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INSPECTION NOTICE
City of Tigard BuiWinq department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection _Z 141 `a ,
Date R quested /10
Time P.P
Address
Permit `
Owner Lot
Builder
The following BL!ilr":-� Cede deficiencies are required to be corrected:
Pieserited to Approved
Inspector Disapprovel
Date CALL FKEINSE TION
D YES El NO
City of Tigard Mechanical Permit N_ 385 1
New Installation El Replace Relocation[] Addition Alteration 10 036 DATE:HEATING
CONTRACTOR -Sr,Urn uQ ��\�C�LEA _SWEV OWNER
ADDRESS____ JOB ADDRESS
PHONE --" APPLICANT— _
Heat Input Rating(BTU per Hour) _ Vent Size � Flue Size
FUEL OIL L] GAS [] ELECT u OTHER
_ ITEM NO. FEE ITEM _ NO. FEE
For Issuance of Permit SEL BELOW Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,000 BTU 5.00 Commercial Hood System _ 7.50
New 100,000 BUT's & over 7.50 Other E ulpment Each 4.50
Woodburning Stove Rt 4.50 1 Trip Inspection 4.50_
Wall—Floor— Suspended 6.00 Air Condition Compressor • up to& incl.3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Compressor 3.1 to 15.H.P.it cl. 11.00
Repair•Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! `�
PERMIT ISSUANCE 10.00 Comments:
FEES
SUB-TOTAL 4• ' "�- .�rL��,oy1 /'�A
% STATE Sb Issued By
25%PLAN CHECK
TOTAL -------
✓ Signature of Applicant