11675 SW NORTH DAKOTA STREET 11675 SW MRTH DAKOTA STREET
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City of Tigard Mechanical Permit M 2 ,�,6 Fee it - _ 23.99
New Installation 10 Replace C❑ Relocation ❑ Addition ❑ Alteration ❑ 4%St ite U
HEATING TOTAL_ 1 D• '
CONTRACTOR — f .y OWNER —
ADDRESS` WORK ADDRESS. _;,3- :'7 �✓"�.
PHONE APPLICANT
Heat Input Rating IBTU Per Hour)_ — Vent Size _ Flue Size
FUEL OIL CJ GAS ❑ ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Per.nit ` EE ABOVEit Condition Compressor 15 to 30 F"' - 10.00
New-up to & incl. 00,000 BTU 4.00 Air Handling 10,000 CFM _3.00
_New-100,001 BTU's & over _ _3.00 Air Handling Over 10,000 CFM__ — 5.00
_Floor Furnace _ 4.00_ _ Evaporative Cooler v �_ 3.00
Wall - Flo--'- -suspended __4.00 Range Vent Fan -' 2,00
Install Vents Only 2.00 Vent System 3.00
Repair _ Heat& Cooling 4.00 Hood Commercial4 � 3.00
Air Conditic- Compressor Under 3 HP _ 4.OQ Commercial Duct System ___ — 10.00
Air Condition Compressor 3 to 15 11P — 7.50 r ��
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SI;bCONTRAC�ORS
APPROVED BY ' ` DATE �' -�% 'ISSUED HYD' � PATE, .
RECEIPT NO._._—;;�
"' Signrture Applf t
i
PERMIT TO CONNECT '
Tigard Sanitary District
PERMIT M 1589 DATE��• J�' ,� ;d E
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND IWPECTION OF CONNEC,TfOlq INAN*~matr -
PLETED.
PERMIT FEE PAID ;.........: 4...............TIGARD SANITAItYfltS't "
By
CONNECTION INSPECTED AND APPROVED
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AddresE -11U S.W; llt3k�to L,:. _.._ ._..,._ Permit MO.
Perm_t ebarge
owner ....�_.,.._ _._ y ' �tian iee � 0�..��_ .�
Nid by Fred K Hatui..�..v...._...
Type of building Reuidence Nte connected
Service rate .�.00 ker month _.. . rnopection fee _. ._._,�1• �...a.� �..._.�.
Contractor Fred K. Hahn Ylaid by ._.Name ....._ Drtte
Size of connection 4" Assessment Pgid
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