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BUILDING DEPARTMENT, TlGAr D
PLUMBING 'EPMIT
holde of a valid plumbing contractors license is hereby
at.lthorized .o cause plumbing work as herein noted to be i stalled in accordance with the plumbing code of
'Tigard. Such installations requir,,- inspection by the City In;pector 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 wId sub-contractors.
Date__--.__—�—
NUMB'eR OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITeMS� FEF. ON EACH AMOUNT
(Office Use Only)
Single Family-1 both-each
Duplex-Each 1 bath unit 25,00
_Additional_bath roons--each V1 _ - _ 10.00
Mobile Home Space-each _ 15_00___
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building-each _3.00 Y
51 to 100 Fixtures in 1 building_each _ _2.50
_101 to 200 Fixtures in 1 building each _ 2_00 __ — ---•_ __._
201 o more FixturesIn 1 bullding-each^� 1,50_
MIS ELLANEOUS _ '-
_.Bu.ldim Sewer-1st 50 ft.__
Sewer--_each additional 100 ft,
_Water Service to buildir�_ __ _5.00 -—��—
Private wat �
eh Systems-each 100 ft. T� 1000
Other S ecif ►: a _
PERMIT For Plumbing inspecrion Phone 639-4171
3%State Plumbing Contractor By
TOTAL. RECEIPT NO. Issued By
BUli-DIVG DEPARTrNIENT, 1IGAF,.L)
P PASING PERMITM
s ^
U4A holder of a valid p!urnbing contractors license is hereby
a
authorized to cause plumbing wort as er,in nosed to be installed in accord .rice with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified noZ less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contr2cttorrs and sub,-cofntractorr�. �'1 ,
G(GI _J �`�p/�•~ Addres.–aC�? W Date
Owrer
--=—( –
NUP,IBF:R OF TOTAL PERh11T NO.'S
TYPE OF PER*AIT ITERS FEE ON EACH AMOUNT (Office Use Only)
R E 10 T-1 --- - _
25,00
Sinai+ Familv-1 _
Ouole C-Each 1 bash unit — 25.00
Addi-ion ba'.hroum;-a2Ch 10.00
__- — — -- ¢
MCb It ta,�me Sia-aat:h i 15.00
INDIVIDUAL FIXTURE FEES_ _— -- --
I to 50 Cixturst in 1 build�rg-each 3.00
�. �
51 to 101 Fixtures in 1 buildir'j---,h _ _ 2,50 --
101 to '21130 Fixtures in 1 buil�ir.�-each _ 2.00 t
- - -
201 or more Fiz_ures in 1 builrl n"xh - 1.50
I411SCELLANE0US _ --- -- -- -
8�ilc ir; S�.ver_1 ii 50 it. —_--- — 10.00 _ --
Srwrr—etch td;_'idonal 100 it. _ 10.00 _ t
_ware?S.rvice to bu`Iding _ --- r— 5.00 --- —
Private 11,ater Systems-etch 1G0 ft. 10.00
L "
Orhrr (Sox-:{._1;P
Sox-:{._1; ----y— _ _ --- - — - j
PEVA .IST -'—�- For?'ur1br'n�ink, . •^n ?;ror?639.4171 i
j b Sate -- Plumbing Cowractor By
TOT RECEIPT NO. Issuad By