13810 SW 110TH AVENUE • SW 1.10TH AVENUE
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C 1 OF 710A RD METMANICAL PE PM
CITY OFTWARD
COMMUNITY DEV'1--LOPML�.NT DEPARTMENT PEPMIT NO . : ME::881.269
13125 S.W.Hall Blvd..P.O.Box 2339s jaro Oregon 97223.(503)639-4175 DATE ISSUED: 1/ 1/68
PRIM. PMT .No.
J013 ADDPESS : 1.381.0 !':)W 1.10TH AWK.
TAX MAP/LOT LT ! SK :
LAND USE :
LOT SIZE :
:1 TEEM: NO : NO:
WORK (:.I-.AS" At.JERAI ION FURNACEE 0.00K ATP HANDLR <1.0
USE: SINGLE FAMILY FURNACE: 100K+ AIP HANDLP 10K
11ONST . TYPE: VN F'11-00P FURNACE EVAP.COOLLP
OCICUP. C14P - 1:43 HEATEP W."N'T FAN
V I 1-:'N T VEK'NT . SYSTEM
BI P/COMP <'31-111, HOOD
NO . STOPILS : BI A/COMP 3-13HP IWUNEPATOR(DOM
DWEL.L . L)N:[:'T'S : 1.31 R/COMP 1.5-1,501-11P ING I NE.PAIT)A(COM
I'-'tJF-L T'YPE GAS RLA/W.IiP -30-50HP AFE'll.-WIP LlN'.TS
MAX. IHI-')UT 13LW/COMP 50+1-11P OTHEP
1*:[AIL-: UMPASI? GAS PIPING OUTLETS I.
HEW-1 FIRE"SS? —
11-Ow 1,44-4644 --
PE.MAPIKS :
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uhl-ut.wh at mialviallru 0-11.1nneu
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N PERMIT 111110 . 00
E11,W 1.1.0t.11 jig V W
RPLAN REVIEW
Ligotrd or 97223 F:,:Ex TIMIL.S $6 . 50
(303) 614-1 60PA SIATF. T'AX 11111 C-13
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permit as issued stiblect to the regulations contain-id in Title 14 PIECE] PT NO . 3 P—It'!7.5
me TMC State of Oregon Specialty Codes, zoning regulations
,ind all other applicable codes and ordinances, and It is hereby
,igreed that the work will be done in accordance with the plans and
,ipecifications and in compliance with all applicable codes and
,)rd,nances The issuance of this pernilt does not waive restrictive
, ovenatits Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
-old it work is not started within 180 days.or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shat,be the responsibility of the permittee to Assure
all required inspectio is are requested and approved
Permittee Signature
Issued By .......
L. FO 1.1 Ti N PI. 1 l 1 6 AY.-,q1. /,"5
SEPARATE PERMITS REQUIRED FOR WORK OTHF14 THAN DESCRIBED ABOVE