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8861 SW COMMERCIAL STREET
i IUAKU Mt(;HANI(:AL PERMIT
Description
City of Tigard Table 9A Mechanical Code_— CITY PRICE-;:AMT
13125 S.W. Hall Blvd. 1) Permit Fee •0• 10
•0A
00
P.O. BOX 23397 -__-_ _.
Tigard, OR 97223 2) Supplemental Permit 3,00
639-4175Furnace to 100,000 BTU
�� Z 1) incl.ducts&vents 600 2
y1 Furnace 100,000 BTU +
2) incl.ducts&vents 7 50
Name of Df/velopment Floor Furnace
kQN.h►�/l Ol t�►"1 53) incl.vent 600
Job Addres - Suspended heater,wall healer -
Address g1 4j h��.,,1— - 4) or floor mounted heater 600
Tax Lot
Map LNLoWLl --- 5) Vent not incl.in
Lot Block Subdivision appliance permit 00
Name(or name of busin ) q 6) Repair of heating,refr ig.,
600
�•.-a.V1Ce- i-- �dal� l �ia cooling,absorption unit
Owner -
MnallingA cess Phone Boiler or comp to 3 HP
F D CX, Z�2 Z g 3� 64� 7) absorp.unit to 100,000 BTU 600
City/State ,p Boiler or comp to 3 HP-15 HP--
T � ( ZZ 8) absorp.unit to 500,000 BTU t 1.00
Name j 9) Boiler or Comp 15.30 HP
Q�(/ -� --i`h� , absorp.unit 112-1 million 1500
Mailing Address Phone Boiler or comp to 30-50 HP A
10) 22 50
absorp.unit 1-1.75 million
Contractor City/State '-- —` -
Zip Boiler or comp to 50 HP
1 1) absorp,unit 1,750,000 BTU 31 50
Stele Registration No City Bus tax No Air handling unit to
. t 2) 10,000 CFM a 50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7 50
correct,that I am the owner or authorized agent of the owner,that pians subtitled are in 10,000 CFM +
compllance with State laws,that I am registered weh the State Builders'Board,that the 14 Non portable
number given is correct.(If exempt from State registration please give reason below) ) evaporate Cooler 4 5n
-•------—_----_-_ ___ 15) Vent fan connected 3.00
to a single duct
-� ------� --�-�- --'� ---�-- -- Ventilation system not
18) included in appliance permit 4.50
Hood served by
BignaYxe(owr►•r as agent) —- ------_ 17)_mechanical exhaust 4
50
osl• Domestic type
C add 18) Incinerator 750
Describe t pion ❑ alteration repair ❑
to be done residentialy non-residential [] Commercial or Industrial _
Existing use of 19) pe incinerator3000
building or properly•-__r_ - 20) Other i.e.,woodstove,water 4 50
Proposed use of heater,solar,Clothes dryers,etc
building or property r-- --- - `
21) Gas piping one to four outlets ( 200 2
Type of fuel- oil ❑ natural gas LPG O electric ❑ --- --- -
22) More than 4-per outlet
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- I SU&TOTAL 407
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN too 4%8Ut11CHAt11QE WI
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ORt�LAN REVIEW 26%OF>11JN•1QTAl, •7 --
MAN
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --
WORK IS COMMENCED. TOTAL ,3 ty-112o
Speolal Condldons
0409 Issued _ hY
1111110
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