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FAX: 588-7948 <br /> <br />MECHANICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through 5 <br /> <br />Issued by: <br /> <br />PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br />Contractor ] Phone <br />Mailing Add. ss <br />Property Owner IPhone <br />Contractors License No. <br /> <br />Contractor's Signature: <br /> <br />I Job No. <br /> <br /> 3B. <br /> FOROzN~T.LLATIONSV~NER~[ A · . . <br /> <br />The in~H~on is being ~e on pmpe~ I o~ which is not in~nd~ for ~e, <br /> <br /> ' "~ ' Ir/ <br />We will pro.de pl~ re~ew ~ce if you complete Section <br />5B ~ ~it ~o (2) ~ of pl~s ~ ~cifi~ions ~ <br />~s applica~on. <br /> <br />This optional plan review program does not suspend the <br />requked submission of plans, and specifications when required <br />by the Oregon Sffuctural Specialty Code, Chapter 53. <br /> <br />flu 15-41 <br />Rev. 10/92 <br /> <br />RESIDENTIAL ~ CO~VIERCIAL [] <br /> <br /> USE OF STRUCTURe: <br /> <br /> [] <br /> .o. x., ( i 00/ <br />Foxed ~ F~e $ 6.00 ~ <br />100,000 B~ or less <br />~ 1~00 B~ . ~ $ 7.50 <br /> <br />Hoor F~e ~ $ 6.00 <br />~ded H~ __ $ 6.00 <br />W~l H~t~ __ $ 6.00 <br />~oor Mo~t~ U~ Heat~ ~ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br />Up to 3 Ton -- $ 6.00 <br />3 Tonto 15 Ton $11.00 <br />Evaporative Cooler __ $ 4.50 <br />Exhaust System, Commercial __ $4.50 <br />Hood and Exhaust, Commercial __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4.50 <br />Domestic Exhaust Fans <br />and Dryer Vents $ 3.00 <br />Fire Damper __ $ 3.00 <br />Wood Stove I $ 7.50 <br />Furnace Ducts (Alteratien, Extension) __ $ 7.50 <br /> <br />Commercial or Induslrial Incinerator __ $30.00 __ <br /> <br />Gas Water Heater (relocation <br />or replacament) __ $7.50 <br />Gas Connection <br />--per outlet, up to 4 __ $ 2.00 <br />--over 4, $8.00 plus ea. <br />additional $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacement of ea. Appliance <br /> Vent not included in an <br /> App~auce permit, <br /> <br />Other (as required by Building ~tcial) <br /> <br />__ $ 3.00 <br /> <br /> <br />