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OF TIGARD Plumbing Permit 4049
Ing Department NO.
tial ® Commercial ❑
ktstallation Heplace Addition ❑ Alte-ation ❑ Date .3 /
r ��.L-[ Owner ,` �� /��''�--- - ----
a Job Address��`' 3 i) < <
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Applicant _�-
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AN UB-CONTRACTORS
_ ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
as Traps _ 7.50 Sewer:First 100 it 30.00 —
;•r 7.50 Each Addit. 100 ft. 15.00 �— ^
Disposal _ 7.50 Ejector Pump 7.50
arHeater V 7.50 Water:First 100 ft. 2000.
ow Preventer 7.50 _ Each Addit.200 ft. 15.00 _
Rtnrm&Rain Drain:First 100 ft. 30.00
^ Esch Addit.200 ft. 15.00
_ Mobile Home Space __ 25.00 _
Rain Drain-Single Fam.Dwelling 15.00
MIT FEE `aCA-7, " Co jo ATE r 1 Bio Iss_ � Re
AL �� --- Signature
Fc r Plumhiito Inspection Phond 639-4171
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