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CITY OF TIGARD PIUMbing Permit
Building Department
Residential Irl Commercial El No.
4ew Installation [A Replace Additiv-, Alteration
❑
Licensad J Date.-.,,--
Plumber L L),,k
Address Owner
ILO J—)
— JoL Address
Phone
Applican'
CITY BUSINESS LICENSE REQUIRED FOR AI_'. CONTRACT;IRS
AND SUB- T C
ITEM NO. FEE TOTAL
F;;0urk—,-Traps 7 E TOTAL
T S -F tlooft.
Dishwasher 7.5 U, 30.00
Garbage Disposal - 15.00
Water Heater 7.50 i r Pump 7.50
7
Backflow Preventer at First 100 ft. 20.00.
0 Ea h Addit.?'00 15.00
St &R i )r Fir 100 It. 30-
.00
Each di ,:' ft.
obile orn-eS ac- ic nn
Other(Specify): 25.0,0
Rain Drain-,, igie m.D elfin lo 15.n0
PERMIT FEE Comments:
STATE Ij % Issued By.
Receipt No
TOTAL Applirar-.1
For Plumbirg Inspection Phone 639-4171 819mat