11150 SW 119TH AVENUE -- 11150 SW 1 ..9TH AVENUE --
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BUILDING DEPARTMENT, TIGARDn
PLUMBING PERMIT
J. holder of a valid plumbing contractors license is hereby
authorized to cause 016mbing work as h.,rein noted to be installed in accordance with the plumbing code of
Tigard. SL1Ch instal)Wons -equire 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 all contractors and sub-contractors.
Jab ,
Owner__-, __ .___. Address - - j _1.1'L Date ` 1 j
NUMBER OF TOTAL
TYPE OF PERMI.i ITEMS FEE ON EACH AMOUNT
Single Family-1 bath--each 25.00 _�� �- ✓U
-Duplex-Each 1 beth unit_ 26.00
Additional hot hroom-each 10.00 ^
Mobile Home Space-each_ 16.00 y
INDIVIDUAL FIXTURCIA _
1 to 50 Fixtures in 1 building_aech� 3.00 V +�
51 to 100 Fixtures in 1 building--each _ 2.50_ 1 mill
101 to 200 Fixtures in 1 building-_each _ 2.00_ _r _
_ 201 or more Fixtures in 1 building-Asch1.50 �} _
MISCEL. INE0USlu
Sewer beech additional 100 It, 10.00
Water Service to building 5.00_
Other 5Zeci1 �..~l
_PERMIT w L� For Pluralingl Inspection Phone 639-4171
4i Slate __ _ _ Plumbing Contractor B _
TOTALRECEI�r NO. �� Issued By
BUILDING DEPARTMENT, TIGARD N9
PLUMBING PERMIT •
edo cause p u holder of a valid plumbing contractors license is hereby
authoriLing work as herein noted to be installed in accordance with 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 all contractors and sub-contractors.
�-. Job &—
Owner Y r SO� Address 1)J-5(L S L, 1 Date1�/ �2c I$
NU?.19PR OF TOTAL j
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
R
Sin to Family-11 bath—each 25.00
Duplex—Each 1 bath unit 25.00
Additional bathrooms—each 10.00 I
Mobila Home Space—each 15.0_0
INDIVIDUAL FIXTURES COh1111 R A r
I to 50 Fixtures in 1 building—each 3.00
51 to 100 Fixtures In 1 building—each 2.50
101 to 200 Fixtures in 1 building—each _ 2.00 ^
_ 201 or more Fixtures in 1 building—each 1.50
MISCELLANE0US _
Sewer—each additional 100 ft. 10.00_
Water Service to building 5.00 _
Other (S ecil )'
PERMIT IL For Plumbing Inspection Phone 639-4 111
4 54.State 4U I5' 4U. Plumbing Contractor By
TOTAL AECEIPT NO. Issued By
1
a
Address///,sVQ -4kv //f t4 Permit
Name of Occupant Permit charge
Connection fee
Paid by_._
Date connected /P fn G 7
Type of Building Inspection fee
Service Hate _-----_-_ _- -- -__- _ - - Paid by Date
Contractor_ Assessment _ -_Paid
Size of connection
PERMIT TO CONNECT
Tigard Sanitary ]district ob
PERMIT N° 6 7 DATE
PERMIT IS GIVEN TO
i
OF
TO CONNECT A
7.
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $...................................TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
"-�_--- Date Supert»ten�ent