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10969 SW Hall Blvd
CITY OF TIGAR ®
PLUMBING PERMIT
_I
DEVELOPMENT SERVICES PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)63.9-4171 DATE ISSUED: 01 /09/97
PARCEL: 16135AD--02501.
-JJE ADDRE..59. . . 10-)69 9W HA-L. BLVD
13USDIVISION. . . . METZGER ACRE TRACTS ZONING: P-12
FALOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :6
----------------------
(-,LASS OF WORK. . :A1-T GARBAGE D19POSALS. : (4) MOBILE HOME 9r-,AGES. : 0
TYPF OF USE. . . . -.SFA WASHING MACH. . . . . . : 12? BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAP S. . . - - . . . . . . . 0
,TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . t 0
I-AUNDRY TRAYS. . . . . t 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
1-AVATORIES. . . . . : 0 OTHER F1x'rIARFS. . . . : in
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. - : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . 1 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Replaci.nq w,4 t e t- I-i Flat e r-
OWT-10?1-. FEES
LARRY THOMAS type amount by dat e r'qrpt
1.0969 914 HALL BLVD PRMT $ 25. 00 B 01 /09/97 97-288689
5PG' I $ B 01/09/97 97-2A 14 f 89
VIGARID OF? 97.":2.3
1=1-ione #: ljl+0-7074
1.:0r1ty-e-kr.t0t-: - EXpr'
GEORGE MORLAN PLUMBING
')5Z'.,9 SE POSTER 1-41)
f",ORTLAND OR 97206 _______________._________._.__.__._-_______..
,Dhone #: 771 -11.45 26. 25 Tn1'F4l-+.
Reg 02734
REOU I RED INSPECTIONS
This persit is issued subject, to the regulations cont?ined in the Top-aut Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Ffnal Insper'Finn
applicable laws, All work will be done in accordance with
approved plans. This perRit will expire if wnrk is vot started
.11thin 180 days of iss,jance, or if work is suspended for spro
than 180 days.
'1x'V-mittP(' .9 atIA
;!,ijed By : rl_
Cal I for inspection 639-4175
12/16/96 09:11 %T503 684 7297 CITY OF TIGARD IQ003.004
/U2 -( qq
CITY QFTIGARD Plumbing Appliraeion Rev dey
13125 SW HALL BL'JC�. Commercial and Residential ca'"He'd 7
TIGARD, OR 972;13 Data to P r. _ -
(503) 639-4171 0310 to DST
Perm(a
Print or Type Reiare�5"'R a
Incomplete or illegible applications will not be accepted calwj
�rrame Of Oevafeomenupratect FIXTURES (individual)
Job „ kJn� tr.1:•s�(/ F�nG ilr r Smt -- QTY RRICE AMT
I. .�wrnt 9.00
Address street Andress Suite Lavatory �—
I Dgli SW NateG� Tub or Tutv9,GO Comp. 3.00
eb9 s C1hr51ale dp snewer Ory --_____
99...0000
NmWater Gasat 9.0n
JOoChvner MeqZdr"s Sude Garux9e Daloosl
WanMacn—
_ --
— 101)SP140 _700 Floor Dram 2 9.00
Accupentt k1ftq�» wlaLaurlcllry i� Vereker Nagler _ 9,OU
Room Tray 9
LUnimP Phone Ung
--
9m
NameOther F--rhe(Sealy) —
A10Y1141-) >a.oa
Corttractor maw9 Ammu / Suite
9.01n —.
GLprSute � 9-00 Lp Phone L
1,13 6z,4-77kI —. 9.00
Const Cont 60314 Ur-a Exp.Dale
Ago*Co"o+ 9.00
Exp.Date S�tiRar-1st 100' —-- 4.00
30 C'0
COr 9utunitls rax or me-v,e
E]tp.Date L• 7 addr6war too' '— 23.00
watrr Servru-1st 100' -----
Nana — J0.00
/ Nrner SeNrIM-eactt addrtionat 700- 23.00
A m liitect �r--- �� S tornft s f an Drag,-1 st j oo• - 30.o0
Or Na 1 iddress g� 1e Stone b Urae1--each addrtron.0 100• 23.DO
MONA 75.00
Engln"r C- to uv Phone
Gommartmm Bacx R "Pnwrenew Der"m or Ant- -I 25.00
_ Poatroon oyry >7
t3watfor +ertt vea Q ACdWan O Ajlt"ranon O RIO —RA srden"j f3�adcflow P2rmrrtvt 13A0
Ito tie dorw Res rill""J O NOM-fesr6ential O
AM Tmo or Waste Not C .Vrd to a Forts@ �— 9 U0
�dIt7Q1j700n oI wOh - orn —_.—.
Gvch gas'^ 9 00
^sval. Exrsonq 40.00
oan nr
=M"Loa ofsoeoarry arOtfatee frtSoc�OnE 40.00
�cridr�9 oryepRxry_-------- _ oerrnr
svoeed use of — —�
Graeae traps9
— I _UO
' otnld}nq a►Pmlx*TY
-----�.—
OUANT7TY TOTALyou
L.
--
rag Q
" '9 or ravtacinq a^y Racwres7 Yas L7 Nn t] IsOneetc 7 neer 149r3r"8rrOureo it C+xiri"tar is .9
fH n sr back of lorml y 'SUBTOTAL -
- -
I hertbv aUtnowtedge teat I hr.e read Iris apoAcatlon. teat the{nrortnation _
9i-ren a cnrtret Lhat t am the cwnlr Or autnortted agent of the owner,and Sit.SURCHARGE
112T Crane sWsntmeo aft,n 2T 011antx wLh Oregon State Lawn.
St9r+atun or ovn,errag.nt PLAN REV}E1N 25%O—SUBTOT—
AL
canactoanTOTALnnNam. Phone - _
114N 11 C r 'Minimum P@mft Ia.is 523--5y.sunsrarye luCtpt Rt►scenuat Raf�notr
P rwntson Crnce.wiI is Sts-5%surcharge
—` i'ldatstpmetsp.00elSfgFi