Permit CITY OF TIGARD MECHANICAL PERMIT
� °' COMMUNITY DEVELOPMENT Permit#: MEC201300532
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2013
Parcel: 1 S135DC01900
Jurisdiction: Tigard
Site address: 11985 SW LINCOLN AVE
Project: WILLIAMS Subdivision: TIGARDVILLE PARK Lot: 9
Project Description: Gas furnace replacement.
Contractor: FIRST CALL INSTALLATION COMPANY Owner: WILLIAMS, GERALD W SUSAN
1650 NE LOMBARD ST 11985 SW LINCOLN AVE
PORTLAND,OR 97211 TIGARD, OR 97223
PHONE: 503-231-3311 PHONE:
FAX: 503-557-0919
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 09/23/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 09/23/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/23/2013 $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: Permittee Signature:
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.
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