15730 SW OAKTREE LANE 15730 SW OAKTREE LANE
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1�FIi� E. RESikiARili PIIIM61N�,IhC BUILDING DEPARTMENT, TI ARD NO
P. 0.BOK 129 PLUMBING PERMIT
fiE'ii3Gf,^a,
CUM 97132 _, holder of a valid plumbing contractors license is hereby
dance with
code of
authorized to cause plumbing work as on b notedein the City Inspector ed Iwho cs all be notified enolt less) than four
Tigard. Such installations require inspectY
(4) hours pi for to the time the installations are ready forinspection. City of Tigard Business License required
for all contractors and sub-c1ontractors.
1�� CAS �L(,lJ Address 'S7�o .�uJ ( legit u. a.'xt_ Date
NUMBER OF
Owner TOTAL PERMIT NO.'S-�TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office lite Only
�IJZ€N31A1.---- 25.00 d0
Single Femil�J bath--each — ----
25.00
Duplex-Eech 1 bath unit -- �Q ,n 0
/ 10.D0 _ -
Additionsl bethrooms_each ----
15.00 _w
_M_obile Home SSoce=eech _ "
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 buildin -each _ 3'00
E0 ---
61 to 100 Fixtures in 1 building-each 2. --
101 to 200 Fixtures in 1 buildin -eech __ _ _� _ 2.00
201 or more Fixtus in 1 bufWing•-eech _ �- 1.60
re --
MISCELLANEOUS — --
Building Sewer-11t_�
Sevier-list 50 _ _ 10.0010,00
_
Sewe-r-tach additicnal 100 ft. -
Wetur Service to build►
10.00
_Private Watesstems-each 100 ft. -�- --- -
Other (Specify): -
PERMIT For Plumbing Inspection Phone 63.94191
Plumbing Contractor By
76 State U �.
TOTAL- (� RECEIPT NO. Issued By �_ --
epi- Ticiard mcclianicol Perm '1 Pe.Mit S3 00---
Fee
_3
r,i L ins qllaiion Fle-I.-Ice 0 Relocalior Addo: on 'Li Alteration 7J 4g-,;, Slat
CC:,,,,ITRACTOR . O►NIN E
ADr)RESS___ _ss WORK A D D Ft E SS Uj,
PHONE �?- 5-
APPLICANT
• Heal, input Rating (BTU Per Hour) ey-, inn0____ Vent Size dW� F i up Size
ID GAS UROOOO'ELLCT CD OTHER
FUEL OIL
ITEM NO. FEE ITEM NO. FEE
For Itsuance of Permit
3.0_0Air Condition Compressor 15 to 30 H 10.0c
rqewUnder_i 0-0,000 BTU r 4.00
--ki- an
r Handling 10,000-FM
_
Air Handling Over 10,000 CFM 5.00
Floor Furnace
4.00 Evaporative Cooler 0-1
Wall - Floor -Suspended 4.00
Range Vent Fan
Install Vents Only 2.00 Vent System
Repair - Heat & Cooling 4.00 Hood Commercial
.00 Commercial Duct System 10 0C
474 Condiiion Compres%or Under 3-HP _
j,
Condition C;_r:�p-r—e,,sot 3 to_l 510-
I N 7 C70R'S rOMMEN"rs_____________-___
TY Uc,
'INESS LICENSE REOUIFjE[) FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
RECEIPT
Sionature of Au cant L —71