.00 <br /> Ap¢iance or accessory to any heating or <br /> Other (as p.~r Mechanical Code); <br /> On-Site Technical Review <br /> (ApPlY a,~[,Marion Co. only) <br /> Reinspection Fee 15,00 <br /> FEE .~8 <br /> STATE SURCHARGE .8,0, <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLEET SURCHARGE $ <br /> CiTY FEE <br /> TOTAL $ <br /> <br /> Please return COMPLETE APPLICATION with the indicated fee. <br /> <br />I am a registered builder OR ( ~(~"~le authorized res~esorttaSve of 81GNATURE OF APPLICA <br />aregisteredbullder, D~ce[[J~r ~9, ]989 <br />The work wtll be performed by a registered builder, <br />Other <br /> <br />Rev, 3/87 <br /> <br /> <br />