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16540 SW ROYALTY PARKWAY � to LO Ir, n 0 H. W rr � U a rr �c a n x E a i 16540 SW Royalty Parkway King City Ceti. ®d Tig2rd- Mechanical Permit NU. _ Kew Instaltttian � Rel Face C] Fie1;>cstion� Addition El Alteration C1 OATE• •_ , HEATING r CONTRACTOR _ �... 'l/r ) ai �i _s OWNFR ADDRESS -•r.w= /fJ�i�1r��,. F �. _ JOB ADDRESS 1._ 5 AiPHCNEr��t •; - � APPLICANT )��,;^.;� a ► � ," �;�, � """'j1�"'-""' Hr�+ Input Raating(STU per Hour) ____ _ Vent Slie Flue Size. =U_"L GIL� GAS L_1 ELFGT ©THcri Y IT:MNO. FEE _ . _ ITEM NO. FEE _ For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System _ --7,5E New-up to b incl. if_0,000 BTU 6.00 Commercial Hood System _ 7.50 New 100,000 BUTT & over 7.50 Other Equioent • Each 4.50 Woodbu.ning Stov; 4.50 1 Trip Inspection Wall-Floor- Suspen�e- _— 6.00 Air Condition Compressor - up to&incl.3 H.P. ^_ 6.00 Vent System w/Fan 4.50 Air Conditinn Compressor.3.1 to 15.H.P.incl. 11.Qt) Reeair-Heat Coo!inq 6.00� CITY BUSINESS "ICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! PERMIT ISSUANCE 10.00 Comments: FEES h SUBTOTAL �t % STATE_Y Issued By 2''"" PLAN CHECK TOTAL -_— �_ REC. # _ __._- _ Signature of Applicant BUILDING DEPARTMENT, TIGARD ND 2 4 J 8 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 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. Job Owner _/_ z::� '` .L Address ti ,{ 1 Date NUMBER OF TOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT a_DL�l-I.18.L - Sin91e Farn y-1 bath--each_--- 25.00 Duplex--Each 1 bath unit 25•00 Ac_ litional bathroom- each _10.00 Mobile Home Space-each-- _ -_15,� _.-_- INDIVIDUAL FIXTURE6 CC1mMEkCIA �— — 1 to 50 Fixtures in 1 building-each _ _ 3.00_ _ _- 51 to 190 Fixtures in 1 building--each -� - 2.50 _—__- �101to 200 Fixtures in 1 building--each_ _ _2.00 _-- 201 or mere Fixtur,is in 1 building-each MISCELLANEOUS __ ------ Sewer-each additional 100 ft.-- 10•00 + Water Service to building 5.00 Other (Specify): PERMIT. _____ / For Phimbing Inspection Phone 639-4171 r 4`s State Plumbing Contractor By) TOTAL RECEIPT NO. _� �� Issuca By - +-- F �1�Y l� U INSPECT ON TiMt PERMI r DATE: __!'JJ:+L_._ DATE ISSUED : I Z OWNERS NAME ' _ ADDRESS: G CONTRACTOR TEST : Air ❑, Watery] , Visual p , Lcboratory p RESULT: Approved �j , Di�.npproved Q fending [] SKETCH: i 1 I � i � I0 INSPECTOR DATE I I NOTE Attach suppleinental telt dato tic, et0 � I r