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10765 SW FAIRHAVEN STREET-1 0 V Q� In R' 9 r C t� r" i P 10765 SW JAiRH.AVEN STREET INSPECTI3N No FICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Orgon 97223 —' 7 " Phone: 039-4171 Type of In,pection ,Date Requested _ ___ � _ __..� Time4.M. Address-..�5P.5' IOwner ------ - ___--------_ __.0..___-._. _ Lot #-----_�-__ Builder .. ----- �_.-------------- _,_ The following Building Code deficiencies are required to be corrected: , — r Presented to _- rPproved Inspector __ Disapproved Date --- ---- — CALL FO W INSff TIDN ❑ VES [:] NO City of Tigard Mechanical Permit New Installatir.),-, 1:1 Replace [— HEATING j H-location 0 Addition E] Alteration EJ DATE: - CONTRACTOR OWNER ADDRESS—__ JOH ADDRESS PHONE ---—-— APPLICANT------- Heat Input Rating(EITU per Hour) Vent Size_._"__ Flue S!ze-- _ FUEL OIL GAS [] ELECT F] OTHER ITEM I NO. FEEITEM NO. FEE Eor Issuance of Perrni+ SEE BELOW Each t,;r Handling Unit or Duct System7.50 Nn:2p—to &L--CL 100,000iTU 00 Commercial Hood System 7.50 New 100,000 BUT's & over 7.F0 Other Equipment - Each a 4.50 ,Q0 Woodburnii �tqym 4.�5O 1 Trip Inspection 4.50 00 Suspended A 6.00 Air Condition Compresso- - up to&incl._3 H.P. 6.00 Vent System w/Fan 50 4.50 Air Condition Compressor-3.1 to 16.H.P. incl. 11.00 Repair ()o 6.00 CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! Comments: PERM:T ISSUANCE FEES SUB-IrOTAL Issued By -?-�%—JPLAN.CHIECK TOTAL REC. Signature i� pp!icant�—