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Cof T:g, and Mechanical Permit NO. -
New Installation ❑ Replace ❑ Relocation❑ Addition ❑ Alterat-iioonl —1 DATE:
HEATING
CONTRACTOR HEDON'S HEAIJ-( - _ OWNER _ ► )—
�4:5—N. W. 231st C; �,�LLL.L�.� � �T
ADf.IRE55�„p,DRO JOB ADDRESS. L
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971123
PHONE `L APPLICANT--___
Heat
PPLICANT—
Heat Input Ratinp(BTU per Hour) y Vent Size__41-Z 1 Flue Size h(
FUEL OIL. ❑ CAS FL.FCT ❑ OTHER _--
ITEM—Y— _--`LN0. FEE — ITEM NO. FEE
For Issuance of Permit SEE BELOW _ Each Air_Handlinq Unit or Duct System _ 7.50
New-up to & incl. 100,000 BTU 6.00 ~Commercial Hood System 7.50 _
New 100,000 BUT's & over _ 0 Other Equipment Each — 4.50
Woodburning Stove — 4.50 1 Trip Inspection 4.FO
Wali-Floor- Suspended 6.00 Air Condition Cornpre.-or - up to& ire.3 H.P. 6.00_
Vent Sysn:m w/ an 4.50_ Air Condition Compressor-3.1 to 1 •. H.P.incl. 11.00_
Repair-Heat Cooling 6.00 —�� -- —•-
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEESrti
SUBTOTAL t+tJ
%STATE Issued By
2!i%-�--LANC----HFC
CARLSON TESTING, INC. DATE
P. 7. Box 23814 /L)' ZL"� c`�'
TIGARD, OREGON 97223 PROIV(:T
Z.� S
• LOCATION
Phone 641.4114
OWNUR
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BUILDING PERMIT APPLICATION � �
-TIGARp DATE_ '�
19 c •' -b
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T HE WORT:HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER it;11' f-x ?�1't.i,F�s JOBADDRESS LOTNO. _
— __ �a1r�Ttii' rrcc,l. Ccr:.rrt_ a'r.: c,<< z t- f-
ARCHITECT
BUILDER - EC , ENGINEER
STRUCTURE f NEW ❑ REMODEL _❑ ADDITIO,; _ _ ❑ REPAIR E] RENEWAL _❑ F'REDAMAGE ❑ DEMOLITION
❑ RESIDENCE E7 COMM ❑ EDUCATIONAL O GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SL.Ad❑ FENCE
OCCUPANCY _'�'_LAND USE ZONE � LPU _BLDG.TYPE `i'. FIRE ZONE PLAN CHECK BY '��'�_
_.� _-- _ _ — HEAT
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SEWER PERMIT#
OCC.LOAD FLOOR LOAD R C,' HEIGHT NO.STORIES AREA 1?J•I NO.BEDROOMS ' • VALUE
BUILDING DEPARTMENT SETBACKS FRONT I r REAR LEFT SIDE - G- RIGHT SIDE _
Permit ( ` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Checlk • ' 'N RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT COES NOT WAIVE
_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFN�� CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
5 atal r. �. SDC—
APPLI
CANT OR AGENT —�
Ap �r/ , 1 Receipt No.
providADD.—_ _ PHONE
DATE INSP.. TYPE INSPECTION REMARKS PLUMBING OATS
Contractor
Permit No. �- fcA�
�Z- 9 - s2��,...r� Rough-in C(—
od,�� —�r,K � r� Fixture
Final
HEATING g bbtrs'�
orkContractor (�I
' Permit No. may / 16,(�
Gat or Oil
Rough in
— —_--- Final -
- — SEWER
Final
DRIVEWAY
Final
----- v— I
Storm Drainage
(Rein Drain)Final
Sidewalk
— Curb&Street-Final
Approach
�flLDG. DEPT.FIN6L--�--TEMPORARY CERTIFICATi OC'CUP CY
('S"IFICATE OCCUPANCY Final ,
12,
andscaping
oning Final