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15875
SW Royalty Parkway
King City
_...... -_.___._. .. BUILDING DEPARTMENT, TIGARD
NO. 0571
PLUMBING PERMIT
r 1T r' �., �.7 `r _ _. _______, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein note6 to be installed in accordance with the plumbinrl code of
Tigard. Such installations require inspection by the Laity 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. , v,•�.r l/a�'
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Owner _ Address: k-4 �' Date_ =^_Z_
NUMB'a OF TOTAL. PERMIT NO.'S
TYPE OF PERMIT 1 k#,-% FEE ON EACH AMOUNT (office Use only!
D EN-UKL— - --� — —
Si le Family-1 beth-each 25.00
Duplex-Each 1 bath unit 25.00
Additional bathrooms-each 10_00_�
Mobile Home Space—each_ 15.00
INDIVIDUAL FIXTURE FEES
1 to fi0 Fixtures in 1 buildir -each 3.00 _
51 to 100 Fixtures in 1 building-each 2.50
101 to 200 Fixtures in 1 building-each 2.0
201 or more Fixtures in 1 building-each _ 1.50 ^�
MISCELLANEOUS _ .__—___�__^ _
Bulldinprt _Sewer—Ist 50 ft. 10.00 `-
--.Sewer--each additional 100 it. _ '10.00
_Water Service to building _ _ 5.00 _
Private Water Systems-each 100 ft. 10.00
Other (specify
PERMIT U For Plumbing Inspection Phone 63941.U f,/ 7
96 8ta" , l Plurnhing Gontractor By _
TAL ___s'_.� RECEIPT NO. Issued By