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13465 SW BARNUM DRIVE
CITYOF TI$ARD
V 4ASHINGTON COUNTY,OREGON
DATE: 4-27-83
OWNER: Alar. Radin PERMITf1: 2700
ADDRESS:_'13465 SW Barnam Drive, Tigard, Oregon 97223
On September 16, 1982 a Eermit was issued for the installation of
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a wood s;:ove in your residence. As of this date records do not indicate
an inspection of such installation, as required b'y Tigard Municipal
Code.
Please inform this department as to the status of ,.our project so a time
can be set for an inspection of your unit.
Sinc,rc:ly,
x.
Brad Roast
Roast
F, Building Inspector
BR:pJr
IF 1 A/ o c co r-a i4. f' T �'re... ; �- tie •o
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-- 12755 S.W. ASH P.O. BOX 23397 TIGARD,OREGON 97223 PH:639-4171 --�
City of Tigard Mechanical Permit
New installation E.1 Replare r] Relocation u Addition ❑ Alteration n DATE:
HFATING
CONTRACTOR _ _. _ OWNER --
ADDRESS — _ ,JOB ADDRESS__
PHONE-______ APPLICANT-_
Neat Input RatinglB fU per Hour) Vent Size__ _ Flue Size._
FUEL OIL CJ GAS [:] ELECT OTHER
ITEM rNO. FEE -� ITEM _ NO. FEE
For Issuance of Permit _ SEE BELOW Each Air Handling Unit or Duct S stem _ 7.50
N^w-up to & incl, 100,000 BTU _ 6.00 Commercial Hood Systeri 7.50
Now 100,000 BUT's d,over _ 7.50 _Qther E uy Ipment - Each 4.50
Woo ourning Stove__-_ -Y 4.50 1 Trip Inspection _ 4.50
Well-Floor- Suspended _ 6.00 Air Condition Compressor _ up to& incl.3 H.P. _6.00
Vent System w/Fan __ i-.___ _ 4.50 rXir Condition Compressor-3.1 to 15.H.P.incl. 11.00
Repair-Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10_.00 Comments:
FEES _
SUB-TOTAL ��.--
% STATE' Issued By
25 PL�yN CHEC
TOTAL REC. __--
S',:Iature of Applicant F
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ADDRESSIIG 5' PERMIT N0.
PERMIT CHARGE
OWNER CONNECTION FEE 0-e-v
PAID BY
TYPE OF BUILDING.. . %..�, M DAY►: CONNECTED
SEIIUICE RATE '' INSPECTION FEE —2-s
. .CONTRACTOR ;rc"le _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT ��_ PAID � _
UNIFIED SFVVERAGE AGENCY NO. _--- -__ ` _�► _.
WASHINGTON COUNTY DATE _—L��t' -'� �d-1`_1 v
C I _Y O F - - - - !A
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: -- _- ___LX � ____... 6-
OWNER'S ADDRESS: 1.3 (46Ka --
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- -�+ �- � TATE �t ----- _ 1.�---z�-
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BUILDING SITE: LOT BLOCK __ _- ADDITION
TAX LOT NO. _V--10-0 S/, gYPE OF OCCUPANCY
ADDRESS ---- --- —4d a
DWELLING UNITS_ ____ _ __- FIXTURt UNITS -- _
SURCHARGE IF APPLICABLE _ _
PERMIT FEE ____sem___-_ INSPECTION FEE _ TOTAL DEPOSITED
,,(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with dll rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWFR SYSTEM.
LINE SIZE ---- _ INSTALLER
RECEIVED
(AGENCY 4R ITS AGE 1 - r�
COMMENTS: -- 9
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
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