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Report Accumulative Sewer Tally Parcel # 2S101AB01200 'T'enant Name: Keyway Office Building This SWR# 2009-0093 Site Address: 7275 SW I-Icrmoso Way This PLM# 2009-00187 Fixture Value Previous Previous Credits Capped Fixture Fixturc New New # value capped off value added added total total count off #s count # value #s values Ba tiscry/Font 4 0 0 0 0 0 Bath -Tub/Shower 4 0 0 0 0 0 acuzzi/Whirlpool 4 0 0 0 0 0 Car Wash - Each Stall 6 0 0 0 0 0 - Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher - Commercial 4 0 0 0 0 0 - Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 F.ye Wash 1 0 0 0 0 0 Floor Drain/Sink - 2 inch 2 0 0 0 0 0 3 inch 5 0 0 0 0 0 4 inch 6 0 0 0 0 0 Car Wash Drn 6 0 0 0 0 0 Garbage Disposal Domestic (to 3/4 I-1P) 16 0 0 0 0 0 Commercial (to 5 HP) 32 0 0 0 0 0 Industrial (over 5 FfP 42 0 0 0 0 0 Ice Machine/ Refri erator Drain 1 0 0 0 0 0 Oil Se (Gas Station 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower - Gang (per head 1 0 0 0 0 0 - Stall 2 0 0 0 0 0 Sink - Bar/Lavato 2 0 0 2 4 2 4 Bradley 5 0 0 0 0 0 Commercial 3 0 0 0 0 0 Service 3 0 0 0 0 0 Swimming Pool Filtcr 1 0 0 0 0 0 Washer - Clothes 6 0 0 0 0 0 Water Gxtraetor 6 0 0 0 0 0 Water Closet - Toilet 6 0 0 2 12 2 12 Urinal 6 0 0 0 0 0 Previous GDU Count 0 0 Capped GDU Credit 0 'I'OTA LS 0 0 0 0 4 16 4 16 Current Fixture Value 16 divided by 16 = 1.0 Current FDU 1 GDU = S 3,600 Previous Fixture Value 0 divided by 16 = 0.0 Previous GDU Change 16 divided by 16 = 1.0 over (under) $ 3,600.00 Enter EDU Change Here 1 Notes: SF converted to commercial use, Reimbursement District #15 fee paid. Authorized Name/Signature: Debbie Adamsk Date: 9/4/2009 Building Division Note: 'rhe property owner shall retain the ORIGINAL sewer tally record. if credits exist, this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. 1:\Building\Scwcr't'ally\Scwefl'allySheet-3600.xls 06/25/08