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Permit (70) EXPIRED -n�P7/'c, , 0.,_ 9/A' Mechanical Permit Application \\ l'irr4c) City 41 Tigard �`p1. el' Iteeetved �0 DaualBY 1-7 is lei - Pamiryln:. 1210-CQI-;IC ' 1.3.125 SW Hall Blvd.,,Tigard; r % PYaRowew Phone: 503-6394171 Fax: .i; '` A�- may, Ottwr permit-. Inspection Liao 503.6394175 ' CC S�� . Data ReadyrBy- 'bins: m see Paso 2 Sar "'"' ,I} Interact: pww.tigatd•or,tlov �` •C\�?�c\QC� Natl..... r..___edwd: ... 1 SuppleaaenalInformation ., r,�. .j.1 , , rtu,/ '0t 1 .7trrh0, 7. y sir ii 'x!:54`" "i#"'" _:17 a 3.r 't w s .'wT. 13.0.',177-77',.. L �� dditiao/al agement Mc hadcal permil fees*ere based on Mt value of the wort: El New;construction perfeneed.Indicate the value{rouade4 to the nearest dollar)of all• 0 Demolition 0 Ober mechanical materials.equipment.labor.overhead:n profit t 8�a : {• ;:P'• Ji 1'W":;..,9, ?,,-,,e,4�tIL"•,1 T•,,tw,j,j. :lj iff3I, �1e"'',1, °,' :. Value:S .3 TSR Q .µIIIIti l ry` �j r:t` ._.•._.1• ..+.,.-,�"._-.11,. :,:;. .�..L,r_itll 3.ar r�1. v yr"7'� Vigiattlitio.., ..1.. !' ry •0 E]1-and 2-family dwelling bm't . erciallindustriul 0 Accessory building Far spceldi informants use Meddle, 0 Minh family 11w Master builder Q Other. ^Description ( at►. I Ea, 1 Total 'I }1ttlmtRl4SIE g f$11 �ryIDMf'- tit. .. ^� c r� .r r Heatiegienoline { p1ti. _diYi�r I, •. *� �� _ _...._ . ...:w .,„.';':it;:,::, Air caadiritxtinS 11 jab 5ile address: t.1 ‘%5 li GLL..t tt� e jornoinn lits t> snowinggi.v.omlaaat . 46 75 , City/State/ZIP: .• ., .w• c R .1....53Furnace 100,00D sm. rssivmts) 46.75 ff� a r Furnace 100,000'r"13111(decaNclus) 54.91 _ Pr 0 oject name: 'Sdt...I va.iL rt ~ a Heat pump 61.06 Cross street/directions to job site: Duerwart _ 2332 llydmiiie hot water system 23.32 Roidentiat)oiler(radiator or b dweie) 23.32 P Uait beatsrs(fud-type,naCalcetric), i3.-wall,.ia-daeLsusAcaded.ete, 46.75 , ' Flue/vent for env of above 33.32 Subdivision: Lot no.; Other 23.32 Tax map/parcel no.: Oilier fuel aptgaaeea :;',1',1;+,g,741,r';';".^,..Tff..wn"h. r44i n w . .t.:-rt n :" mm ") :. 5V,31,rLaf PJ.1V Water belt" 2332 Gas ftrcpiece 33.39 Flue vent for water Neater or gas E C I . / G .G Q. C 4� lace , 2332 Log..lighter(gas) 1 23.32 ti Woodfpellot stove 1 mm 33,39 I ' Wood Gccafacc/nsert 23.32 j rl r 1'•�`-y-,r,1 9.+•,:.nk1,T 4Y➢G' "-lf•I 11 '-•.3•-7,M:',%7:71',,,, roti. :: 1,7,7r' 'Ryna Chilnil*lusta rhachtem 22.3�. 'r. �p�l r^•• ' �t. 7 r: L �. 1 tt r .[:..iM,Ir , f � Qtiter: 23.32 Name: ,� 1 L0 biat. -t_- Environmental hoodntaler kitchen and ventilation -Range Addrt C. 1..2.1 1,5 LA 42.:,..' • td--Ver; C. • equiprt'lcnt 33.39f CityIStnterLlP: 3.r q .2 Clothrx drvcr exhaust 133.39 1 Single-duct exhaust.(bathrooms, Pone:(5¢0) 13.-ISS`1 , Fax:( ) toilet compar nevus_utility rooms) , 23.322 4:'`y m J u r 'r 'r7 v1 9WI,i v»,r�.. --v 7 ,�, C`7 .W'. cierawlspacc Fars 3x.32 Ir'ir .rlti L� Slt M J,}k11�'Y i 1�:�'' QI�.rAr' :1 ,f 1 �.'1 other. mm 2132 Business name: Fuel pipit Contact name: 514.15 for lint four:54.03 for earls additional Address: Furnace.etc. 1 Gas heat puma I . City/Size/ZIP: Wall/suspesadedfunitImaler I Phone:( } Fax::( ) Water heater fireplace -- Range yy,� 1 I) t;7114''Ih' , ' IYY11I ,`fid ft1.1 l_; 1J .t11' ` 1�'$� Iti v . .,... ^ yQli_-�T~ yl: .uC 31{Pr ,..dr ...r,..�5iF� .. •1.3. t. ,.,t. ,'BarbaAU[ __ ..-. Clothes dryer(gat) YSin055 O.IVOC:Ja nano Heating& /Ur Conditioning Other: Address:4474 SE'Milwaukg Ave ; v" „ iiw _...f.~ :i4,: • ac a .t. . City/State/21P:Portland,OR 97202Suhtatsl Minimum penult fee($90.00) I Phtttle`.(SO'J) 34-7331 Fax_(503)8. .. ..08 Plan review.(25%of permit foe) CCB lie.:;1441 State'surcharge(1.2%of pemut fes) ! TOTAL PERMIT FEE Authorized Sirnalore• 4i 1 This perm,apptie.rianepirs*it moist apt obtained within tail r days after itJima bora accepted aa unaprpre. Prim:.mate: 44.r...: ,a07Y1 Date: `1-6,j t/1 • Foe methodotoey set by Tri•Cotu ay Building tns1u r Se>•ire Board tAutiauiWarmssWECiramivA,Yoa Iaratro9 .t4QedITT{ Ar-OCobt'A 5) -?" ZO/Z0 39dd ONIld3H SEOOd.' L5ZEET8E05 OE:LT OTOZ/LO/ZT