12350 SW KING RICHARD DRIVE J {�0
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BUILDING 05MATMENT, fIGARD NO. 0525
PLUMBING PERMIT
-- -- -L� -•–.-- `,__' �__— 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. 1,51uch 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.
OWnl:r_ E\ �.�' � � /
Address ����__. Date .
NUMBER OF � TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS a FEE ON EACH AMOUNT (Office Use Unly!
_Sirnle Fandly_-1 bath-each �._--_--
Uuple►-Esch 1 bath un t 25.00 A
Additional bathrooms-each _i _ _^ 10.00
_Mobile Home Space-each _ _ 1500 —_ - --^
INDIVIDUAL FIXTURE FEES �-
1 to 50 Fixtures in 1 building--each 3.00 __
51 to 100 Fixtures in 1 building-each _ 2.50
101 to 200 Fixtures in 1 buildin --each 2.00
_ 201 or more Fixtures in 1 bt ilding-each _ 1.50
MISCELLANEOUS__ J -� -
- Building Sewer--1st 50 ft. 10.00 _
_Sewer.-each additional 100 .: 10.00 _
_Water Service to building_ 6.00
Private Water Systems-each 1U0 f - - 1U.OU
Other (Specify): _— --- —_ -{
For Plumbing Inspection one 6394191 —J
Plumbing Contractor B►�
TOTAL ��_-...
RECEIPT NO. Issued By
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iNS?E�"J'i0N 71 ME ?2WAi'i N'�.' .�
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