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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00624 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2012 Parcel: 1 S 134 DA05800 Jurisdiction: Tigard Site address: 11293 SW 105TH PL Project: Johnston Subdivision: NODAK Lot: 6 Project Description: (1) gas furnace replacement Contractor: JACOBS HEATING & AIR CONDITIONING Owner: BILL JOHNSTON ENTERPRISES 4474 SE MILWAUKIE PROPERTIES LLC PORTLAND, OR 97202 13447 SW ESSEX DR TIGARD, OR 97223 PHONE: 503 - 234 -7331 PHONE: 503 - 579 -1442 FAX: 503 - 808 -9108 FEES Specifics: Description Date Amount Furnaces < 100K BTU 12/03/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 12/03/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/03/2012 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 • Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Atki Permittee Signature: Di d 4 PfU 4,4arzo 1 • Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . • ... . . . . . . . . . . . .ffied._ jai_o__ Pe it A,_,._ E atii i Crni ' EIVED : FOR OFFICE 1..SE ON LV city. ofli • :.itmived 16 ---- ..0 Ti ord; .9.,R 97=3.- DEC 0 3 2(112 . l e 4 3 1 / X s l" -- . . l ' 4i4°. : 16 ''i-W- . 4. 0 ., .1 • ..:• Phone: 5016394171 :Fax- iO3:5911.1960 : : Oete.rpern*: • . Datefilk . • • - ...., ..... : - . • ; II c; A It D : WOO:lien tine: 50 3.639.417S . : en oF TIGARD : D ... _.. , , • - ••• • - • • . risi , L... • • : . -..... :: Otersit: w.ww.thiard-ar.gov BUILDING DIVISION:Noriegi1 :. . . . ., • • • . . . ; • • fSEV14-WETRP11:0ki:.CNT7:t7: M . • .4.. ....-■-■••=-.'. =4;..,:i.C1.::_..",.....-..2_421;11112211L.Z.1:.. FA "Lj2L',,17..L.]4.7.7.:0QaV21Zilfrelt;i1P 'It' g ; 1 :1 ' . i - Z . Z i it I '''' irjj . . . aNewconsiniscion 4 ' • • . • ..--.. •AaddiOniakirLire eeei Pecnolitio 0 de.ili; . . -• :. ' :: : .: . - . - H . 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