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10920 SW 83RD AVENUE
a C f, ( lw h 10920 5W 83rd Ave., mi LUMBIW.4 PERM11 V/ ICITYOFTIOARD PcmAx I*-"F—PMI*T* NO. : PI (391.505 �iTWID COMMUNITY DEVELOPMENT DEPA!�,TMENT I)A,T,[:, ISSUED . 7/1.2 Ell) IM5 S.W.Hall Blvd..P.O.Box 23397 Tigard,Oregon WM.(503)6394175 PRI M. PM T.NO . JOB AODWESS : 1.0920 SW (33RD AVE 1 A HAP/I 01' SUD L1' : BK : LAW% USE : LOT 517E: NO: NO: WORK U ASS : Al...'T'r-PA1*1014 WAI'EP (.11-OSE'T 'TRAP USE' 'T*YPr-.: : SIN(.,l E FAMILY UPINAL HKFLOW PAV,N*T'R I CON51' . *TYPE : LAV(.)rb-)1'ORY TRAP PRIME-14 GPID. 'TUB SHOWE'R UPIE'ASE J'AAPS DISHWASHER GARBAGE DISPOSAL NO . civrowiE:s : WASHING MAL',I--IINE--: DWELI....UNIT'S : I AUNDPY I'AAY IRLA7(3. DPAIN (DIA FLOOP DRAIN SINK SEWER 4 F'r) WAI'EP STUW11/I',1A1,N (FT 01,11F.-N4 PEMAPKS : 8 4A c.,It-r 1.(3 W 4?43 r- i.1--l'igatt1on %Y14tern 0 PKWSUNS Ml('�HAIEI S . IDEP1111, k"() Nj.o9vo sw (imm.) AVE N E Tigard 0R 97A'-. :':3 FIXI'UPES R PI-IONE. (503) 639-0936 STA11-K 'TAX un-wim C 0 N T R A C T 0 111'I'AL : $13 .715 NO. /,��/,575-() This permit is issued subject to the regulations contained in Title 14 of the TMC State of Oregon Specialty Codes,zoning regulations INSPEC-1-IONS and all other applicable codes and ordinances. and it is hereby 14OUGA4 :IN agreed that the wr.rk will be done in accordance with the plans and 1: 1 NAI sperifications and in compliance with all applicable codes and ardinancti-5 The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city husinkiss';ax permits This permit will expire and become null and void, work is not started within 180 days.or it work is suspended or abando*tutj for a period of 180 days any time after work has commenced It shall be the responsibility-)I the permtttee to assure 7e uiled inspections are requested Ana approved Fiermlttee Sigl�ature Issued By I.-I'M ETT LVL-6A1.P1..= SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE XW --Xllkvm nil gig P.O.Dc 23397 CITY OF TIGARD P'WMBIING 13125 SA H&U Mvd. Apphcanh, must boli Oregon Registration to conduct a plumbingrn �'P✓RM Irl 639-4175CR 97223 by siness or must h!property ow,ter/oper,ator not hiring outside help. — Name of De"k)penl - sl�//505 PlumbinK Permit No. � Adclrea.+- ---- -- Desrnptxxt ----- ___ OW;814-21.610 DUAN. PRICE AMT. Job Tax Lot ---- Map.No. - --- - - Address ---- E IXTURES Lot ©lock Subdivision _..-- Gink 7.50 Name or name oTfiusness Lavatory_--_------ _ 7.50 �? C . Tiib a Tub/Shower Comb 7.50 'Plailing Address -- - --- — -- -'-�C�. Shower(ktly ._---- -------- 7.°A -- --- Owner City/ to zip Water Closet --- --- 7.50 Peons 1 dshwasla7.50 r -- - -- --- Garbe,;-Disposal -- - - 7.50 -- Name - Washi-ig Machine -, _ — 7.50 -- F k.nt Drain 7.50 Miling Wress-------- Phone Viater Heater -^— - 7.50 — - Occupant CityiState Z Laundry Room Tray ---- -- - 7.50 Urinal _ 7.50 Name, ----' one OtnerFbdures(Specify)--- - --- 7.50 I - - .--- -- 1Mailing 7.50 Address phone ----- -- ---- -- 7.50 Contractor Cfty/Stale - --- ---- Zip ------ - - 7.50 MISCELLANEOUS ---� City Bus Tax No Sewer 1 st 100' _ 30.00 late{ Sewe-ea.Addit.laY-- - 15.00 s. rAa i-e Plumbers Bus.Lic.No Fasdenliall - Water Seniioe t st 100' 20.0(1_ - f her"ockrowledpei that I have r .ad this application,thud the information Water Sorvioe ea.Addit.;= 15.0'J - given is correct,that 1 am registered with Ov State iksok1er's Board,and also Storm&Elam Drain t at.100' 90.00 have a State''Plurt**V kAwv e f m the numbers piwm are correct.that all -------- -- t>ttimtwV work wig be done in aaaordsni,- with appal--able provisions of Cie- Storm S.Pyn Drain Addil.100' 15.00 V>n Revised Statutes Chapters 40 and(G3 and applicable oodes and that Mobile Acme Space 25.00 no help M11 be errtpkyed unless 11rensed under()R5 693 (If exerryrl from ---- - - - State registrL,'"i,please give reannn bekw). Sot ,FlowPrevention IfOME(MUERS-I hereby oertity Cu]I am the owner of the prrperfy de- DrMceorAnal•"allutionDevice 7.50 - wxibed above,at which location 1 propose to make a plixrt*V Insttillatkxn tot Airy Trap or Waste Not my own use and this property In rot boort¢onnstnacied for sale.lease a rem Connected to a Fixture 7.50 Catch Bash - 7.50 lhap.d.xM.Pkimhing 40.00 Per Hr. ---- Specialty Fisq_uested hapecflons 40.00 Per Hr Alter of Plumbing wNW ----- - _ an Eids"Bk1U 15.00 min. AUTO SrNATIU -�--- - rlafe New Bldg.or Build.Ad~ -- 25.00 inln.LNb" work new[] Kultion .Iteretlorl nspair❑ t Ll' 15.170 bore residential, non-reskiential❑ ----- - --. Existing arta of _ bt/ll*V or pttxsnity---- — -. 111Ud-T0TAL ' ftpueed uas of NOTICE Tt*penial baoomes null and void a wrxli or oonatnx*on atithauod is rvA a.n maimed wW6 190 d ftv w V t+erndrt com or waitM fu ipainrd or obenAcxsed%,v a pwW of 190 days d arty enw oiler worn Is wwwrraroerl Oats Issuw"l by