16050 SW ROYALTY PARKWAY i
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16050 SW Royalty Par'cway _ f
King City
CITY OF TIGARD Plumbing Permit
Building Department No.
Residential, commercial
New Installation Replace Addition Alteration Date
Licensed
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Plumber Owner /
Address A"in Job Address
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Phone Applicant
CITY BUSiNESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps 7,50 Sewer:First 100 ft. 30.00
Dishwasher 7.50 Each Addit.100 ft. 15.00
Garbage Disposal 7.50 E.!—ec t—or Pump-_ 7,50
Water Heater Water:First 100 ft._` 20,00
Backflow Preventer 7,50 Each Addit.200 ft. 15-00
Storm&Rain Drain:First 100 ft. 30.00
Each Addit.20 ft. 15.00
Mobile Horne Space 25.00
Other(Specify): --,Rain Dmin-Slngle Fam.Dwelling() 15.00
PERMIT FEE
i Comments:
Issued By:
S1
'ATE % 7 — J
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Receipt No,. -- Applicant
TOTAL Signsiure
For PlumbkV Inspection Phone 839-4171