Permit . . . _
. , - . • -. . . . . , • _
rh
- CI ri OF TIM RD ,44.4A
CITY OF WARD 1 .
y
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639-4175
. PLUMBING PERMIT
PERMIT NO.:. PL07030A
' - DATE ISSUED: 12/31/87
. PRIM.PMT.NO. 079303
JOB ADDRESS: 1-44.1.10 SW 78TH AVE
TAX 151 36CA 7;09 SUB:' — LT : BK :
LAND USE: J\ .
LOT SIZE: .
q
ITEM:. NO:. NO:
WORK CLASS: NEW ; WATER CLOSET 2 TRAP .
. USE TYPE: SINGLE FAMILY URINAL . 'BKFLOW PRVNTR
CONST.TYPE: UN . LAVORATORY 2 TRAP PRIMER
OCCUP.(RP.: P3 , / TUB SHOWER 2 GREASE TRAPS
. DISHWASHER 3. .- .
,
• GARBAGE: DI SPOSAL 1
NO.STORIES: 2 . ;WASHING MACHINE 1 _
. -
DUEL) . I INT TR : ' I 1..At INDRY TRAY IR! 11 1.1 _ :I r) A TN
. ,
r. L. LW H ORA .i. N
. . , .
SINK . .
1,- SEWER ( FT)
' .
•
WATER HE AT E: r. 1 STORM/RAIN ( FT - . 1
OTHER -
' .
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REMARKS : , -
O ,
W
N .. .
E ,- , • , .
R ' ..
FEES:
c _ MO r4. I S S E TT E HERB AND PAT PERMIT $117.50
o 7470 SW 76Th AVE
N '
T portland or 97223 FIXTURES
R
PHONE t 503 ) -2-46--1ft803 .
STATE TAX ,
$5 . 88
A
.0 , ••=-../— ': _.3 OTHER .
T
O ' '
R ,. SHOEMAKER HAROLD
. '
la (3 BOX 250
This permit i lis,uVubject to the regulations e in Title 14
of the TM8, gla ereaon Specialty ades, zomrig
and all RIIVIVplic and it is hereby '
agreed tRIEMINoTiRAfibletabheNOiccdiffirita with the plans and TOTAL.: - • $123.38
specifications and in compliance with all applicable codes and ,
ordinances. The issuance of this permit does not waive restrictive .
RECE I PT NO .
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 REEQU I FIE D :INSPECT IONS
abandoned for a period of 180 days any time after work has PLB.UNDERSLAB
commenced. It shall be the responsibility of the permittee to assure pos T & BEAM
all required. inspections are requested and approved. . •
WATER L. I NE:
PLB . T OP OUT'
........______;,
. i : RA IN DRAINS
,6 -,t_ r _ , _.•..e
Awl
FINAL
Permittee Signature
..
. . . .
ISsued By:
. ,
' •
SEPA ATE
- . r' P ERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
, .