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15885 SW Queen victoria
King City
BUILDING DEPARTMENT, TIGARD NO. 0597
PLUMBING PERMIT"
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 riot 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.
Owner
~ NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEF ON EACH AMOUNT (Office Use Only)
.E.SJ-9 E N.I..lA1�____ __—
Single Femily-1 bath-each A _ 25^r)0
Duplex-Each 1 beth unit V 25.00
Additional bathrooms-each_A 10.00 �- ^
Mobile Home Spece-sech 16.00
INDIVIDUAL FIXTURE FEESIf
1 to 50 Fir.;ares in 1 bulldl%-each _ +3.00 -
51 to 100 Fixtures In 1 bullding-each _2.50
101 to 200 Fixtures in 1 buildira-each 2.00
201 or more Fixtures in 1 bu° -
.idl- each 1.50
MISCELLANEOUS _
Building Sower-le 50 ft_ _ 10.00 � --
Sewer-each add!tional 100 ft. 10.00
Water Service to building_ 5.00 _
Private Water Systems-each 100 ft. 10.00
Other (Specify);
PERMIT For Plumbing Inspection Phone 6394191
1% Stab _ Plumbing Contractor By
I TOTAL RECEIPT NO, Issued By ��_