Permit (165) e. Q. 6Qk 129 , r•LLtIY tali\Li I'kF►rYli i e.-e...)%:?\(31\ 0... 03 -
"4 ZEUS.110 '0838M3N NEWSIES, OREGO1i 91132 , holder of a valid plumbing contractors license is hereby
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l �'3NI pNiSWOttsbrized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
lildVHNI'3>i '} 1If Such installations require inspection by the City Inspector who shall be notified not less than four •
(4) hours prior to the time the installations are for inspection. City of Tigard Business License require
N , for all contractors and sub-contractors. koe
1 c 1`al 0�¢4 -6o d s (1)-dP.4o-t at, 9-`1-I t
. • OwnerB 1 Adores
NUMBER OF TOTAL PERMIT NO3
' TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Onll
RESIDENTIAL S
Single Family-1 beth—tach 25.00
, Duplex—Each 1 bath unit 25.00 •
Additional bathrooms—each 10.00 .
' Mobile Homo Space—each 15.00 _
INDIVIDUAL FIXTURE FEES
1 to 60 Fixtures In 1 building—eachx.00
61 to 100 Fixtures in 1 building-each 2.50
101 to 200 Fixtures In 1 building—each 2.00
201 or more Fixtures In 1 building—each ' 1.60
MISCELLANEOUS
Building Sewer-1st 50 ft. . 10.00 •
Sanwr—each additional 100 ft, _ _. 10.00 '.r,
i.
Water Service to buildI 5.00 '`,•t.
. Privets Water Systems—each 100 ft. . 10.00
Other (SSerafyli x'72Nd zcba te..p i .5-eccJ4..-R tbfleS >!,06 I-- -
' PERMIT 10,Cil For Plumbing Inspection Phone 639-0191
1 O% suns 9°lo -516 Plumbing Contractor By 27_40,0/16,4(.•
TOTAL JO. 9O • RECEIPT NO. Issued By
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