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^I.JILDING DEPARTMENT, TIGARD
PLl►N,BING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the 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 ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner...—..___.__ _ _ _ Address------_------ Date-_ .
NUMBER OF TOTAL PERMIT NO.'S
TYPE or PERM17 ITEMS FEE ON EACH AMOUNT _ _(Office Use Only)
Singila FemIIY71 both--each -_ _-___v, 25.00___
Du lex--Each 1 bath unit______, -. __ 25.00
_Additional bethrooms-each _- -- 10.00
MLiile Home Space-ea;.h — 15.0V _~-
_INDIVIDUAL FIXTURE FEES - ---
1 to 50 Fixtures In 1 build+,+�-each 300
51 to 100 Fixtures in 1 building-each -,_ _2.60
101 to 200 Fixtures In 1
201 or more Fixtures in 1 building+set.: 1.60
MISCELLANEOUS --
fluildingSowe+-lit 50 ft. _ __� _ 10.0U
Sriwer-each additional 100 ft. __ 10.00,-
Water Service to building____
Private Water S-sy tems-eech 100 ft_ ____ ��•� - ----- -- -
Otl.gr S ocif _
_PERMIT For Plumhing Inspection Phone 6.35-4171
3%State Plumbing Contractor By
TOTAL� �J—_ RECEIPT NO. Istued By