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Report Accumulative Sewer Tally Parcel # 1$134AA01800 Tenant Name: City I dge Community Church This SWR# 2009-00119 Site Address: 10180 SW Nimbus Avc)IA This PLM# 2009-00313 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off #s count # value #s values Ba tisc /Font 4 0 0 0 0 0 Bath -'Cub/Showcr 4 0 0 0 0 0 acuzii/Whirl ool 4 0 0 0 0 0 Car Wash - Each Stall 6 0 0 0 0 0 Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher - Commercial 4 0 0 0 0 0 - Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 I? c Wash 1 0 0 0 0 0 Floor Drain/Sink - 2 inch 2 0 0 0 0 0 3 inch 5 0 0 0 0 0 4 inch 6 0 0 0 0 0 Car Wash Drn 6 0 0 0 0 0 Garbage Disposal Domestic (to 3/4 HP 16 0 0 0 0 0 Commercial to 5 FIJI) 32 0 0 0 0 0 Industrial (over 5 1-11 1) 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Se Gas Station 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower - Gang (per head 1 0 0 0 0 0 Stall 2 0 0 0 0 0 Sink - Bar/Lavatory 2 0 0 1 2 1 2 Bradley 5 0 0 0 0 0 Commercial 3 0 0 0 0 0 Service 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer - Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet - Toilet 6 0 0 1 6 1 6 Urinal 6 0 0 0 0 0 Previous 1--,'DU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 2 8 2 8 Current Fixture Value 8 divided by 16 = 0.5 Current EDU 1 ]--,DU = 5 3,600 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change 8 divided by 16 = 0.5 over (under) S 1,800.00 Enter EDU Change Here 0.5 Notes: Authorized Name/Signature: Debbie Adamski Date: 10/29/2009 Building Division ote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. l:\Building\Sewcr'l'ally\Sewer'l'allySheet-3600.xls 06/25/08