15970 SW SERENA COURT 15970 SW SERENA COURT
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BUILDING DEPARTMENT, TIGARD NO. I
PLUMBING PERMIT
72- e is hereby
.�r�fc, ~' holdei of I valid plumbing contractors licens
e of
plumbing work as herein noted to be installed in accordance with the plumbi essil� dfour
authorized to cause
ied not
Tigard. Such installations requi ie tall tar inspection
readydy for Inspectory the City hshall
inspection. Cityolbe notif Tigard fBu inessl than
License required
(4) hours prior to the time the ns
for all contractors and sub nire-tors '1 •r �/�^
'•! -i � � �,_ T.
Owner.__.. Z Addres TOTAL PERMIT NO.'S
NUMBER OF AMOUNT
Use Only)
TYPE OF PERMIT
ITEMS FEE ON EACH
IAL 25.00 s -
Singe FemNy-1 oath-each 25.00
Duplex-Each 1 beth unit --1000
Additional bathrooms-each -— 1500
Mobile Home Space, each_, - -- —
INDIVIDUAL FIXTURE FEES — 300 —_
1 to 50 Fixtures in 1 build nC ='`
2.50 r�
51 to 100 Fixtures in 1 building eecl` _ 200
tOt to 200_Fixtures in 1 buildin -erh - 1,50
201 or more.Fixtures in1 bu0di�__jech -
MISCELLANEOUS ._ ---- 10.00`__
8uildln9 Sewer-1st 50 It. 10.00
Sewnr_aach additional 100 ft. _ 500
Water Service to building _ 1000
_ jvate Water Systems-each- 100 ft.—
r)ther S ecif ' '"
_PERMIT _—_� For Plumbing Jnspecrion Fhone 63.^-4f91
Plumbing Contractor By
1% State Issued BY
TOTAL _ RECEIPT NO. - -" PW