12050 SW 118TH AVENUE ri
• • SW 118TH AVENUE
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BUILDING DEPARTMENT, TIGARD
METING PERMIT �1
holder of a valid plumbing contractors license is hereby
aut crizpd to t:�:use p umbing work a erein noted to be installed in accordance vAth 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 a!l contractors and sub-contractors.
Job
ON�:ner�rf ----.-- Address L512 ,�W�� Date
NL"•18cR OF TOTAL
TYPE C s PERMIT 1 i FMS FEE ON EACH AMOUNT
Single Family-1 bath-eech 25.00 y
Duplex-Each 1 bath unit 25.00 � ~-
Additional bathrooms-each 10.00
Mobile Home Space-each `�- 15,00 ----- {!
INDIVIDUAL_ FIXTURES C:Ofrlf'JERCIA t
-- -- _
1 to. 50 Fixtures In_1 buiIdiri-earh - _. 3.00 y
51 to 100 Fixtures In 1 buildirq-path _ 2.50
101 to 200 Fixtures In 1 buildina-each _- _ 2.00
201 or,more Fixtures In 1 building-each 1.50. `
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MISCELLANEOUS
Sewer::-each additional 100 tt. 10.00
watpr Service to buitdinq- A � � 5.00
Other (Specify): - - `—
PERMIT — For Plumbing Inspection Phone 639.4171
5�Statq 4,(U Plumbing Contractcr Sv �
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10TAL �U• yU-__. R4"r'rIPT NO Isarrrl R.. -- - -
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Address[v�� // a ()
Permit No.,,,�„_
Name of Occupant. _ Permit charge
--- —--- _ Connection fee
---- - Paid .by
--- - Date connected
Type of Building____ _ Inspection fee
Service Rate----- .____�_-----.---- _- Paid by
Contractor._ Assessment Paid
S;ze of connection
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1V69, DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED 'IREMISES UNTIL CON-
NECTION 1S MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PI.ETED.
PERMIT FEE PAID a.... ...._....................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date 1) Ante e-nt