Permit (168) P. Q. BOX 129 PLUMBING PERMIT \' `D-\9.. . c�c- Or• S _.•
�ze'tes ao'•�a3enn3N NEIYBi6�, QR(G011 91132 , holder of a valid plumbing contractors license is here y
i 6Z t X09 'O'd
'3NI DNI9 O razed to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
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. LOHVHNl3a 1 a� Such installations require inspection by the City Inspector who shall be notified not less than four '
X41 hours prior to the time the installatio% for irB r ady ape ti Tigard nse require
\ ., for all contractors and sub-contractors. Gcki
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• Owner
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NUMBER OF TOTAL PERMIT NO.'S
• TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (011lce Use Onl,
RESIDENTIAL 4
Single Family-1 bath—each 25.00
Duplex—Each 1 bath unit 25.00
Additional bathrooms—each 10.00 .
' Mobile Homo Space—each 16.00
INDIVIDUAL FIXTURE FEES
1 to 60 Fixtures In 1 building—each 3.00 c:20�g
0 019
61 to 100 Fixtures in 1 building—each 2.50 .
101 to 200 Fixtures In 1 building—each 2.00
201 or mart Fixtures in 1 building—each ' 1.60
MISCELLANEOUS
Building Sewer-1st 50 ft. . . 10.00 •'
Sewer—each additional 100 11 10.00 'r1
Water Service to buildirN 6.00 ....o4
. Prime Water Systems—each 100 ft. 10.00
Other (SgeciMi k(r-pt‘i
PERMIT A$00 Fo lumbing Inspection Phone 6394191 ��
1 $S btatiVie s9'{Q Plumbing Contractor By ,/,21904,4
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TOTAL o°Z 1. - n' RECEIPT NO. Issued By ___ _