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City of Tigard Mechanical Permit
New Installation 0 Replace Q Relocation LJ Addition [-I DATE:Alteration -
HEATING
CONTRACTOR UWNER -__,x...-:�:� --
ADDRES r._ __ __-.. _ JOB ADDRESS -
P,.IONE_._-------_-_ _- _-- APPLICANT
Heat Input Rating(BTU per Hour)
.------ - ~-
Vent Size- -_ Flue Size—.-.__--------•- --
FUEL OIL F] GAS 0 El ECT ❑ OTHER - ---_.__-
__ -_�-- ITEM ---.._..__-t NO. FEE ITEM -_- NO. FEE
_ _ _ _l -__.- - -
For Issuance of Permit _ - - SEE [iELOV,I Each Air Handling Unit or Duct 5Ystem_--__ 7.60
6.00 Commercial Hood System - 7,50 _
New u� to & incl. 100,000 BTU __- --• ---- "- R.50_
N_e_w 100 000 BUT's & over - 7.50 Other Equipment__Each _ _ _--
-.—•- - 4.50_ 1 Tri Inspection 4,50
Woodhurnin%Stove __ - ----�---- -
Wall-Floor- Suspended 6.00 _Air Condition Ccmpressor up to&incl.3 H.P. - 6.00
Vent S sY._?em w/F�n -_ 4.56mp
. Air Condition Compressor 3.1 to 15.H.P.incl. 11.00 _
.-_�-- 6.00 --- - --
Repair -Heat Cooling --- - l-
'CITY BUSINESS`LICENSE REQUIRED BY ALL-CONTRACTORS OR SUB-CONTRACTORS !
P_E_R_MIT ISSI!ANCE 10.00 -
FEES------- •-- -- . __-_--..____�.--,.—. .--__.__._— --.___.
SUB TOTAL s_—_
96 STATE _ Issued By ---
2696 PLAI1�CHE K
TOTAL REC. of Applicant_
Cit .��+ Mechanical n n
City of Tigard echaniical Permit ' 639-.y,-7i NO.
- -
hfew Installation w Replace o Relocation❑ Addition [] Alteration DATE:
HEATING
CONTRACTOR AAA HEATING S Cnt11.111G. INC OWNER TMETS Sri1TTI,
ADDRESS_ '.G1R NF ttminU_Ally P, TT e!a*a.�_Oyid`_. JOB ADDRESS 11410 SW 02ND - TIGAR_ OBE 97223
PHONE APPLICANT
Heat Input Rating(STU per Hour) l. :",T(,x 1 1 n,nnn Vent Size Flue Size n"
FUEL 011_ GAS 0 ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW _ Each Air Handling Unit or Duct System 7,50
New•ualto h incl. 100,000 BTU 6.00 Commercial Hood System 7.50
New 100,000 BUT's & over 7.50 Other Equi ment - Each 4.50'-
Woodburning Stove 4.5U - 1 Trip Inspection __
Wall-Floor- Suspended 6.00 Air Condition Compressor-up to&incl.3 NP. 6.00
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Re alp r-Heat Cooling
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES
SUB
— % STATE fssued By _
Z5°+PLAN CHECK �� �
Cify= Of Tigard Mechanical Permit NO.
Now Installation, Q .ieplacsRNgl tion❑ Addition ❑ Alteration ❑ DATE:
HEATING
CONTRACTOR � 4IOWNER �
, �-ADDRESS P.O I _1- ,?(A'&rAAiA& — JOB ADDRESSIL� ,—J----
PHONE �jfz-&— 4 APPLICANT -�- —'
Haat Input Rating(BTU per HVent site - Flue Size
FUEL OIL❑ GAS g ELECT ❑ OTHER
ITEM N_O, FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW _ Each Alr Handling Unit or Duct System 7
New-up to & ind. 100 000 BTU 6.00 Commercial Hood System _ 7.50
Now 100.000 BUT'& & ovM 1 7.50 Other Egui,Ement Each 4.50
4.50 1 Tri Ins coon -,;.A:-.So
Woowb rnin Stove^ r - u
Well-Floor- Susrended — _ 6.0�) _ Air Condition Compressor - up to& incl.3 H.P. --_ _6.,00
Van- loon- w/Fan _4,50 Air Condition Compressor-3.1 to 15.H.P.incl. 11.0(1
Rapair-Haat Cooling 6.00 _-
CITY-BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! I
PERMIT ISSUANCE 10.00 Comments:
FEES .�
I-T L
ITATK-- _ ,, laved By
PLAN CHECK
T TA C '� REC. 0 ' -
i
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Ck je, "
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Address-/j 9 2,_ Permit No. &,3
Name of Occupant_ Permit char
Paid by
Date connected !
Type of Building �4�!._rP�/�i��f Inspection fee
Service Rate Z 0j Paid by _ Date_
Contractor _ a Assessment_ Paid
Siva of connection ilt(4,4__�_.