Permit Support Document FROM : WHIP N'SPUR FAX NO. : 503 625 6307 Feb. 26 2039 04:24AM P1
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I CITY OF TIGARD
13125 SAM HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECE;
JOE PETRO PLUMBING
PO BOX 98 FEB 2 4 2005
WILSONVILLE, OR 97070 -0098
CITY OF TIC,: RD
Plumbing Signature Form BUILDING Div}_
Permit #: MST2002.00500
Dote Issued:
Parcel: 13135CC -03400
Site Address; 10120 SW TIGARD ST
Subdivision: SCHLESINGER PART /MLP2002.00012
Block; Lot; 001
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Add 240 square feet to bedroom and cover front porch area.
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:
STACY SCHLESINGER JOE PETRO PLUMBING
22455 SW SHOPE CT PO BOX 98
TIGARD, OR 97223 WILSONVILLE, OR 97070 -0098
Phone #: 503488.6500 Phone #: 625 -6163
Reg #: LIC 00091524
PLM 3 -469PEI
AN INK SIGNATURE 18 REQUIRED ON THIS FORM
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of), orized Plumber
If you have any questions, please call 503.718.2433.