8879 SW CENTER STREET 00
V
V'1
('J
fD
rr
N
1 �
f
4
8879 SW CENTER STREET
- f
r
BUILDING DEPARTMENT, TIGARD *�-
J.UMBING PERN11T lv
�) • holder of a valid plumbing contractors license is hereby
authorized to cause plumbing wor as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations requir inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-cin tractors.
i
Owner :z err- ,f,,A _ Address`
NUM13ER OF TOTAL — PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only
R E S 10-€..' Jj-A 1.
Single Family-1 bath—each 25.00
Odle.—Each 1 bath unit ~— 25.00
Additional bathroom,—each 10.00
Motile Hume 5 a7acs--each _ —�v _15.00
INOIVIOUAL FIXTURE FEES --1�
1 to 50 Fjxtures in 1 building—each ~� 2.00
51 to 100 Fixtures in 1 buildilig—each 750
601-cir
01 '0 200 Fixtures in 1 b_ulldjnq—each 2,00_ y
mare Fixtures in 1 bulidjn —each _� __ 1,50 — —'
MISCELLANEOUS —
Building Sewer-1st 50 ft. — 10.00
So—we --each additional 100_ ft. 10.0_0_
WI aver Service t_bujldin 5.00
Private V' 5 items—each 100 ft. 10.00
otrtef --�—
I
PERMIT It, — FOr Plumbing Inspection Phonw 639-4171
3°5 State Plumbing Contractor 8t
a
Address 0 ! Permit Nu.—
Name
u._Name of Occupant____—. Permit chaze
Paid by
by ------- - - --
_ Date connected
Type of Building Inspection Inspection fee_-
Service Rate— :2 . J,Q �v Paid by —_ - __-Date_._---_--___ _
Contractor ` t ��/��tQ-cL. Assessment-/ Q� �p__Paid
Sire of connection !q C---