Permit (56) •
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PLUMBING PERMIT
CITY OF TIGA RD PERMIT NO.: PI_881551.
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COMMUNITY DEVELOPMENT DEPARTMENT ° °EOON DATE ISSUED: 8 / 8/88
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 6394175 PRIM. PMT . NO . 15 3 2-
JOB ADDRESS: 16200 SW PACIFIC HWY 5 • �
TAX MAP /LOT SUB: LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATION; WATER CLOSET 1 TRAP
USE TYPE: COMMERCIAL URINAL BKFLOW PRVNTR
CONST.TYPE: LAVORATORY 1 TRAP PRIMER •
OCCUP.GRP.: TUB SHOWER GREASE TRAPS
DISHWASHER
GARBAGE DISPOSAL
NO.STORIES: WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN 1
SINK SEWER (Fn
WATER HEATER 1 STORM /RAIN (FT
OTHER
REMARKS:
Tenant: New Addition
FEES:
O tigard towne square PERMIT $30.00
W 16200 sw pacific hwy
E tigard or 97224 FIXTURES
R STATE TAX $1.50
OTHER $7.50
C HELLUMS SCOOP
O
N HELLUMS MECHANICAL •
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R 3327 SE HAWTHORNE
A Portland OR 97214
• PHONE (503) 231 -8885
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O REGISTRATION NO. 16206 TOTAL: $39.00
R
RECEIPT NO. /Q 0 / / q,
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This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning,.regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby PL.B . UNDERSLAB •
agreed that the work will be done in accordance with the plans and POST & BEAM
specifications and in compliance with all applicable codes and
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ordinances. The issuance of this permit does not waive restrictive WATER R LINE
covenants. Contractor and subcontractors shall have current city PL.B . TOPOUT
business tax permits. This permit will expire and become null and RAIN DRAINS
void if work is not started within 180 days, or if work is suspended or FINAL
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
JOQ4
Permittee Signature /1
Issued By: 5Z5� J ,BALL FOR INSPECTION 639 -4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
5/10/99 Activity for Case #: PLM881551 •
2:15:20 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
PLMM014 PLB.UNDERSLAB 8/9/88 MS APPR MAN 4/2/90
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