12020 SW SUMMER CREST DRIVE 1202C SW SUMMEI, CREST DRIVE
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INSPECTION NOTICE
C;ty A Tigard Duildiriy Department
12420 S.W. Main
Tigard, Oregon 91223
Phone 639.4171
Add ess Permit * c
Type of Inspection _.•c. vr,- rc. .��s. ---
The following Building Code deficiencies arb required to be corrected: — — -----
Presented toInspector
Dote —
C4I_L FOR REINSPECTION
0 YES LJ NO
City of Tigard Mechanical Permit
New Installct;on Replace tl Relocation Addition Alteration DATE:--.
HEATING
CON I•RACTOR — — OWNER
ADDRESS_ _ _ — _._ JOB ADDRESS
APPLICANT---—_
Heat Input Rat.ing(BTU per Hour) _—_. Vt nt Size_--, — Flue Size —
FIJEL OIL GAS ELFC1 01-HER
—`-- _--ITEM V NO. rE �— ITEM ------- N0. FEE
For Issuance of Permit SEE BELOW Each ,air Hardlinq Unit orDuct S�rstem 7.50
New up to & incl. 100,00_0 BTU 6.00 _Commercial Hood System — 7.50_
New 100,000 EB & over �— 1.50_ Other Egument - Each — 4.50
VVoodburnin�Soove _ 4.50 _ 1 Trip Inspection —� 4.50
Wall-Floor- Si_ispan fed _ 6.00 Air Condition Compressor - p to .k Incl.3 H•P. 6.00
Vent System w/Fair.__ ______----4.50 Ali-Conuitionm
CopressoL-_2 1 to 15. H.P. incl. —11.00
Re air-Heat Cooling — 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL. CONTRACTORS OR SUB_CCrNTFACTORS ! !
PERMIT ISSUANCE ' 10.00 1 Comments:
FEES
SUBTOTAL
% STATEIssued By
2656 PLAN CHECK
TOTALREC.
Signature of Applicant —
PERMIT TO CONNECT
City of Tigard
Permit N:' DATE
PERMIT IS GIVEN TO
OF -AL-
ro CONNECT A.___.1..i_--
TO THE SYSTEM OF CITY OF TIOARD
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID $ _ _ ___ CITY OF TIGA.RD
/ ) By. \^
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CONNECTION INSPECTED AND APPROVED
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Date superinflndtM
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Address at � �•- Permit No. ?7-•-Z
Name of Occupant_ Permit charge
_-_-_----__- _,.----__ __-- Connection fee
-- ----- - - Paid by___ -- --- ---— -
-------- _ ____ Date connected.' _- -
Type of Building Inspection fee-
Service
-
Service Rate---- Paid by Date .
Contractor Assessment Paid
Size of connection