12650-12602 SW 127TH AVENUE I p 1 1
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C'7Y ���� 'A FIERMI'T NO. MF".891.389
OF RD CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT onlam DATE 3:55LIED: 1./1/E.19
13125 S.W.Mau Bivd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 1711:41M. PMI* .NO. @9:1.:3£39
%JOB ADD8E51i 3.2500 SW ii27TH AVE'
IAX MAN/I O'T SUH : 511HE PEMARKS SECTION I.A bK :
I AND USEK :
LOT 53:7E::
NO: No .
W(')WK ('3-ASS REPAID FURNACE 0.00K AIN HANDL.R <10
USE ['YIDE : 2 FAMII-Y 1001<4- AIP H'IiNDL.114 10K
CON11i'T .TYPIE : VN F�LAXJP F:LJPNA(.',I-::.' EEVAP .(11001 EP
LKICL)P". ('..PP : IM HIE"Al"ER VIENT FAN
VENT VENT . SYSTEM
BLIVOOMP <31-11P HOOD
NO . STOPIE5) : 1 131 A/(*('.)Ml:) 3-15HP 1:NO U NERATUR(DOM
DWELL—UNIT'i'l : 10 H1-8/(:'(:)MP 1.5-30HP IWINEEPAI'OR(COM
WOOD "L.P/(:'OMr-) "30 --l"JOI-IF" PIE.11PAIP UNITS
81 WCOMP 504-HP OTHEER 10
FAAIE: Dmpp!ii? GAS PIPING (:)LJII E'1*5
HIGH PPESS?
I Ow
W**V1i!kc*a cl-limnayin for 3.0 W—b vitovc-111;
E.5
$1.0 . 00
W 1.1 AN PELVILW
N 1: f X TUWE*l:f 111'(11 15 . U
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R o I F-. I AX $r,'.'.. 7!)
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N Dragon Chimney Repair & Cleaning
T 1318 SE Rhone
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A Portland, OR 97202
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T 1-11)"ll'Al. $.57 .
0 231-7704
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NO.
............... ............ ...... .........
This permit is Issued subject to the regulations contained in I itle 14
of the TIVIC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with th.,plans and MI;:. :;FIAN(*.,L, !;sYS T+.*M
specifications and In compliance with all applicable codes and FA,NAI
—
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not started wilnIn 180 days,or if work 19 suspended or
-ibandonerl for a period of 180 days any time after work h,a
commenced It shall he the responsibility of the permittee to assure
all required inspecl;ons are requested and e Poroved
Permittee Signature
CALL.
PFI.:C,lrI(IN --A 17!5
F-0111 INS 6..9
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DE'-"-RIBED ABOVE
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1456 DATE --R- 9- ]/
PERMIT IS GIVEN TO -��� / Com. 7`"�
or
TO CONNECP A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT VW
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL.CON-
KECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERN111' FEE PAID _.. ..................TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
llelt _ :;i�perint�ndcuT
I
i
Address 12450 12652 S.W. 127th Permit No. -14,5L__________
Permit charge
Owner Connection .fee 750.00
Paid by _—
Type of building Dutjex Date connected 7,17171
Service rate _ Inspection fee
Contractor 11oilk InyaZ.t.,-.__.__ Paid by ,_Date
Size of connection__ �� �__��_ Assessment R-, �__