Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PLUMBING PERMIT
PERMIT # ° PLM94 -0150
639 -4171 DATE ISSUED: 07 /25/94
PARCEL: 1S1260C-01107
SITE ADDRESS...: 09350 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C —G
BLOCK ° LOT °
CLASS OF WORK.. :ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE °COM WASHING MACH BACKFLOW PREVNTRS..:
OCCUPANCY GRP.. :B2 FLOOR DRAINS . TRAPS
STORIES........ :1 WATER HEATERS °1 CATCH BASINS °
FIXTURES - -- LAUNDRY TRAYS ° SF RAIN DRAINS °
SINKS ° URINALS............: GREASE TRAPS °
LAVATORIES °2 OTHER FIXTURES
TUB /SHOWERS SEWER LINE (ft) °
WATER CLOSETS.. :2 WATER LINE (ft) °
DISHWASHERS . RAIN DRAIN (ft) °
Remarks: JC Penny remodel to a furniture store REPLACING EXISTING FIXTURES
Owner: FEES
'WINMAR— CASCADE INC type amount by date recpt
700 5TH AVE #2600 PRMT $ 45.00 JG 07/25/94 —
SPCT $ 2.25 JG 07/25/94 —
SEATTLE WA 98104 -5026 .
Phone #:
- Contractor:
DE TEMPLE CO
1951 NW OVERTON ST
PORTLAND OR 97209
Phone #: $ 47.25 TOTAL
,Reg #..: 02510
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Top —out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i n a l Inspection
applicable laws. 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
than 180 days.
Permittee Signature :.',i4 :K"
Issued By: 5,
Call for inspection — 639 -4175
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