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Accumulative Sewer Tally Parcel # 2S1 12D000500 Tenant Name: Calypte: This SWR# 2009-00116 Site Address: 15875 SW 72nd Ave This PL.M# 2009-00304 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 tise /Font 4 0 0 0 0 0 Bath -Tub/Shower 4 0 0 0 0 0 acuzzi/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 E 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 HP 32 0 0 0 0 0 Industrial (over 5 HP 42 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 0 0 0 0 0 Oil Sep Gas Station 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower - Gan (per head 1 0 0 0 0 0 - Stall 2 0 0 0 0 0 Sink - Bar/Lavatory 2 0 0 0 0 0 - Bradley 5 0 0 0 0 0 -Commercial 3 0 0 1 3 1 3 - 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 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 1 16 TOTALS 0 0 0 0 1 3 1 -13 Current Fixture Value -13 divided by 16 = -0.8 Current EDU 1 IDU = $ 3,600 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change -13 divided by 16 = -0.8 over (under) $ (2,880.00) Enter EDU Change Here -08 Notes: ***CREDITS ARE FROM PLM1999-00192*** Authorized Name/ Signature: 'Debbie Adams Date: , 12/17%2009 Building Division Note: 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. I:\Building\Sewer Tally\SewerfallySheet-3600.xls 06/25/08