13440 SW ASH AVENUE-1 I
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13440 SW ASH AVEN!lE
INSPECTION NOTICE
City of Tigard Building Department
,O ._a �/ � 12420°.W.Main St.
�C-- Tigard,Or9gon 97223
Phone: 639.4171
,- `
Type aftrispection -- —�— —
Date Requested /-� Time
Address /-3�yV ((/ GLr� — permit #—.-3 —
A
Owner 1�2� -�1_ y�U .'S LotBuilder
The
The following Building Code deficiencii,are r6quired to be corrected: /
Presented to -� '2 IA roved
Inspector ,/_ � � ' yy _-- u Disapproved
0"itE --- — --
CALL FOR REINSPECTION
❑ YEi P IVO
{ ity of Tigard Mechanical Permit N_ 3893
�
inrtallatlon 0 Replace L j Relocrtion F1 Addition n Alteration � DATE:
ATING
TRACTOR OWN R yt /,l
DRESS I�f Q-. 4 -lY. _ .SOB 4DDRESS� yL`y1_13:�2ASI�u
ONE C�SZI^_ ., � APPLICANT _—
Input Rating(BTU per Hour) Vent Size Flue Size _
EL OIL CJ GAS [] ELECT [] OTHER
ITEM NO. FEE ITEM NO. FEE
nce of Permit SEE BELOW Each Air Handling Unit or Duct System _ 7,60
to & Ind. SOOoocL_ 8�U 6.00 !Ct mmercial Hood System 7.60
Q,►MSO OUT'S IN over T 7.60 Other Equipment - Each �— 4.60
�;^i: S.ove 3CT1d.� _ 4.60 1 Trip Impaction 4.60 —
;M7ot Su�ended w 6.00 Air Condition Compressor - up to&incl.3 H.P. 6.00
L"pm man _— 4.60 _ Alr Condition Como,ewr-3.1 to 16.H.P.incl. 11.00
Msat CooHnjl
CIT't BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! i
IpUANC£ 10.00 Cornrnend: _ --
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ignature of Applicant
Address 13440 S.W. AsL St. Permit No. 1592
Permit charge
Owner ' �,r �K "L, Connection fee 400 Paid by �....�. RamseaY.��_�
Type of building residence hate connected 4-21-72
Service rate 3.00 per month Inspection fee 25.00
Contractor Ramsey Paid by same Date
Size of connection 4" Assassment Paid
C
PERMIT TO CONNECT
Tigard Sanitary District :3 I3 72
PERMIT N�' 1592 DATE
PERMIT IS GIVEN TO
OF
r
TO CONNECT A �'� '
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON,
NECTION iS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PIXTED.
PERMIT FEE PAID $ ............................TIGAR.D SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
- - Date - _.-8uperfntindent
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