Permit •
CITY' OF TI RD n 6 A R D P E R M I T NO.: P1_.881768
COMMUNITY DEVELOPMENT DEPARTMENT \ OREGON , ISSUED: `
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -0175 \ \ // ( >A T'i' : /21/BB
PR:I:M.PMT.NO. 881710
JOB AI:)DRESS : 1.177E SW SWENDON I...P
TAX MAP/LOT 1S1 33CD 2000 SUB: COTSWAL..D :I. LT : 18 BK :
LAND USE : R25
LOT S I Z E :
ITEM: NO : NO:
WORK CLASS:. NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL 13KFLOW PRVN'rI:
CONST . TYPE : VN L..AVC)f•2A'T'ORY 3 TRAP PRIMER
oCCUP . GRP . : R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO. STORIES : 2 WASHING MACHINE 1.
DWEL..l_.. (.1NITS : 1 LAUNDRY TRAY BLDG . DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM /RAIN (FT
OTHER
REMARKS :
FEES :
O
W PHILLIPS BARNEY PERMIT $1
N 210 D NE 20TH
R PORTLAND O FIXTURES
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R
.STATE TAX $7.00
OTHER
C
N COOK JAMES
T M1:I...WALIK:I:E PLUMBING
A pa BOX 393
C c_ :L ia.r_ It aIn 4 M or 97015
PHONE (503) 655••- 9161
O
R REGISTRATION NO. 5002
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TOTAL: $147.00
RECEIPT NO. /6O
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and PL..B . LINDERSI_.AB
specifications and in compliance with all applicable codes and P(:)S'T & BEAM
ordinances The issuance of this permit does not waive restrictive
WATER LINE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and f . 'T'OPOLIT
void if work is not started within 180 days, or if work is suspended or RAIN I :)RAINS
abandoned for a period of 180 days any time after work has FINAL_
commenced. It shall be the responsibility of the permittee to assure
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all required inspections are requested and approved
Perm p e Signature °X666_
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Issued By: —___
GALL I-(Jk .I:NSPECwTIC)N 639-A175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE