10280 SW GREENLEAF TERRACE-1 1
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10280 SW GREENLEAP TERRACE
1► r -BUILDING DEPP,RTME.NT, _rIGARD NO
lOH?l E P.E„.i!,>90T PLUR981WC. PLUMBING PERMIT G '
P. 0. Box 119
�NFWRIae (IN11,0K 91139 holder of a valid plumbing contractors license is hereby
auth:,nzed to cause plumbing work as herein notes to be installed in accordance with the plumbing code of
Tigard. Such insta'lations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are r.:ady for inspection. City of Tigard Business License required
for all contractors and sub-contractors. r t V,7Si
1/ � f __�_ Addiess���� . __ at
Owner
• ---- —•
1`.U1v1bFR OF TOTAL EnMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT -{�(Officee Ute Onll) ,
_ I
Sin le
!y-1 bath-each 25.00
Uwllex-Each 1 bath unit _ 25,00 w
1 dditional bathroo.tis_-each _ 10.00
_Mobile Home Space-each -
INDIVIDUAL FIXTUriE FEES ----
1 to 50 Fixtures in 1 building_each I 3.00
�51 to 100 mixtures in 1 buildin --each r 2.50___
_1_01 to 200 Fixo res in 1 building-each 2.00 w
201 or more F'.xyires in 1 building-each-__ 1.50
MISCELLAN cOUS _- _ _ _
Ouildil,y Sewer-1st 50 ft. 10.00
Sewer-eoch additional 100 ft, 10.00
Weser Service to buildi"I; ��- _ 5.00
Private Water Systems-_each 100 ft. _ 10.00
Other (Specify):
_PERMIT _i 5 G� ? For Plumbing Inspection Phone 639-41YI �l
A State /• O h Plumbing Contractor ey
TOT�_L, .'i RECEIPT NO. Issued By _
PERI'1IT NO.�
PE.R1411T CHARGE none
� /�: 1
OLMER `.1' j %�' ¢� CONNECTION FEE _
Pp,iu BY
TYPE OF E?UII.i?ING e_ � DATE CONNECTED --_
SERVICE RATE_ L'G��.._ _ INSPECi1ON FEE
(-O(JTRP..0 1"OR PA i D BY DATE
517E OF CONNECTION __ _ A 5SE:5511L: IT PAID