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CITYCSFPLUMBiNG PE-WE'T
RD T��RD PERMIT N0 . : IDI 882 096
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hall Blvd..P.O.Box 2,1j97,Tigard,Oregon 01223,(503).539-0175 DATE 1551JEE.11) : 10/19/88
'-)()B ADDRESS : FiW 1.1PTH AVE
FAX MAP/LOT SUB:
L AND USE :
LOT SIZE: ITEM: NO: 140
WORK CLASS : Al-TEPATION WATER C"I OSE.-Y, I RAP
USE TYI'-"E : SING,11 E F'A MT I Y IJPINA1 BKF*I-UW PPVNTP
DONS TYPE : LAVORATOWY TRAP PRIMER
(IC1110P.C)114p , TILIB SHOWEA TPAPS
EYESHWASI.-IIE'R
CARE)A(:;E DISPOSAL.
NO. S'rc)RIEs : WASI-LING MACH)"NE
DWELL.. . UNITS : I AUNDAY TRAY BLDG:. DRAIN (DIA
WOCK4 D,'4(.)]:N
i5 INK "A"WER (W'T)
WA'Tl--'R HEATE;p 1. STORM/PAIN (FT
0
HEMAPI(n :
OTHE-.11- IS GAS V11PING ONE rC) F'OUR 0kJ*J*L.It:-T'S
w E 14:14MI'T
$1.;5 . 00
E1c1/195 SW J-11-211-1 AVEC
R TIGARD O1:1 97 V.2 3 FA:X'T U RE S
PHONE U50Z511 60d1--!592i(
STA(E:: TAX $ V5
C
0
N EI)GOENE:
T CANYON PI LIMBING AND o4.-ATING
R
A 41905 SIA' I At.1114A..WOOD DP
C P(3 r t 1.of.n d 0 r 91't:'25
TO 503) 29P-19PP9
R PF'GJ'G3VI.,1ATIC)N NO. 1219
FLITAL 5 75
This pert-nit is Issued subject to the regulations contained In Title 14 PE-CEIP'll NO.
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances. and It Is hereby 141: 0111PED INSEPEX.11ONS
agreed that the work will be done in accordance with thu plans and GA C5 1. .1 NF:'
specifications and n compliance with all applicable codes and
ordinances The issu� ce of this permit does not waive restrictive I NAL
covenants Contras or and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 days.or if work is suspended or
abandoned for -- r-ririod of 180 days any time After work has
commenced. It shall he the responsibility of the permittee to assure
all required inspect.o,is are requested and approved
Permitif- ',iqnature
Issued By
I ill'! I INIC;PF::(,"T'TON 639-117"1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
7r
CIi T "' TGOIGAi
OREN
25 years o/Service
1961-1986
,,Il
Da t e
This is to certify that doing business as :
Liln / fLBGt HfCT �_, has my permission to sign
plumbing permits as my ag-,,,
Name of plumbing f irm: _ CANYON PLUMBING & HEATING
Address of plumbing firm: 4905 S.W. Laurelwood Dr., Portland, OR 97225
Telephone: x'`/ - ��-�'n�
X!eEJl17Ei1/T
Signature
State BuUder ' s Board # : _ '7� -' f `� Exp.Date:
State Plumber's License # : G' '/�'/° _Exp.Date: �,.,/L41) L
city of Tigard Business License #: CkYe)c- l7,P
131125 SW Holl Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
1�
P.O.B:)x 233W
CITY OF TIGARD PI MBING � W-
Applicants must hold 0regorl Registration to cornirua a plumbing PEIdMIT 6:g-4175
business or Must be property owner/operalor not hlriag outside help.
No-no of Dov*lop mO
Plumbing Permit
Address ,L Description
y�i h Z ' / Uj ORS 914.21-010 DUAN, PRICE AMT.
Job Tax Lot Map.No. -
Address - FIXTURES
lnl Mock Subdivtal«+ -
^,Jnlc 7.50
(or name of business) Lavatory 7.50
L i L L t Tub of TuWShower Comb. 7.50
MaibrV us Shower Only 7.50
Wa1«Cbset -- --- -_' 7.50
Owner / to Zip _ -
,' �'?,� 7„f-+�;' aehwashe► _. - 7.50
Phone _Garbag*Disposal 7.50
WashdngMsduno_--`- _-- - 7.50 -
r)/N Floor Drain 7.50
ress Phone Water Hostef _ / 7.50_
Laundry Room Tray _ 7.50 --
Occupant City/Stall Urinal 7.50
Name Phone Other Fbe1>res(Sped ty) 7.50
2 - ALL 7.50
Address Phone 7.50
TIC
Corttractow mylptele 21p 7.50
/`4"' ;7L ` 4I MISCELLANEOUS
,�+r_r�r //��//_'►/^"r uc an No. S~lot 100• 30,00
GfY r'77r
e • tiswer sa AddN.100' - 15.00SAM" Stat -
( Wolof Servloo t id t W 20.00
I hwvby acknowl dps that I haw rfad 0110 appscatlon,nw the k*X-,anon Water S«vios sa-Addd;Ml 15.00
phren Is correct,that I am repb(ated with the States BulWers Board,and also Storm 6 Rain[rain 1 sl 100' 30.00
haw a Stats Pkrnbi%kwwo that the MxTb ra Alvan ars oomOM that an --
p4rrnbtrq work will be dove In aomwdm*with oppcable proviNons of Of o- Storm i N►!n Drain Addlt.100' 15.00
Aon Rrhsed Statutes Ctw ftm 447 and 093 and applic"codes end 41a1 WrAft Horne Spam 25.00
no help will be employed a Wss Moaned urd«ORS an(1I exempt 1r -
State reghlreli ,F1 a pry•reason below). Back Flow Prsv«wion
t#DWOWNERS-I hereby ewUy thel I am the oper
wner of it's property ds- Nvloe«Ar16 P1�+irx1 Devlos 7.50
worbod allow.at vA dd1 locatlon' ropoes b make a ptumbMlp kxtaMasm kx Airy Trop or W asts Not
my own use and Ude property is not bektp omv*ucW for ONs,We"«ratty. Cornletied to a Fbru" 7.50
`- Ca"Basin -- - - 7.50
L 1r'p a E1da.Pk.nbkq 40.00 P«w. ---
Specially PAWo.Me!!!! l«,. 40.00 P«Hr
AMar.of PkanbkV wfV*
an E,dv"step. 15.00 min.
AUn10/itZFD SKINAlU"E Daft Now Bldg.of Build.Adda*m 25.00 min
Bain [kain,'% fatuI
Dsscritw rrak now Q sddition[7 aftwellon❑ rnpelf CJ dwells 15.00
tp be done residentle non resldeftl ---- __
Exh"use a
b MdkV a property.- OWTVTAL 5 r
aPmwYNOTICE - ---- Tt?i1111 7,c
This p«mM bowaMs ntA and w Vo f work or oo*ftoui on wAhorized is not ocw-
1 140 d wtts,trt 110 dayw■o«wwnuAon or work is Miap«+ded or abandoned Int
a PorW M 100 days M«110&,"a sol«work Is oorrr*onood.
Oats laausd by