PFI2013-00023 � CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12013-00023
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 09/03/2013
Parcel: 2S102BD00100
Jurisdiction: Tigard
Site address: 9905 SW MCKENZIE ST
Subdivision: NORTH TIGARDVILLE ADDITION,AMENDE Lot: 52
Project: St Anthony's Catholic Church
Project Description: Adjacent to 9905 SW McKenzie Street. Water meter installation and driveway/sidewalk construction.
Owner: FEES
Description Date Amount
PFI Permit Fee 07/02/2013 $300.00
PHONE: Public Works-Water 07/02/2013 $1,490.40
Fire Service Reimbursement 07/02/2013 $1,400.00
Contractor:
R& H CONSTRUCTION CO
1530 SW TAYLOR ST
PORTLAND, OR 97205-1819
PHONE: 503-228-7177
FAX: 503-224-3638
Applicant:
TOM BARR
9905 SW MCKENZIE STREET
TIGARD, OR
PHONE: 503-639-4179
Total $3,190.40
Please sign below to indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact
information of responsible parties before beginning work.
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Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY