9850 SW GARRETT STREET ppl—
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50 SW GARRETT STREET
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INSPECTION NOTICE
City of Tiijard Building Department
12420 S.W. Main St.
Tigarcl, Oregon 97223
Phone 639-4171
Address
e::L Permit
Type of In:rAction
The following !.4ijilding Code deficiencies are require! to be corrected:
Presented to Inspector
Date
G4/-L FOR REIAGDECTION
EJ YES 0 No
"".
qty of Tigard Mechanical Permit
Installation In Replace C1 Relocation L_.! Addition Cj Alteration DATES
ATING
CONTRACTOR �s _ _ OWNER
ADDRESS _W JOB ADDRESS_
PHONE._u _� APPLICANT.___ .__._ —
Heet input Rating(BT1.) per Hour) bent Site__. Flue Size_._`__._._ _
FUEL OIL GAS 'L-] ELECT OTHER
ii'EM � TNO. FEE ITEM Nn. FEE
For Issuonce of Permit _ "EE BELOW Each Air Handling Unit or L!uct System
Newer to & incl._100,000 BTU______ .___A00.00 _Commercial Hood System 7.50
New 100,000 HUT's & over _ 7.50 Other EguipmentEach
WoodbUrning Stove 4.50_ 1 Trip Inspection _ _ _ 4.50 _
Well-Floor Swspended_ 6.00 Air Condition Compr^ssor - up to&incl.3 H.P. 6.00__
Veit System w Fan _ 4.50_ Air Condition ComFPressor -3.1 rn_1_6_.H.P.incl. 11.00`
Repair-Heat Coo!in�L__ _ 6.00
_ CI_TY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUBCONTRACTORS ! !
WE-MIT ISSUANCE 10.00 comments:
FEES
FEES
V__% STATE ^� Issued _--
�1596
TOTAL REC.
Signature of Applirant
.f+ SEWER PERMIT N9 15815
Unified Sewerage,lgency
of Washington Cowty C I TY OF Tigard DATE 3-I5-78
i --- -
O'W'NER : PHONf-- : 620-2767
+ 4..j_ '
y OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
' BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
>ONEW '[_.]''SINGLE FAMIL-Y COMMERCIAL-
[] EXIST. (PRIOR TO 7- 1- 70 ) [] MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS 1
ADDRESS OF STRUCTURE : _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN UNE--
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FFE 25.
CONNECTION CHARGE (100.
SIDE SEWER INSTALLATION
OTHER I SSUFD
TOT 625.
A� PSL I CANT -
^..,�„ DATE:
lot
EWER PER � ��
S
ADr)RESS OF STRUCTURE 9850 51J Gari ott 9t.
TAX M A P � TAX LUT
— — SYSTEM fanno creek
LUT ---.-BLOCK OF _
Af f'rtUVF D BY __ ��r•t._.?�-fJ C �.�ti'-�f �=i- ,�/S��c
SLJFD BY
LSA 1 r � DATE
D. O . ' S 2 REMARKS
ADDRESSW_
PERSIIT N0.
PERMIT CHARGE ncne
OWNER
` � CONNECTION FEE
PAID BY
TYPE OF BUILDING ��� DATE CONNECTED _
SERVICE RATE ��_ INSPECTION
FEF_ c��
rONTRACCOR PAID BY DATE _
SIZE OF CONNECTION ASSESSMENT PAID
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