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11260 SW GAARDE STREET 11260 SW GAARDE STREET 1 T� BUILDING DEPARTMENT, TIGARD �u 9 /J PLUMBING PERMIT � I holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of 'Tigard Business License required for all contractors and sub-contractors. Job Y� / n , Owner Address-- NUMBER ddressf-NUMBER OF TOTAL TYPE OF PERMIT I ITEMS I FEE ON EACH AMOUNT RESiDEN T AL Si Ie Famll —1 beth—each _ _ 26.110` Duplex—Each 1 beth unit 25 00 Additional bathrooms—each _ _ 10.00_ Mobile Home Space—each �—16.0.0 INDIVIDUAL FIXTURES COMMERCIA ' '� — 1 to 50 Fixtures In 1 building—each _ — 61 to 100 Fixtures in 1 building each _ —�— --- 101 to 200 Fixtures in 1 building-each 2.00 _201 or more Fixtures in 1buiidir�each— _ 1.60 ~ MISCELLANEOUS _ —� Sewer--each additional 100 ft. 10.0_0 — — — — Water Sarvic to bulldi — 5.00 0th r (Specify): — -- '— PERMIT — For Plumbing inspection Phone 639-4171 " µms h,9(State 47� Plumbing Contractor By Cr: _ _.. TOTAL RECEIPT NO. Itsuod By I � tttitr >lst !w w, � BUILDING D'E'PARTMENT, TIGAnD _ PLUMBING PERMIT , Ytu'y (nf,I iii it r2'[ S holder of a valid plumbing contractors license is hereby ' authorized to cause plumbing work as herein noted to he installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall brj notified not less than four ' (4) hours prior to the time the installations ;re ready for inspection. City of Tigard Business license required ' for all contractors and sub-contractors. Job ' Owner cL-fJaL f/A'—�'�� _ Address_1 NUS1nI F2 OF TOTAL s TYRE OF PERMIT ITEMS FIT ON EACH AMOUNT A LUD[NT 1 A L Sin to Femily-1beth-each 25.00 Du Fp ex-Each 1 bath unit 25;00 _ Additional bathrooms-each -' -- --- _.._ 10.00 `,.• � _M_obiin Horne Space-each _ INDIVIDUAL FIXTURES COMMERCIAL 1 to 50 Futures in 1b_uitdin�r-each •-______ _,_ 3.00 51 to 100 Fixtures In 1 buildina-each _ 2,50 !O1 to 200 Fixtures in 1 building-each - �7..00� ~�•__�^---Y - "-"'- - 201 or mni,a Fixtures In 1 building-each—­ M 15 C IE L L A N E 0 U S uitding-each_ _M15CELLANE0US - Smor--each additlonil 100 it. Water Serviceto buitdina b.09.— Other 00Otherr fSeeit - - - -- — _.. PERMIT ateror Plumhing Inspection Phone Ii39.41/1 - ~ 4 o St t-Le Plumbin0 Contractor fly �• it TOTAL REI:nvr h0. Is"twd FIV - A A D D R E 5 5 /I,� <J_�Qv PERMIT NO._ lC PERMIT CHARGE none CONNECTION FEE _ 7S 0►J N E R PAID By -- TYPE Of' BUILDING DATE CONNECTED _ SERVICE RATE _ ------ INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION !_ ASSFSSIiENT PAID H -) 1 77 UNIFIED SEWERAGE AGENCY NO .10656 WASHINGTON COUNTY DATE _ Septemh 7,19_7b k CITY O F--- - -- -- ----- - rtr,4Rn APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _-Cal1 I — OWNER'S ADDRESS: __11 60 5.61. G-aar-de—S-t.__ _ �� _ --------� STREET -- --Tigard ----- ----- Oregon -- _. 97223 CITY tax lot 2604 STATE tax map 251 10A ZIP BUILDING SITE: LOT -_ BLOCK _ ADDITION TAX LOT N0. -_ -______ TYPE OF OCCUPANCY ADDRESS 11260 DWELLING UNITS __.1___ _ _ __ FIXTURE UNITS SURCHARGE IF APPLICABLE _ (50 to derby-.-dell) .- PERMIT FEE 57..5 _ INSPECTION FEE --- 25 TOTAL DEPOSITED .__6i00____�. (NEW) (EXISTING) BUILDING SEWER SYSTEM Fannn__C.r.eEk The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. r APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINT SIZE a- _----4"-._ ,rJ RECEIVED -_ (AGENCY OR ITS AGENT) COMMENTS _.._._______sewer connection only This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur.