15545 SW 79TH AVENUE-1 15545 SW 79TH AVENUE
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City of Tigard Mechanic al Permit N° 31 3 a
New li,.•allation ❑ Replace jl Relocati"�g Addition Alteration
HEATING �� J
CONTRACTO.i �.���-' ' OWNER
ADDRESS_ �_ JOB ADDRESS
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PHONE—: 3 Z i.�_. APPLICANT — ---- -- -
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Heat Input Rating(BTU per Hour) __ _ Vent Size _ Flue Size--------
F
ize_ --__F UEL OIL GASQ" ELECT OTHER
ITEM NO.t FEE it ITEM NO. FEE
For Issuance of Permit SEE BELOW Each--Air Handling Unit or Duct System 7.50
Newer to & incl. 100,000 BTU 6.00 Commercial Hood System 7.50 p
N_ew 100,000_BUT's & over _ 7.50_ Other Equipment - Each 4.50
Woodburning Stove 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 1 4.50 it Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Repairoling 6.00
T�_7FE.rLA'r �.— ------ - -
CITY BUSINESS. LICENSE REW11RED BY ALL CONTRACTOR_ ORR/SUB-CONTRACTORS ! !
PERMIT ISSUANCE _ 10.00 Comments: 1_-7�.� —
FEES
SUB-TOTAL
t % STATE c' Issued y.
2X AN CHECK ;of
—�
Signature of Applicait
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