10825 SW HALL BLVD-1 ME
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10825 5W HALL BOULEVARD
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AMR& M—
Lilt of Tigard Mechanical Permit 3 9 2 2
New Installation ❑ Repl3ce❑ Relocation❑ Addition ❑ Alteration 3 DATE:HEATING
CONTRACTOR I---
2OWNER- !t'
A,6 ���
ADDRESS -.- = ' - JOB ADDRESS
PHONE � APPLICANT_ -- ---- --- -
Heat Input Rating(STU per Hour) _ Vent Size_ Flue Size --
FUEL OIL❑ GAS ❑ ELECT ❑ OTHER
'� ITEM -TNO. FEE - - ITEM r NO. FEE
For Issuance of PeHandling rmit — __ SEE BELOW Each Air Unit or Duct System 7.50
New-up to & incl. 100,000 BTU _ 6.00 rnm-nercial Hood System 7.50
New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50
No 1OO,ing Stove „ ,.�= Qa 4.50 1 Tri Inspection �- 4.50
Wall-Floor• Sus endud _ 3.Q0 Air Condition Compressor • up to&incl.3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Com ressor• 3.1 to 15.H.P.incl. _ 11.00
Repair•Heat Coolinq6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CON•fRACTORS OR SUB-CONTRACTORS ! !
rERMIT ISSUANCE 10.00 Comments:
1UB•TOTAL
E Issued By�`
PL N CHECK /
MAIL S.0� REC' # -- gnature of Applicant
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
� Phone.639-4175 G�
Type of Inspection _ —
.�/ 'y A.M.._�____P.M.
Date Requested
Time..
Address Permit #�Z
Owner _ _ Lot #_
_�yy oiG
Builder -
The following Building Code deficiencies are requi•ed to be corrected:
Presented to [� Approved
Inspector _ �] Disapproved
Date r'` 3---
CALL FOR REINSPECTION
Ej YES C] NO