Permit Support Document 4/11/2022
Bruton Comfort
12720 SW Allen Blvd
Beaverton OR 97005
Re: Permit No.: MEC2022-00075
Site Address: 13666 Sw Mitchell Ct
Project Name:
Dear Applicant:
The City of Tigard has received your request to cancel the above referenced permit. The
status of this permit indicates that inspections were already completed prior to the request to
cancel. In accordance with our policy,we are unable to grant a refund of your payment that
covers work already performed.
If you have any questions,please contact me at 503.718.2470.
Sincerely,
Holly Van De Wege
Program Development Specialist
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City of Tigard • CciMllL_rITY DEVELOPMENT 1)I,P RT1MESNT
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Re quest for Permit Ac
tion
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F I{_;A I: 1) 1 31 25 SW Hail Blvd. • Tigard, Oregon 97223 • 503-71 rS-2439 • u. w.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard, OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TibrardBuilciingPeirtnits(ktigacd-vr.gov
FROM: 0 Owner ❑ Applicanto
, Contractor D City Staff
Cheek:✓i tic
REFUND OR Name: j
INVOICE TO: (f��-tsinessorindividual) ,41)j7 i 1 (-C ILA Cifk -
Mailing Address: \p"20 CS UV 4-1 _ a v\
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Phone No.: ° LviLe----1,--in Th-
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
❑ CANCEL/VOID PERMIT APPLICATION.
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below).
Permit ##: Qq.:13:(i. ortil :)
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Site .Address or Parcel #: `a'S , �-6V0 /V \ ;i\C, _ C
Project Name: L.-MAIL.
Subdivision Name: \ \ ll1 i f - -- — Lot#:
EXPLANA ON:
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Signature: — — Date: ., (`
Print Name: MgAtkit,' -
Refund Policy
I. The cit}'s Community Development Director,Building Official or City Engineer m_t'authorize the refund of:
• any tee which was erroneously paid or collected.
• Not more than 80';•o of the application or plan r;.viot'ii:r:Vehrn::n ahplicatiu:is Withdrawn or canceled before Teview effort
has been expended.
• Not more than 80':r of the application or permit fee fur issued permits prior to any in.specdon requests.
2. All refunds will be returned to(lit original payer in the i.onn of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
1'UR 011 ICI, ( S1'. 0lV"1.)
Route to Sys Adnvn: Date 24 i f+z t By Route to Records: i Date 13y
Refund Processed: Date By Invoice Processed: i Date 13v
Permit Canceled: ! Date Bv_ ___ Parcel Tag Added: l Date 13v
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