Correspondence CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PETE'S QUALITY PLUMBING
20985 S. SWEETBRIAR RD.
WEST LINN, OR 97068
Plumbing Signature Form
Permit #: PLM2003 -00298
Date Issued: 914103
Parcel: 2S111 CD -00300
Site Address: 15750 SW 98TH AVE ADM. BLDG.
Subdivision: ALDERBROOK FARM
Block: Lot:
Jurisdiction: R -
Zoning: TIG
Remarks: Site utilities for new administration building. Other fixtures are (3) rain drain
connectors and 30' of footing drain.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
TIGARD CHURCH OF GOD PETE'S QUALITY PLUMBING
15670 SW 98TH AVENUE 20985 S. SWEETBRIAR RD.
TIGARD, OR 97223 WEST LINN, OR 97068
Phone #: Phone #: 503- 557 -8450
Reg #: LIC 122359
PLM 3 -344PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X P. es a <-07
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.