Permit •
CI1YOF TIRD MECHANICAL PERMIT .
CITY OF WARD ,
COMMUNITY DEVELOPMENT DEPARTMENT' \ °RED°" / PEPM :ET NO ' MI::' 37030�'i —
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175
DATE ISSUED: 12/31/87
- PRIM . PMT . NO . 870303
/ /lOU .
JOE ADDRESS: 111:20 78TH AVE
TAX MAP /LOT 161 36CA 700 SUB: LT: 1:3K : '
LAND USE: . -
LOT SIZE: .
ITEM: ' NO: NO:'
WORK CLASS: : NEW h "t)RNAC < 001< 1 AIR HANDLR <1 0
USE TYPE: SINGLE, FAMILY FURNACE 100K+ AIR HANDLR 101<
CONST . TYPE : VN FLOOR FURNACE EVAP . COOI...EP
OCCUP . CRP .: R3 HEATER VENT FAN 2
VENT VEN'r . SYSTEM _
BLR /COMP <3HP HOOD 1
\ NO. STOR :f.ES : 2 F. LR /COMP 3 " -15HP INCINERATOR(DOM
DWELL .UNITS : 1 t3LR /COMP 13• "•30HP ' INCINERATOR(COM
FUEL TYPE:: GAS 1LR / COMP - 30"••5011 REPAIR UNITS
MAX .INPUT 13L "R /COMP 50 +HP OTHER
FIRE DMPRS'7 GAS ra:I:P:I:NL ", OUTLETS 1
HIGH PRESS'?
L.UW 1•4l'43: `.•all•! Yl::.`s
J
REMARKS : ,
w - FEES: -
E MORN: SSEi :TTE HERB AND PAT PERMIT $10.00
R 7 SW 76TH AVE: t . PLAN REVIEW $7 . 13
por cirtnd or 97223 FIXTURES 018 .50
PHONE ( :.403) 2 STATE TAX $1.13
c OTHER
0 ` �l- euNty - •
T
R • i
C
T I -,
" O
R •
• TOTAL: $37.05
This permit is issued subject to the 'regulations contained in Title 14 r T{ C:E 1 P T NO . �'
of the TMC, State of Oregon Specialty Codes, zoning regulations . z 3v
and all other applicable codes and ordinances, and it is hereby " ""'""" "' " "" "" " " "' " " "' '"" '""" " " " " " " "" //
agreed that the work will be done in accordance With the.plans and REQUIRED INSPECTIONS
specifications and in compliance with all applicable codes and GAS LINE '
ordinances. The issuance of this permit does not waive restrictive
POST Sr BEAM
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and ROUGH— 1. ,
void if work is not started within 180 days, or if work is suspended or F .T.NA1•••
abandoned for a period of 180 days any time after work has - .
commenced. It shall be the responsibility of the permittee to assure .
all re .uyred ,inspections / are requested and approved. (
, – �
/
Permittee Signature •
1
Issued By: - � - '
i11 ".f." FOR 'I: NSi:` f. 7C : c •t j" � ,.
S EPARATE PERMITS REQUIRED F WORK OTH TH, N , S CI IBED ABOVE
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