Loading...
13165 SW LAURMONT DRIVE 13165 SW LAiJRMnN'l DR1VE E I ii 4-i U 4-1 r. 0 E N ro , a 3 un a M 1:)I...UMBJ:N(; PERMIT C17YOFT� Ctr FARD 11PEAMI'T NO. PLF391.401 OF TISM "ATE H)U I t) E 1) 6/23/89 1 Z—" COMMUNITY DEV:LOPMENT DEPARTMENT (391401. 13125 S.W.hall Blvd,P.0 3ox 23397,Tigard,Oregon 97223.(503)634-4175 1 -31 - T.q' J-TWTM4fflV4T--M-4 IAX MAP/1-01 L.1, BK LAND Uir-..: LAYT, SIZE.: NO: N(J : 1AL44K CLASS : AL'!'i-fl:4A1T0N C"LOSE11 TPAV, USE 'T*Yl:)F.. : GIN(311-E: F-A-MIL'. U I BKFA OW PPVN'T*A :1. C',UN'nl* I*Yl:)F:.* : VN LAW)AW LAY IPAP PRTME:14 OU1111-111:1 . GAP. : P3 'TUB SHOWEW DISHWASIAEA (,API:)A(.AE DIGP-IOSAL. 114(a. 57LIPTES : WASHVA., MA(:',I-l.'NE'. DWELL,UNITS : I-AUNDAY 'T'RAY 81-1)(J . DRAIN MIA F-1 (30W DRAIN A*.NK SP;WFA (171,) LIA*I*EP H - 1MM/PAIN (F*I* clrlwr Ft E-AlEA G 0 PEMAPK5 : 11-1 k ek Dmv i d 1-"r-'.:P14:I[A* $15 . 00 0 11,316-5 SW Lumi-incint D4- W N -F J.C Avlx-cl 011:11 97223 I--*1X*T*UPEG E PHONF: (503) 64141 0890 1;iTA*T*[;, I'f*.)X 111 . 75 R (1'THE-P C 0 N T R A C T TOTAL : 11111115 . 75 0 R PE(-.,F:IP-T' NO. ................................................ This permit is issued subject to the regulations contained it itle 14 PEQLJT.Pl:..7 I) INSPECTIONS of the TMC. State of Oregon Specialty Codes.zoning regulations RL')(. GH 1:N and all other applicable codes and ordinances. and It Is hereby FTNAI agreed that the work will be done in accordance with the plans and specifications and In compliance with all applicable codes and ordinances The issuance of this permit does not waive restricti,q covenants Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and void it work is not started within 180 days.or if work Is suspended or abandoned for a period of 180 days any time ifter work has commenced It shall be the responsibility of the pe,mittee to assure al d inspections are requested Find approveki. I /V -,ku 044A I Permittee Signal r. (:,AI.A Fll'.)R 1. ON 639-11 P) Issued By ?L7 — I —.— – - - --- SEPARATE PERMITS REQU!RED FOR WORK OTHER THAN DESCRIBED ABOVE P.O.Bcul 23397 CITY QL 'TIGARD PLUMBING 13125 sa Hall Blvd. Applicants mu•: hold Oregon Registration to conduct a plumbing (� Tl.gard � T223 business or mvst be property owner/operator not hiring outside help. PERMIT 6314175 Norre of Development ) Plumbing Permit No. - URS 814-21.610 DUAN. PRICE A:AT. Job Tax Lot Map.No. Adclraaa FIXTURES Lao Block Subdivlelon Sink 7.50 amsor nertp syt / Lavatory-^---�- - 7.50 - --- i1 1- <r. ��, _ Tub or Tub/Shower Comb. - - -_ 7.50 Milifto as Shower Only 7.50 0*nerCRY/ tate - 'Ip Water Closet _ _- i _ 750 Dishwasher 7.50 -- Phone - Garbage Disposal--- - -- - -^ 7.50 Name Washing Machine - - - - - - - 750 Flom Dram 7.50 lVmVwV Wress --- Phaxt - Water Healer- _ 7.50 (hcu ant -__ Laundry Room T ray --- _ - - 7.50 - p City/State - T.b Urinal 7.50 Other Fixtures(Specify) 7.50 -- _ 7.50 ress t�frxte ---- 7.50 _ Cc+ntractor :ply/State -- 23—P --_^_ --- --- ---- --- 7 50 _ MISCELLANEOt;S -�-- City Bus Tar 1Jo Sewer 1 st i 00' 30.00 ateNo. tate .mus lT�n Sewer-ea.Addit_100_ -- 15.00 (R"Kienlial) Wrist Service 1 st t u0' -20.00 _;)e• - 1 hereby acknowledge that I have read itch application,hat the Information Water Service as.Addit.2 01 15.00 - given is correct that I am registered with tits Stem Builder's Board,and also Storm f1 Rain Drain 1 at.100' 30.00 have a Stam Pkm,$Atg Ifoertse Mat Bs numbers gKon are oonect,"late" - - - plumbing work will be done in accordance with applicable provisions of Ore- Storm&P:1n Drain Addfl.100 - - - 15.00 gon Revised Smades Chapter 447 and 603 and applicable codes and that Mobile HorneSpam25.00 m no help will be employed unless licensed under ORS 603. (If exapl from ---._-.--_.--- ------- - Stam registration,pbese"reason below). Back Flow Prevw*ip HOMEOWNERS ':tereby certify dud 1 am the owner of Corr pnvperty de• Device or Anti-Pollution Device - - - 7.50 scribed above,ai whid location 1 propose to make a pkxrd*V InsmMollon for Any Trap or Wasm Not my own use and this prop"is not bektg constructed for Bale,Isaac or For" Co rwftd b a Fixture 7.50 Catch Basin 4`--- ---_--- -- 750__ k" of Focht pkrrttrng..-_._ �- -- 4f).00 Per Hr Sp ecially Roque steel Inspedloi is -- - 40.00 Per Hr -- ------ - _ A w.of Pkwnbinpan Exis"Bldg 15.00 min. AUTHORIZED S;01NATUAF ---- - -� Dale New Bldg.or Build Addition _ 25.00 min. - Pam Llokp, e fJvd-1 Describe wof* new❑ additk�n❑ alteration[] repair n rel, 15.00 s. he done_-- residential r1 non reekderttlal�_- _ -� Existing use of btflldlrtp or property -._-__-.____-__.._�__.----_ -- ----,---- NJFTOTIIL Orj --- -- - -. /• 7 NrnxE -- — ------------- Thi pane«be r a nuM and void M tt rA or oorstruoron authorized is not com- rrteror workM Msperviled or oboridorted for a period of 190 days M any rims offer work Is oorrowtood. 1111KCIAL001111101it"ON111111 _J—___ _._------.------- C-op Date Iatsuoil ._ ._ -I/-�-�- - _ by __-- ---- ___ cxU-48e(1 1186 rat i i -.7r. in tit s r r.. •� 01Ln 0 00 w ter j CID Ir Q0 f 1 �1fr r ,� 4W ref 9l ati +' 'z E O v MO 9D Oto e 1 Al r' I± i V a f~ 5 Z y O pp -P C14 o p ! t' O 4j u Y6 04 O V) t., r—{ Lo �,o y i N > �" U � r IIY;�� z ,n` Ln w Ilk .Yp<<xv,a -q�U �l `" !iy' ti� "',•! ' ... '��' '�, `�v4 A'•":01. �''/�f' .' !r " ` �t I�Y/ wu ........uwwll�sk �"FIflYnv ;, ����AH .NiPPP��iM"4. , .R9' gy�p,,. .u�ll't1T�'N�� ���� .+'� B4q.::;� .A�+Y"�{�wl -�iYi�» ��, •�� ; '� .�".,r1, "/� r.`+t4•' � .r.!P.r"''�"a �trw. .•h,;.� ��.. a� i. � tr ^M. .,,,,, "'.*� r y,,:✓.�.t+" .,,.4�;+1 5 t' , L.U.U..N. --.)JJ I ,1 CITY OF TIGARD PLUMBING 1311 cW Hall Blvd. Applicants must hold Oregon Registration to conduct a plumbingPERMIT Tigmd7 R 97Mbusiness or must be property owner/operator not hiring outside help. �f `r Nama d Development Plumbing Permit No. '" Address (,t Iz;1,V�'i V-W DescAptlen I 51,-) � f\r��c�w/i' _, ORS 914-21-010 QUAN. PRICE AT. Job rax LD4 Map.No. Addreu FIXTURES 7-5-7)lel Blodt Subdivision ,�iktt 7.50 •: inemr o�Fiu ss Lava" 7.50 / 5 ,Zak, A ' <1, t\1, C t>�.i=� Tub or Tub/Shower Comb. 7.50 7 a -- Slower only — - - - 7.50 7 J Owner Clty/ is - Zip ^- W►.isr,;bsM�--- — Z _^ 7.50 - 45 rNshws;"t 2S70 Phone Garbage Disposal -- 7.50 _ Nertui WashingMacNne - - 7.50 -----_-- � --- Floor Drain 7.50 Mailing ress Phare Water Healer _ - _ 7.50 - Laundry Room it ay _ 7.50 - Occupanf rlftytstate ---zip Urinal ------ --- - 7.50 na—me Phone Other Fhrtuxas(Specify) --_ - - - 7.50 t=Tlc.i �= c . Tc, Z- S- 7.50 M&WV Address Phone 7.50 7.50 Contractor 61tylsts1s, ZIP 97.7 4&;, MISCELLANEOUS A W.& 1 as No. Sewer 110 100' _ 3000 — 7 71 •� �+f Sower-es.Addrt 1000' 15.00 E No.(F WSW Servlcwt!i4,0�i - - 20.00 1 hereby acknowledge Ihel I hew reed fhb epp110allon "b•140"natlon Water&er_:oe as.AddN.21,71Dr 1500 ghien is ow*M that l awn reglotered wih 9w 9WO Baleen`s Ba trd,end also Slorm 5.Ain Drain 1 at.n W 3r:.00 hew a SW,-Pkxttlklg Nonce that the nurnbers givs.I ars 00 MC Iftel ON --- pkxrbktg w,:+ willbe date in 000adence with act-- 1l1e prove icons d Die- Storm i Ryn Drs+n Ado4 too' 15.00 _ pon Revised Ststulan Chapters 447 and 903 and eppNc"n des and that Mobile Hcxrs,Sp&m` -� - -- - -2500 ` no help will be e"vAoyed union licensed under ORS W3.(it exempt from Stale reghAretlon,plewse give reason below). Bach Flow Prsventiai HOMECIMMERS-I hereby ow*y Mtef I am the owner of the Iroperty de- Do**or ArWPolkl''on Dewce 7.50 sorbed above,at whirl Ioceacn i pr nV c -to make.a pluttbktp kr'2"d0n Ion Any Trap or waste Not my own tare Vd 06 he4tp IN 1141111111,M"•Or rant. C1lrtrtaaMd to a Fk wm Catch Basin 7.S0 k1w d Exist.Pkanbirtg _--.-- 40 00 Per W - AsWeeled kepeolbrta ^ - 40.00 Par 1M - _ Abr.of Pkxnbkq otter an Exis"Bldg '5.00 mint A11T11t 12ED TWAA E Dah New Bldg.tx BL^d.AddMon -- - 25.00 mkt Bain Ut�sirt�le f�t1n1 Describe woM1 new❑ adclitlon❑ alftsratkxt[1 repalr C7 dell inj 15.OD lip be none residential F` non,esidenNal� ----- --_. ExW&V use ,l b*dklporprDlorty of bin pMpeft _--.._-- __ _ — - - --- TOTAL l�• _ Thle perrnr bettomea null nod vole 0 walk of oonatruoton etAhrxlrert be not oen mowed w1fdA 100deyaw N oermbmlilOr1 aworldssUspsraied ar vhfWtrirxed kx a Period of 100 deve M arty ante dip worst IS oomrw'ncwd NrMdAL OOkICfTtO/tB_---------._-�.--------- � _. 5'�_— X11 — -� 1 4.•�----- Deis Issued ( r s --__-.- _ (h 0�11Y 1iA• • BUILDING PERMIT APPLICATION DATE: ��_.1937- 6985 THE UNDERSIGNED HEREBY AP-LIES FOR A PERMIT FOR 7 HE WORK HEREIN INDICATED BUILDER PHONE'?")Q-5 IQ)_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONF. OWNER PHONE ti OWNER JOEIADDRESS 13 65 10'14 Laurmonr f-'� LOTNO._.__ S 33UC IiC. F . �..'a!g at ARCHITECT Stain nerl-ako ENGINEER BUILDER arrin P"2�A ADDRESS DESIGNER STRUCTURE 1 NEW 11 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL. ❑ FIRE DAMAGE ❑ DEMOLITION M RESIDENCE F1 COMM ❑ EDUCATIONAL ❑ GOVT LJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE O STORAGE ❑ SLAB❑ FENCE OCCUPANCY R.1__LANCUSETONE __ — BLDG.TYPE -t11_-FIRE ZONE PLAN CHECK BY PLT HEAT 0F?G_____.. Coll ;:uct ►r'I r)rj.10 family ('welling w/at:trachad garage, all per appraved pTrInA. ';ub Gc:t to 05 rcxic. Rqjff riubjyct to ?titnittlrt *360 ---- SEWER PERMIT If 31025(du* 2 baths, b trips cJarrign a-z- n 492 OCC.LOAD FLOOR LOAD _1" HEIGHT IS!-NO.STORIES 1 AREA 1092 NO.BEUROOMS VALUE 5300(. BUILDING DEPARTMENT SET BACKS FRONT--3�' F i 20 EFT SIDE 5 RIGHT SIDE 5 Permit_- 292.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 10`-f.ts6 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCE'. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUARENT CITY BUSINESS IGO LICENSE.SEPAL! JT5! J�AITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax `' SDC— 600.00 Total 496,40 PDCM 1 150.QA(T"PkjCANTORAGENT By 100.00 396. 4 0 _ Receipt No. Approved ADDRESS - — PHONE - I .--.._- . '�,L--. �)<] Gi' .�.. 1d'tZ,�bt: '� /C�/'/Lr-'a�V{.+2.roY� ILM �/�✓J(2.�r�t�, _.... Df.'rE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor� /6;i_ 5--- /� �J 7 Rough-in Fixture _ �� -17-g. b��'1 /1�s°Z°L Lam' _ �LL6tsG Final HEATING r _ �r Contractor leo X0'2-d7 /c-i/ iJ-1 ,ter<'^' I;ql _ ------ Permit Nom.._._ (J� Gas or Oil Final SEWER Final — 1 DRIVEWAY Final — - - Sturm Drainage (Rain Drain)Final Sidewalk. Curb&Street Final _ _ Approach �OLOG. DEI-T.FI�'AL _T_, TCMPORARY CERTIFICATE OCCUPANCY —W I r ERTIFICATr OCCUPANC' final Landscaping --I -- — �;7.oning Final J..— I Wer kshPe� PLAN LHELK NO. 3,S for inspections call 639--4115 PERMIT N0. CITY OF TIGARO 699.4171 DATE 1 — GUILOING PJRMIT P.O. Box 2 � 7, Tigard W 97223 TAX MAP LO. SUBDIVISION V �� a c j 3! 3 DGO N OWNER[_'�t/ JOB ADDRESS BUILDER c/ STATE REG.NO. EXP.DATE BUILDER'S PHONE / ARCHITECT �r - PHONE 0 v , ��`��tr OTHER STRUCTURE A_ NEW O REMODEL .-k7 ADDITION O REPAIR O MOVE ❑ OTHER Q DEMOLITION ESIOENCE O COMM O EDUCATION O '"10 Q RELIGIOUS. O'/ ;CESSORY D GARAGE ❑OTHER O FENCE OCCUPANCY _LAND USE ZONE _ BLDG.TYPE FIRE ZONE--PLAN CHECK BY ►*AT._.+---- Construct single family dwelling w/attached aara;p, AU-per aper, -ed pl Stihjprr to 85 rode. SEWER PERMITrOZS '(ldu) baths. trans garage area OOC.LOAD FLOOR LOAD /J o It HEIGHT 15"t, NO.STORIES AREA C f. NO.BEDROOMS _:.a_ VALUE BUILDING DEPARTMENT SET BACKS R�N iv REAR LEFT SIO- RIGHT SIDE Permll -2 y,7 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIP EO IN THE OUILDING CODE,ZONING REGULATIONS AND ALL APPLICABLE CODES AND OROINANCES PtmCMek , .NO IT IS HEREBY AOREED THAT THE W011K WILL 0E DONE b z� IN ACCORDANCE WITH THE PLANS ANO PEgFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. UA CE OF THIS PERMIT DOES NOT WAIVE PI.Ck.FIri RESTRICTIVE COVENANTS.CONTRACTOR AND SU CONT ORS TO HAVE CURRENT Cil SUYIHESS TAX PERMITS.SEPARATE PERMITS REOUIOF SEWER, M 1AND HEATING. State Tax S50C. ?01I Total SOC- 01 TOlel (] APPLICANT OR AGm4t� Pre pd. Recelpl No. ADORES', PHOW Bal,Due ? i; Issued By --APProved By S.iDC 5DC - C9�G ' = RECF I PT N POC DATE PD. SEWER CONNECTION 5 %/c,���. 'T� — AMOUNT PD. 5CWER INSPECTION 4 EWER SURCHARGES /UrJ �f Music. +YM��• Oc C3 4 s :o,,,mente; CITY OF TIGARD MECHANICAL PERMIT - Permit# Deacriptlon �— '•bk:3A Mechanical Coda _OTY PRICE AMT City of Tigard �~ - ,---- 13125 i.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 23397 - Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 i Furnace to 100,000 BTU �( 1) incl.ducts&vents -- -- - - 6.00 U Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of DevelopmentFloor Furnace f*i ✓..��/ se+ 3) 6.0(I incl.vent h _ - Job AddressSuspended heater,wall heaver ? 4) or floor mounted heater 6.00 Address Ll is_+ n SGt�.�qli ✓M i�T_ -, ------- -- Tax Lot Map NnVent not incl.in f.r�l,e.• n1' S) 3.00 appliance permit Lot Bock Subdivision. „q,p H — Name for name of business) 5) Repair of heating,refr ig., —6.00 cooling,absorption unit Mailing Address prone Boiler or coop to 3 HP 1 -7 Owner 7) absorp.u:lit to 100,000 BTU6'00 City/Slate - --- z,;- - _ Boiler m comp to 3 HP-1 E HP - 8) absorp unit to 5_00,000 BTU 11'00 NameBoiler or comp 15-30 HP 9) absorp_unil'/2.1 million - -`- - 15.00 _ Melling Address `-Phono ---- 10) Boiler or comp to 30-50 HP - 22.50 absorp.unit 1 -1.75_million _ Contractor city�stata - — - Zip it) Boiler or comp to 5J HP 31.50 absorp.unit 1,750,000 BTU__ State Registration NO � �— City Bus.Tex No 12) Air handling unit to - - 450 10,000 CFM Air handling unit 7.50 1 hereby arjmwk*o that I have read this artplicat:on that i ie information given is 13) 10,000 CFM f correct,(hot I am the owne-or authorized agent of the owner,tho t plans submitted are in --- ---- --___—_ compliance with State laws,that I am registered with the State f uilders,Board,that theNon portable number given is correct (If exempt from State registration please give reaso)below) 14) evaporate cooler 4.50 Vent fan connected15) to a single duct s�2 �,cK - 00 - - -- -- Ventilation system not - - /' 16) included in appliance permit 4.50 - -`- --- 17 Hood served t.; r J v 1 _ 1C7 '� )_mechanical exhaust 4.50 Signature(owner or agent) -- -- -bale ) Domestic type — Describe work (7 addition O alteration p repair 1 ] 18 :ncinerator 7.50 to be done residential ionon-resldentia; (-) 1 ) Commercial or industrial type incinerator 30.00 Existing use of ------.. building or properly -_ 20 Other i.e.,woodstove,water heater,solar,clothes dryetc. etc4.50 roposed use of r -- -------- building or property - _ _ -> P1) Gas piping one to four outlets 2.00 A:` Type of fuel- oil I 1 natural geS'K LPG fl electric CJ -- 22) More than 4-per outlet NOSE T _ SIIB-TOTAL THIS PERMIT BECOMES NULL. AND VOID IF WCRK OR CON- STRUCTION ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S :;URCHAROE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL It ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - --- - - WOr.' IS COMMENCED TOTAL Special Conditions Date issued -_ by vs atr wwar wr Wxrr rs ran Was P.O.Ebx 2-3394 CITY OF TICAL 1) F ,UMBING 13� �vd. Applican., must hold Oregon Registration to conduct a plumbing 1'�I=,IZ M 1 1, 639-475 'Aniness oq mint he property owner/operator not hiring outside help. Na e of Development C Plumbing Permit No. J� 4kdress ---v Description ORS 814 21-610 DUAN. PRICE AMT. _ - Job I sx Lot Map.No Address _ FIXTURES Lel -—© -- Subdivision 7.50 Sink -- - are or�name o stnoss'' rr 1 Lavatory V 7.50 ��t,�/1 T L L(N �` Tub or Tub/Shower Comb. - _ 7.50 ar xw)Addressnly 7.50 131 bS 5w L�4�1tMJf� '�i� W�eClos t ------ 7.50 Uyl. l Owner Ce zip — - - - - Z Dishwasher 7.50 -- - Phone Garbage Disposai 7.50 Name Washing Machine ----- -- 7.50 - U- _ Floor Drain 7.50 - a�mg ress - Phtx Water Heater --7.50 Laundry Room Tray u - 7.5 Occupant City/State zip Urinal -- 7.50 ----- ams Other Fixtures(Specify) - -- 7.50 - I iN� 7.50 ngrdd ess �'1 -- 7.50 _ Contractor City/State ---- - -___ ----------- 7.50 - MISCELLANEOUS Bus Tax No Sewer t at 100' 30.00 .Sewer-ea.Addit.100 —Y 15.00 r tate s. ar -P-o ,fat ,;7>as -us—D.; Ao - - --_ - (Residential) Water Service 1 st 100 20.00 1 hereby acknovwledle that I have reexd this apflfration,that the information Water Service ea.A.'dit` ' 15.00 given is(Xwed,that 1 am registered with the State Builder's Boant, i.nd cdso Storm A Fain Drain 1 st 100' 30.00 have n State Ptumbkrg license that the numbers given are comacl,fhaall Storm A P:in Drain AddN.100' 15.00 I piumbko work will be done in soaxdance with applicable provisKms of Ore- --- gon Revised Statutes Chapters 447 arvJ 693 and applicable odes aryl that Mobile Hone Speck, 25 90 -no help will be cormpbyod unless licensed under ORS 693 (1f exerr,pt horn Sint@ iepistration,please give reason below). Back Flow Prevenhoc, Device or Anti-F'ollu.ion Dowcs 7.50 I-K)MEOWNERS- I hereby ramify that I am the owner of the propt.rty do- scribed oscribed above.aN wtrldr location 1 propose 10 make a plumbing kW^WrWM for Any Trsp or Waste Not my own Sias wd 4 49 prop"Is not being eonstnocted by sale,lease Of rw" Coro eclaid to a Fixture 7.50 Catch Basin 7.50 IrW.of Exist.Plumbing 40.00 Per Hr. -- --- Sp„��, apacllon - -- ---------------------- In 40.00 Per Hr. _ Ahw.of Plum"wMMn an Existing Bldg, 15.00 min. () ------ - --- - ----- -- - Now Bldg.or BuNd.Addition 25.00 min. AUTHORIZED SIGNATURE Date - __ srl Exam,Single Ea dl _ [-6es,."- work rlew 1_1 addition❑ alteration f-j repwr❑ duelling ---- - 15-00 t be done residential Lj- non-roelderttial fl Extr4ing use o1 building or properly - ----- -- !lN-TOTAL .S Proposed utte of /d r W11G11A/10! - 7 TOTAL NOTICE ---------- This parr*baoornes nuN and vold M work or oonatruotlon raViortied is nol com rm noad wWAn 180 days or 9 oondrundon or wxortr in M,18Panclad or abanctrxx+d km a plod of 180 day*d any pima attar worms Is oonxwAnoM •PlCIAL 00NDIT101149 Date lemrwd - _ by -- --