8863 SW CENTER STREET I r�
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8863 SW CENTER COURT 4
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1� BUILDING DEPARTMENT, TIGARD N?
PLUMBING PERMIT C
holder of a valid plumbing contrdctors license is hereby
aut4iz to cause Ourri&ng wo as horein nott d to be installed in accordance with Lhe plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are readfyr� or insElectign. City o d u iness license required
for all contrActors and sub-contractors." Jnk7
0�•rner _ ') '61 Address.. �3/ ��, E'-- ,Dat
NUNIBER OF TOTAL �I
TYPE OF PERMIT ITEMS FEF ON EACH A.!"OU NT
L-Sinale Farnily_t hith•each 15.00
DuIp�rx_Each t bt!h unit M 25.017
_ Additional trathroom�—eeeh _ _ _ 10.00
Mob,'4 Home Space sch 15,00
INOIVIOUAMME CIAUT
I to 50 Fixtures in 1 building-e;ch _ _3.00 + _
! S1 to 100 Fixtures in 1 building-each 2.50
1 101 to 200 Fixtures in 1 building each 2.00
l ^r1 0, more Fixtures in 1 building--each _ _w t__50
+RIISCELLA NEOUS
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Sewer—each additional 100 it.
f Water SerAce to buill:ing _ _ 5.00
— — — ---
PERMIT A ,err for Plumbing Inspection Phone 639.4171 /"
I 4°;,State Plumbing Cartractr,, BV
I TOTAL RECEIPT NO. Issued By
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AddressW��'���Permit No. 7� -
Name of Occupant 1(i9 i�.s�r r T Permit charge <1 c'c
Ctey, Connection fee_ ��CS °w
-— _ Paid by-- C�E /ti Cc-+G.0 �J•".cJ
Date connected
Type of Building �"e,`ESLo/SAL '—I Z'
Inspection fee _
Service Rate_.-_ Paid by ,L ��� '�_Da3e
Contractor_..-__ .L Assessment Paid
Size of connection
Address Pej:rr H No,
flame of Occupant--.__.. Permit charge
wa aid by
Date connected
Type of Building-,",te-6-e1: spection fee-,-------
Service Rate Paid by Date
Contractor
Assessment—L ' '," '---Paid
-
Size of connection