16525 SW KING CHARLES AVENUE-1 16525 SW King Lnarles
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BUILDING DEPARTMENT, T!GARDu�;
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PLUMBING PERMIT 7
0 , I� .a I k �� _____, holder of a valid plumbing contractors license is hereby
authorized to cause plumbi4 work as herein nerved to be installed in 3crordance with the plumbing code of
Tigard. Such installatior•, require insp?ction 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 Bl-siness License required
ror all contractors and sub-contractors. r�r,
Job ��//. �
Owner _ 't. _►� L .� Aid ress_IA:1 S� '�,1"V j4- I - lasts
UMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Si Is Femlly-t bath-eecf� _ �__ __ _ 2b.uC
Duplex-Each I beth unit -_- 25.00
Additional bathrooms--each_-- -� 10.(X1
Mobile Home apace-each _ 15.00
INUNIOUAL FIXT4JRE9LC0lnMERCIA _ __
1 to 50 Fixttutes in 1 buildin -each -- 3.00 _
51 to 100 Fixtures in 1 building-each _ 2.50
`301 tc 200 fixtures in 1 bufldlry_each _ 2.00
_201 or more Fixtures in 1 oullding--each __ _ __11,60
MISCELLANEOUS
Sewer-each additional 100 ft. 10.00 ^
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_Watet sbrvice to building uQ 5,00
Othsr (Specify):
PERMIT el
lFor Plumbing Inspection Phone 639.4171
4 StatePlumbing Contractor By ,y" '�
-x
TOTAL 7 RECEIPT NC. 't�� Issued By
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