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DRAWING IS LESS CLEAR THAN *�
THIS NOT IC r-.--lT IS DUE TO
THE -QUALITY OF THE ORIGINAL
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11550 Crown Dr. #7 Kew.
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CITY OI TIGARU PLUMBING 1i12`n3dBillI�"t.
Applicants mus; hold Oregon Registratir-n to conduct a plumbing ilgard CR 972A
PERMIT 64.175
busir-ss or must be property owner/oyerator not hiring outside help.
�Nanhs of Dsw
� Plumbing Permit No.
AL"Iress 7 Descrlptlon
ORS 61421 10 QUAN PRICE AMT
Job Ar,
Tax Lor J ,Map.No.
Address A"f/ {'? FIXTURES _ 77
LOI Si Moron 7.50
Sink
----__�__ p.��or name ofl5iis'+riess Lavatory — - --- 750 v
Tub or T vb/Shower Comb / 7.50_ �(
- /--
ruT�'luiq�.wess J Shower Only — _-- 7 50- -
` Ow CMy/ tele Lhp ---- Wale,closet - - - -_ 7.5o -- -
Dishwasher 7.50
Phone Garbage Disposal _7.50
---_^..__-__ -----
Name Washing Machine 7.50
-- _
Fluor Dram _ 750 ---
l-
1Tah mg fess PtKru? Water Heater-- - _ L - 7r^
O( a sant ---- --" — tp_ Laundry Room Tray 7.50
F rrty/Slate - - - _ - — 7.50 -- ---
Urinal _
einePhone Other Fihduros(Specih) -- _ 7.50
° 7.50
C.T7.50actor ty/State 27p _
City Bus 'ex No ;,WWW t at 100* 300(;
u a. State ;,nbsrt Bus Lie.W Sewer-ea.Addle 100 _ 1500
(R°sdenfial) Wale(Servk-A t St 100 2000
I hereby acknowledge Mut 1 have road this sir-Acellon,thee Yh.Mhlormation _Water Sorooe ea Addis r -- 1500
gtvrn is oorrect.tel l am ra20sterad with dc State Builder't board.and also Storm&Rain Drain I st 1003000
have a Sts%Pkxnbing W-vroe!hart the Kxnbws giver,Am oorrvct that all -- - -- --- -—
r0ombksg work win be done in a000rdr roe wMh appllrabb provisions of Ore- Storm 6 P-in[rain Add".100' - - - 1500 -
gon Revised Staharlss rAvi iters 4a' and M end applicable 00des and that Mobile Hang Spwx 2500
no help will be employed cries,-boomed under ORS W. (11 exempt from -- - -
-,taue rogistatlon,pleaas gIvv.sason below). Back F ow Provsdkd�pevhce 750
►KIMEOWNERS-�I hexer y osrWy teat I am the miner of the property N► _ _ �._
scribed abo+u.elwhich hrakm 1 pnapose lomake a pkrnbkV ksatdlalton tot Any Trap or Watts,Not
my own use and Thin rxepaity M not bekq oorettrucfed for abN,love or rent Comad°d to a F-txhxs 7.50
—-— -- knp.Of FxM Plunnbing - 10.00 Per Hr
SpedaN r q�queelsd Insp�swcxy -10.00 Per Hr
_ an F-xi**'g ----- I -- -- 15.00 min
AUTHORIZED SIUNATURE / Date Now Bldg or Build.Addton 25.00 MW -- --- i
e faltil 1
C)escribe work nowQ� letlel
on❑ MeraMQ�n[] repair(-1 duel! MOD
be done tss fj non-residential
EXWWV use of ,
txlllrA V or properr OUG-TOTAL-
p�uM of Sic til6 BUNCl/AAOR - --c
°r fit' --- -- TOTAL '7
/Tata pent>hk OaOorttea"°red nett!0 wale or aonstr►ratan authonxed it not oom
rrsersoad wll►ws 11�p dayseor f oersaha>rarh a worll M Mwpenalad a atlhitu nod k>.
I IlWW Of 190 Aayx 41 arty Mn°after work M oe arAnrsd
Date lrleheoA � � _ b1► -��J<C/ /�
City of King City
AUjj.gATZ4N _ 4t�tl8S�1TiCrUKAL ANS aT.���'!'� t�1� CHNNCi:S.
R 1 NAME /W i�
� C�' f� L il,c•�t. , . .
ADDRESSt/ 'fin` c -,t) ;�4 1>1-2. # :`� YHUN s',"1
TXLE OF C1 AMj9 SE-JUgSTED _EX` L' RlQh---IN6TAJl UNE �iINDQ4l. INl'i:ttlUli--�:Pi1.ARC�E
,SPT RENOVATE 7ATHROOM < KITCHEN--ADD SPACE .jY TAKING SPACE FROM STUIL.IQE ATEA.
,,N, ELMTRICAL AND PLUM.IING CODES WILL BE ,DERED TO.
CT WV '10ALr
ATTACH A PROPERLY_EXECUTED llR6dING , SH MING PLAN ANj1 EUYAT?UN. TU THIS'
�Jl FORK,
TliAN KLSIULNT
C-�Ql� Jrn' -�Q r s r e a l ilf ld W e Tyle, .r�
ADJACENT PROPERTY OWNEFcS MILL BE INFORMED OF THE R6,UG6Tr,ll CHANUE.
J IF THERE IS AN ObJECTION, Tris; OdJi;(;TION WILL dE ALiLAYcLJ TO TIM
!l ,
RESIDENT A -�KINu FUrt THE CHAiVUZ.
SUbMIIT THIS FORM ANJ ACCOMPANYINU UtiA4114U (0) TU ThL h.U .C. A.
At)F4lNI6TdAT(jR.
NAJUR STRUCTURAL CHAlCr„) AiW JIJL)J"L;'P TU ,tLV 1 Lvc uY 'T►tL
80ARD OF JlRj-'CTU8S.
A HUILOI146 PERMIT MUOT 66 Ub'TAINLU F:10m TiiL U;ITY Ur' TIUASW t'Uit �
ALL IMPROVcMENTS COSTING UVr.H . 500.0U. CUNTACT ciil ijALOLN 639-4171 .
—DATE
AES 'IGH_iHOHs� - — LJA'kL-- I -
w►'1'L
• City of King City • 15390 S.W. 116th Avenue, King City, Oregon 97224 9 (503) 639-4092 •
+sT w w s aw
for inspect L call 639--4'(7
PERMIT NO._Z lt✓
CITY OF TIGARD 699-4171 DATE
PUII.DIMU P PMIT
.0. Boz 2397, Tigard OR 91221 TAXMAP J�.LOTNO, sueD"AS10/ _—
I >• MA00AUS --11 5-5 '0 tLI-0-_tip i 1t
OWN -... �►. G G
e1/110ER `� _ , r' ll ,STATERE(k.NO.Sj) 31 _EXP.DATE
BUtLDER-S PHONE
ARCHITECT �:�---- — -
PHONE_ OTHER ---._.
STRI/(s`f'URE ❑ NEW J-1`tEMoOEL___Cl A001110N ❑ REPAIR ❑ MOVIE ❑ OTHER l; DEM01.1110H
RESIDENCE ❑ COMM O EDUCATION O IND_❑ RELIGIOUS, ❑"ACCESSOIiY ❑ GARAGEO OTHER ❑ FENCE
OCXX/PANCY - (J1ND 115E ZONE S.Bt.DG.TYPE –�-�1c--FIRE LONE �-- PLAN CHECK RY HEAT
--_
SEWER PERMIT 0, I�t1-- --:57
OCLOAD FLOOR LOAD HEIGH' ".40.STORIES AREA NO.BEOROOMS l vAluEv LGY!
C.
BUILDING DEPARTMENTSET eACKS FRONT � � AEA F� (� LEFT SI – RIGHT SIDE — -
P_Nenit �. S 0 THIS►Eg:.Ir tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZON1N'.
REOULATIJNS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY ADRFtO THAT THE
Plan Chock 32 - WOIIK t lY l E DONE IN ACCORDANCE WfrH THE PLANS AND&PECIFICIITIONS AND IN COMPLIANCE
STN ALL 0;jrABLE CADET'AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOU NOT WAIVE
Pt CIL F" -- RESTRICME CO'1ENANf&CONTRACTOR AND*U■CONTTMCTORS TO HAVE CYRRENT CITY SUSINISs
TAX PERMfT1:.SEPARATE PERMITS REOIlIREO FOR SEWER,PLUM BINO AND HEATING
Slat*Tax Z- Z 5600
Soo` ----——- -- -- ---
Tolal 3 APPLIC:ANTONAGENT
ADUnES;
h �+1
Bal.Duo
SSDC -- $
SOC -
, (.i�Ytit� RECF I PT N___
PDC -
DATE PD. _
SEWER CONNECTION S r = AMOUNT PD. _ _
3CWEFi INSPECTION 4
SEWER SURCHARGE S
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ommento; —
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-
-77
JUL
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