Permit CITY OF TI FA RD
CITY0f TIGARD PLUMBING PEP IT
PERMIT NO.: LI . 91506
/ V/7
COMMUNITY DEVELOPMENT DEPARTMENT oRmoN DATE ISSUED: 7/13/89
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223. (503) 639-4175 PRIM.PMT.NO. 891506
JOB ADDRESS: 14980 SW 100TH AVE
TAX MAP/LOT SUB: LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO : NO
WORK CLASS: ALTERATION WATER CLOSET TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PPVNTR
CONST.TYPE: LAVORATORY TRAP PRIMER
OCCUP.GRP.: TUB SHOWER GREASE TRAPS
DISHWASHER
GARBAGE DISPOSAL
NO.STORIES: WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY BLDG. DRAIN (DIA
FLOOR DRAIN
SINK SEWER (FT)
WATER HEATER STORM/RAIN (FT
OTHER
REMARKS:
FEES:
O MATNEY PERMIT $20.00
W 14980 SW 100TH AVE
E TIGARD OR 97224 FIXTURES
R STATE TAX $1.00
OTHER
C BAIRD MICHAEL
0
N MICHAEL CO. PLBG.
T 16130SW 72ND AVE
A tigard or 97224
C PHONE (503) 639-3189
O REGISTRATION NO. 45808 TOTAL: $21.00
R
RECEIPT NO. 0
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee Signature ri
CALL FOR INSPECTION 639-4175
IssuedEiy:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
6/6/00 Activities for Case #: PLM891506
3:25:20 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMMO27 WATER LINE 7/14/89 MS APPR MAN 4/2/90
PLMMO28 FINAL 7/17/89 MS APPR MAN 4/2/90
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