11375 SW 90TH AVENUE-2 11375 SW 90TH AVENUE _
x
0
rn
3
cn
Ln
N
r7
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1 I
Per
City of Tigard Mechanical Pert-nit N?
Nc:w Installation ❑ Replan;relocation ❑ Addition Alteration ❑ 4% State_ 2
TOTAL
OTAL14UTING I At 74,'A.
CC NTRACTOR O At —_ _ OWNCR
fl"rDRE e _. aS31 _ `g II A WORK ADDRESS
PN,ONE APPLICANT —
He)t Input Rating (BTU Per Hour) _ ��. Vent Size —_ Flue Size_
FUEL OIL ❑ GAS * ELECT ❑ OTHER
ITEM N0, FEE ITEM NO. FEE
_ _Air Condition Com re_ssor 15 to 30 HP 10.00
i'ar ISSrJ7n:�of Permit EE A13UV p _.-._. ._._. ��
Nc,.v-�up to & incl»100,000 BTU - —40 Air Handling 10,000 CFM - _ 3.00 4'
E,,,_ �� 5.00 Air Handlin Over 10 000 CFM __ 5.00
pJ
l00 001 BTU S & over
9 _
4.00 F� iporativl:Cooler 3.00 ,
_ _ _4.00 " , Vcnt Fan _2.00
VJvtt • i-ioar •Susr,andad -.....__s _ .
Install Vents Only 2.00 Vc System_ �. — 3.00
R•;pair • Hmat& Coulinr _ _ 4.00 Hood Commercial _ _ _ 3_.00
•\ r C,urnaition Compressor Under 3 HP F 4.00 1 cnmm(�rcral Duct System —� 10.00
.Air Condition Compressor 3 to 15 HP
I
INSPECTOR'S COMMENTS
CI'r" BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
QPPHOVrD BY__ DATE ___-- ISSUED DY_
RECEIPT
714it�;S791 I_ ' Signature of Applicant
PERMIT TO CONNECT
Tigard Sanitary District
DATE d, � S,
PERMIT n�° 750 - -_-
PERMIT IS GIVEN TO to"lrvr/r � f-------
OF /13
75_
TO CONNECT A
TO THE SYSTEM OF 'TIGARD SANITARY DISTRICT
PERMITAT
THIS S INSPECTIONMADE ANDINSPECTIONON OF, CONNECTION DESCRIBED EHASF EiEC'BEEN
COM-
PLETED.
PERMIT FEE PAID .Jim,
Imp Im
By
CONNECTION INSPECTED AND APPROVED
--�---- date �_� guperintendent
i
i
i
ees _
yC r--- Permit No.
Addr ��� ---
el a
Permit cbarge
:,sane of Occupant---- "� — ,
Connection fee �'� e e,,
Paid by i_ /�6 r�'�`•U.f '
De.te connected
,, Inspection fee_
------
Type of Building._�L_ �. -
S C' Paid by _.h—� �
��Nuc�--Date i�
Servide � --------•-�
Contractor
�f 14,41 __ Aeaeusment__— Patd —
IY� -
Size of connection_ — ----