Permit ^/
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MECHANICAL
&ITYOFTIGARD PERMIT # ' ' ' ' ^ ' ^ : MEC95-0338
COMMUNITY COMMUNITY DEVELOPMENT DEVELOPMENT ]�� DATE ISSUED: 10/04/95
1o1usmmn*xo*a.nmmd.ommw* 97223031'W (503)
PARCEL: 1S135DD-03607
SITE ADDRESS...: 11545 SW LOMITA AVE
SUBDIVISION....: LOMITA TERRACE ZONING: R-4.5
BLOCK..........: LOT...... ....... :6
CLASS OF WORK..:ADD FLOOR FURN ^ EVAP COOLERS:
TYPE OF USE -SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES........: BOILERS/COMPRESSORS HOODS
FUEL TYPES 0-3 HP....: DOMES. INCIN:
:/GAS/ / / 3-15 HP....: COMML. INCIN:
MAX INPUT: BTU 15-30 HP....: REPAIR UNITS:
FIRE DAMPERS?..: 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE...: 50+ HP... . : CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 1690K BTU:1 (= 10000 cfm: GAS OUTLETS.:
FURN >=100K BTU: > 10000 cfm:
Remarks: One residential addition of a furnace to 100K BTU.
Owner: --- — — FEES ---
MATHILDA MOLINE type amount by date •ecpt
11547 SW LOMITA PRMT $ 25.00 CS 10/694/95 95-271258
5PCT $ 1.25 CS 10/04/95 95-271258
TIGARD OR 97223
Phone #:
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Contractor: ------ ----
CLIMATE CONTROL HTG & A—C
3315 NW 26TH AVE
PORTLAND OR 97210 ------ — —
Phone #: 223-4393 $ 26.25 TOTAL
Reg #..: 62196
REQUIRED INSPECTIONS -------
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This permit is issued subject to the regulations contained in the Gas Line Insp ____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection _
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
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Permittee Signature: 4)
Issued By:
Call for inspection — 639-4175
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