12675 SW GRANT AVENUE-1 12675 SW GRANT AVENUE
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INSPECTION NOTICE
City or I:gard Building Department
12420 SM. Main St.
Viyard, Oregon 97223 j
Phone 9394171
Address ------.�.2 , 2'_" 4�z. Permit #
_.
Ty;1e of Inspection "` �- _..• --ks.-, _
The fullowing Building Code deficiencies are required to be corrected:
'2.
F,esented to _ - -, -- --- Inspecto, _
Date 1
u4zr_ FUR PEinSPEcrronr - ----------- -
Ll VES r] NO
City of Tigard Mechanical Permit 2271
New Ins�.illation Replan Relocation Addition Alteration [j DATE:
HEATING
CONTHAC-rOR OWNER
AnDRESS-. JOB
PHONE ArPLICANT
Hem Input RatingjBTU per Hour) Vent Size Flue Si Ze
FLIEI. OIL 0 GAS F] ELECT OTHER
ITEM FEE ITEM NO. FIE
,–Io—r 's—suanc—eoi–P-e'r—m*i t SEE BELOW Each Air Handling Unit or Duct System 7 30
"t up to & ince. 100,000 BTU 6.U0 Cornmetcial Hood_§XLtem 7X0
N.ew -'s & over Other Equipine -_E�Lh 45)
_Lt�)u,.000 B U 7 60
( cdbumng Stove 4.50 1 trip Inspec,ion 4.51
o
Wall-Floor- Suspended 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.09
y2t�S stem w/Fan 4.50 Condition Compressor-3.1 to 15.H.P. incl. --771.00
Repair LHjeot qoq�li_njL 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SLI8-CONTR)kC'T',,)RS ! I
PERMIT ISSUANCE 110.00 Comments.
FEES
SUB-TOTAL
% STATE Issued By.--.--
25%PLAN CHECK
TOTAL REC.
Signature of Arplicant
PERMIT TO CONNECT
Tigard Sanitary District
-PERMIT Nu G DATE _._ _ 2,4
PERMIT IS GIVEN TO " - ,-
OF 41
TO CONNECT
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN CJM-
PLETF.D.
PERMIT FEE PAID ; ...............TIGARD SANITARY DISTRICT
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CONNECTION INSPECTED AND APPROVED
��_ Date
Tax Lot 2 SI 2 BC 600 23•-10 North Tigardvilie Aaun
Assessment 394. 36
Lateral 58.14
452.50
11-1-61 22.63
A SA thereafter
Addren/ y�C�J�, �J'd — Permit No.
Name of Occupant�� �_ Permit charge
Connection fee 20 0 ` (It
----- __ Paid by
-----_--- --___-,. Date connected_-- '- Z
Type of Building 7 Inspection fee.
Service Rate•«. 2Dy Paid
e
—
Contractor4 W-x�r Assessment Paid
Size of connection-- �44
i
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulabins and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the snme may be im-
posed froui time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon t)•Q
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers.
Owner 1
APPROVED BY
Superintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon