Permit CITY OF TIGARD PLUMBING PERMIT
1111
j -` COMMUNITY DEVELOPMENT Permit #: PLM2011 -00351
Date Issued: 11/23/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S133DC17900
Jurisdiction: Tigard
Site address: 13146 SW TAMERA LN
Project: Subdivision: VILLAGE AT SUMMER LAKE PARK Lot: 34
Project Description: Replace 40' of water service.
Contractor: APOLLO DRAIN & ROOTER SERVICE Owner: BENNETT, PATRICK, TRUSTEE
2208 NW BIRDSDALE #8 6116 NE 190TH ST
GRESHAM, OR 97030 KENMORE, WA 98028
PHONE: 503 - 239 -8801 PHONE.
FAX: 503 - 669 -9568
FEES
Quantity Description Date Amount
40 If Water Service 11/23/2011 $62.54
Specifics: 1 12% State Surcharge - 11/23/2011 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment - 11/23/2011 $9.96
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUN . calling 503.232.1987 or 1.800.332.2344.
i
Issued By: i� / Permittee Signature: Qw //V QG e,927
•
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
RECEIVED .
Plumbing Pcrniit Apglicathan Nov 2 3 2011 -
Building ?ix1ui�es t-Dr. Of FICE USE: ONLY'
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