16590 SW MONACO LANE O �
16590 SW Mo.iaco Lane
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CITY OF TIGARD Plumbing Permit 4135
Building Department NO.
Residential ❑ Commercial ❑
New Installation Replace E] Addition ElAlteration ❑ Date_4-&
Plumocenber -- -- Owner _ 00,
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Address _._._C _ _—_ Job Address
Phone __ ___� r ____. _-- Applicant
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CI-I Y S631NESS LICENSE itEOUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL _ ITEM NO. FEE TOTAL
'eras-Traps 7.50 Sewer:First 100 tt. _ �~ 30.00 r
ynwas_her v—' - 7.50 _- Each Addit Y100 ft. —_—v _ 15,00
Garbage Disposal _ 7.50 — Ejeor Pump _ 7
ct
7.50 _ Water:First 100 ft.
20.00Water Heater _ _ —__
Backflow Preventer 7.50 —V Each Addit.200 ft. 15.00
Storm 8 Rain Drain:First 100 ft. 30.00
Each Addit.200ft. 15.00
Mobile Home Space -- _ 25.00
Other(Specify) -- _ Rain Drain-Single Fam.Dwelling_— _ 15.00
PERMIT FEE ,�a. Comments: _ — --- -------- ----- --. ---.._.____—_
_ _
Issued By �--�_—.—_--�-- _
STATE T °!o l
Receipt No. Applicant - - J
M UM
TOTAL — For Plumbing Inspection Pho 839-4171
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