Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2010 -00089
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CRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/24/2010
Parcel: 1S125DA08100
Jurisdiction: Tigard
Site address: 9075 SW 69TH AVE
Subdivision: KINGS VIEW Lot: 72
Project: Snow
Project Description: Replace up to 100 feet sanitary sewer.
Owner: FEES
SNOW, ROBIN L Quantity Description Date Amount
9075 SW 69TH AVE
PORTLAND, OR 97223 100 If Sewer Service 03/24/2010 $62.54
PHONE: 503-245-9456 1 12% State Surcharge - 03/24/2010 $8.70
Plumbing
10 ea Minimum Fee Adjustment - 03/24/2010 $9.96
Contractor: Plumbing
JACK HOWK PLUMBING /RESCUE ROOTER
P.O. BOX 2830
CLACKAMAS, OR 97015
PHONE: 503 - 235 -8784
FAX: 503 - 491 -2932
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I Y VC- Perm Signature:
Issued By:
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Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
P.001
--.. MAR-24-2010 07:14
Plumbinu Ira Permit Application
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