10260 SW GREENBURG ROAD-26 .+••_..••••-.�., r,_+n4/wxw.- '..twee..a.xx..,a:.W.x. •s-•x.-ew.a..,..w••'A. ��M.-.•MI.�.M.w.::iW IY�•+IYL�OxY4 n.W._+.MrIQx.•..a.s.Ya uRN.x.,rr 1..�R'.
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CONOITIONAL
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SCALE: N Q APPROVED BY:/-1 DRAWN BY �- 1
DATE : ._''l_ r� r ! e1 �i�(�_(�
`�I REVISED
10260 SW Greenburg Road
Suite 100 McKINSTRY
1 of 3
DRAWING NUMBER
I
If this notice appears cletfirer than the
document, the document is of marginal gtiality. 2/27/97
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CITY OF' TIFARD
OREGON
July 18, 1989
Peder Trelstad
McKinstry Mechanical Contractor
P.O.Box 12149
Portland, OR 97212
Project: Turnkey Office Comm., MP 891544
Lincoln Tower, First Floor
Dear Mr. Trelstad:
Plans for this project were reviewed for conformity with applicable
codes, and are approved. If other changes or additions will be made to
the mechanical system, please submit plans showing the proposed work.
You may get the permit for the project at your convenience,If you have
questions, or if we may be of assistance, please contact us at any time.
Sincerely,
JrJ a g
Plans Examiner
FAX (503)684-7297
10260 SW Greenburg Road
Suite 100
2of3
13125 SW Hall Blvd„P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -------
If
503)639-4171 ---
if this notice appears clearer than the
document, the document is of margin;tl qualita. 2/27/97
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GENERAL NOTES - LINCOLN CENTER - TURNKEY OFFICE COMMUNICATIONS - 89029 3. All doors to receive building standard finish throughout, unless 6. Where switches are shown adjacent to each other, they shall be �• T
otherwise noted. ganged and covered with a single plate. v A�
1. All clear dimensions are to be enact within 1/8" + along fall height
and full width of walls. Contractor shall not adjust any dimension 4. All glazing and glazing sections shall receive building standard 7. Downlights and wall washers located at center of tiles unless /
marked 'clear' or clr' without written instruction from architect. finishes, unless otherwise noted. otherwise noted
Contractor shall adhere to all codes, rules and regulations governing 5. All HVAC fixtures, trim and accessories shall be painted to match
2. UOUGLA B A
construction, building access, and the use of facilities as set by ceiling, unless otherwise noted. ELEC/TELE NOTES
CL,
local building department agency and the building owners. � '�.'►+� A, RFd►
6. All millwork and casework shall receive finishes as specified by 1. All switch locations, thermostats and any other wall mounted control _k
3. All standard construction shall conform to the standard details for tenant standards. devices are to be field approved by owner before installation. See
tenant improvements except as explicitly superseded by specific 7. All areas, except as specifically noted, shall receive carpet. sheet fur locations.
details approved by architect. Contractor shall coordinate undercutting of doors with thickness
4. location of all partitions and doors shall be approved by as marked in of carpet. Doors shall clear floor finish by 1/8" maximum. 2. All standard electrical and telephone wall outlets are to be mounted
vertically, centered at 12" above finished floor, or at 2
the field prior to construction. Contractor shall notify architect CEILING/LIGHTING NOTES horizontally as noted. The
of any discrepancies or conflicts in location of new construction,
5. All blocking is to be fire treated. 1. All new or relocated light fixtures and HVAC grilles to be 3. All electrical devices (switches/plugs) shall be the same color as the
located on ceiling grid unless otherwise noted. Contractor shall cover plate, WaS'SerhergerRel'
6. Only minor adjustments to HVAC system q arP required. notify owner of any conflicts with the suspended grid system, c)�,t�n,r
HVAC or sprinkler fixtures prior to installation. 4. Contractor shall verify and provide correct outlets for special
electrical and communications equipment as noted on tenant E/M form. dl
GENERAL FINISHES 2. Where !fights and switches are not noted with a lower case letter, _ i Partnership
switch designation, the switches are to be connected to only the 5• Provide correct amperage for all equipment noted on tenant E/M form. —`-; - ' + + + + , . - ,
lights within that specific room. Archuecrj p,
1. All vertical surfaces to be painted unless otherwise noted, stipple 6. Electrical contractor shall verify and coordinate conduit runs.
texture, eggshell sheen. Contractor shall provide architect with a 3. All switches, thermostats and any other wall mounted control circuiting, and wiring as required to provide coriplete electrical
minimum of two 8 x 10 brushouts of each color and finish for installation, As-built records of circufting and wiring shall be
architect's approval at least two weels prior to site application. devices are to be mounted at +48above the unfinished floor, \
prepared at the project completion.
Wall tests will be required one week prior to final approval. unless otherwise noted. '\
Architect reserves the right to adjust any color once the wall test 4. All .exit signs are to be buildinr, standard, installed at the
has been made. center of the ceiling tile shown, unless otherwise noted.
2. Any partition;, columns and exterior walls to receive building \
5. Unless othtrwf,e noted, all incandescent lights to be on dimmers.
standard bases 2 1/2" t++ll. Scraight base at carpet, cove base at
Dimmer contra:° shall be Lutron Nova series with no exposed heat
tile flooring, unless otherwise noted.
sinks.
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Porrfond. Oregon 97205 I
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Suite
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INSPECTION NOTICE
City of Tigard Building Departmeot
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested — L -- Time A.M. (_�P.M.
Address _ Permit #_.a"7 _
4,3
Owner, _�___�_ 7!�- – Lot #--
Builder --Builder ----
1't,e following Building Code deficiencies are required to be corrected:
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s
i
Presented to _ _--_ — _ [� Approved
Inspector — FI-1 Dixapproved
Date
CALL FOR REINSP�'C770N
❑ YES ❑ NO
I
. . N4�.MovvwY4`Ia:+1WWWWAP�,MPW ..
• : �nWk�[�f.'.�M�F#ZIY2t!A"• rt"A9tiK`aal.'9.xxaw4r.�;n..a'.u1,1'�^}wa.:�ai�a�i+M,+A�Fl,4wau,:`e,,. -...�,.,:.
Wgf7. `I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 ��,/�rt/ re
Phone: 639-4175
Type of Inspection 14-1��/ Z
� -erl
Date Requested—_ l— Time._ A.M. P.M. L w
Address ._/Dz 6, Q Permit *Gr7! v
Owner Lot
Builder -- ----------- ---
The following Building Code deficiencies are required to be corrected:
Presented to _, Approved
Inspector _ G ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
_M
TUALATIN VALLEY
FIRE: and RESCUE
FIRE MARSHALS OFFICE
M (503) 526-2469 POSTED:
r
OCCUPANT V/
#/ -'-
CONTRACTOR BLDG, PERMIT 0
•
PROJECT NAMEPLAN REVIEW #
LOCATION. �~ !.,✓ 6--h'/ �:t�J./H-7
JU?�ISDICTION: 1= Be. 2= Du. 3= K. 4= Ti. 5= Tu, 6= Sh, 7= Wi. 8= CC 9= WC 0= MC {
COVER /rte FINAL �.' SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
r
Framing 11 Separation Walls Sprinkler System
El Shaft El Fire Dampers (Overhead/Und.erground)
jAlarm System ❑ Hood' Extng Systems Conference E
Spray Booth 0 Ceiling Cover Other E
—
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i
i
I
Date: c �`;�� Inspector .;
t
__J
INSPECTION NOTICE
City of Tigard Building Department 17 00
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested .____ ._- Time _A.M. P.M.
•
Address ' ' h' Permit #
Owner _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presenteo to
Inspector 7�— — _ ❑ Disapproved
Date ---
CALL FOR REINSPECTION
[7 YES [--I NO
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CRDITYOFTIGA h!Iii:FaM:C'r" N(a . Mh.(:1'iya.;9�4�1
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COMMUNITY DEVELOPMENT DEPARTMENT
�.04260" DATE: a:SS1.lE�Ia : ;�/:1.5>/(3v
13125 S.W.Hell Blvd_P.O.Box 23397.TinArd,0m9on 97223.(503)639-4175 I.)1:2:1:M. II)M r .NO . (391.Z1f.,:3 •�
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'TAX MAP/LOT •
LAND
LOT 511:E:: NO: NO
J: FFM
WORK CLASS: AI._TE:RATTON I•:'(.JPNA(::E:: <:100K A:I P hIANUI_.R <I �
USE— TYPE".: COMME R(:1141_ F URNALIE: 100K+ A:I'.f. HANDI-P 1.0K
C:UN51' . 'T'YF)1=: TF14 F"I...(OV4 F 1.111Mf,01, E::VAP .C:CItJI_.E:ht
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131...i.a/C:OMP (:31 4) 1-10010
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I:)WW'I._I... . UNITS : 141 P/COMP 1.:5-••:301-I1P :I:N(,1NEPATOR(COM 4
F''I.11'-L 1 YPIE GAS E311...A/C:OMP 30••••:5014) RE:PAIP UNIT'S 1• � r
9.11' 131...Fa/f.(:)P11s �t0 hl-IN! ("THE A
MAX . INPUT
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{ T Phi(JNIw 050:3! 230---A620 TOTAL. $20 .80 t
i O Rr-.:*G:ES'T AAT l:(:)N NO 4109 l:E
s R PECEIPT NO /V7 /
} This permit Is issued s.,blect to the regulations contained in Title 14
of the TfAC. State of Oregon Specialty Codus,toning regu'ations pF'Q1.1:I:ra3 TNSPM C IJONS
and all other applicable codes and ordinances, and It is hertby ME C:hIANCL • SYSTEM
agreed that the work will be done in accordance with the plans and FINAL
j specifications and in compliance with all applicable codes and
ordinances. The Issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits.This permit will exoire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 1 'C days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
;SJ
Permittee Signa tME:x1.t J.et rtCllltyg
— --
Issued By - ------.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r'
11-1.
TUALATIN VALLEY
FIRE and RESCUE
FIRE MARSHALS OFFICE
(503) 526-2"0-'9 POSTED:
OCCUPANT
CONTRACTOR BLDG, PERMIT 0
PROJEC; NAME PLAN REVIE14 0
LOCATIO1, /(.-v S,
S-
JURISDICTION: 1= Be. 2= Du, 3= K-�. 4= Ti,15= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls El Sprinkler System
❑ Shaft ❑ Fire Dampers (Overhead/Underground)
F] Alarm System El flood' Extng Systems ❑ Conference
El Spray Booth ❑ Ceiling Cover El Other_
Inspector:
Datet. 2--117-
Ab.
1
INSPECTION NOTICE
to
City of Tigard Building Department
o O. Bo., 23397
T.v.—, Oregon 97223
Phone: 639-4175 •
Type of Inspection
Date Requested 2-12-J 1' Time J— A.M. P.M.
Address ..-��� .�, -`>-' � Permiz # Zy1�
Owner Lot #
Builder _ - ---
The following Building Code d encies are required to be corrected:
Pre-:antp l to _ Approved
Inspector 7 ❑ Disapproved
Date
CALL FOR REINSPECTION
D Yes O NO
C.. .� ..__......_._._...a,..OM.,..M.a..wA4�1.MAM..W�MM,. I WIN
'9
�1
CITY OF TIGARD MECHANICAL PERMIT Receipt# _
10
Permit#
4Desc441-
Description
ription - •
Table 3A Mechanical Code — r.TY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. - --
P.O. Box 23397 2) Supplemental Permit 3.00
•
Tigard, OR 97223 ----- — --- —_ — I
639-4175 1) Furnace to 100,00013 T U 6.00
incl.ducts&ver's
2) Furnace 100,000 HTU 1 7.50
_incl.ducts&vents
Name of Development 3) Floor Furnace 6.00
incl.von;
Job Address-,7--� 4) Suspended heater,wall heater 6,00
Address l U w vie e to r or floor mounted heater
Tax LotSI 11 T� /UU Map No. 51 Vent not incl.in 3.00 X
Lot Block subdivision appliance permit
I --
Repair of heating,refrig., Q
Name(or name of businass) 6) -`
cooling,absorption unit 6.00
rf'�olyn�nn _L_
MailingAdJrecs PhoneZLf5- J 7) Boiler or comp to3HP 6.00
Owner0 Sw � absorp.unit to 100,000 BTU —
Gf`'zew1oa-,r , — —
CityrStaie rip - 8) Boiler or Comp to 3 HP-15 HP 11.00 r
..5 . ��r I i ,,R , ��7 a2 3 absorp.unit to 500,000 BTU _
Name —' 9) Bo;ler or cc np 15-30 HP 15.00
t A C +r absorp.unit-'.--1 million -_
d �
Mailing Address Phone 10) Boiler o,romp to 3C-50 HP 22.50
absorp.unit 1 :.75 million
Contractor pI-a �Cj.-��a s- L16.Zt! Boiler or comp to 50 HP —
City/State zip 11} 31.50
CA%k 7„.� 7 I absorp.unit 1,750,000 BTU '
State Registration No. City Bus.Tax No 12) Air handling unit to 4.50
n�13¢oq K, M�TRo jk-7 — 10,000CRM
----- —�
13} Air handling ur" 7.F)
I hereby acknowledge that I have read this application that the information given is 10,000 CFM +
correct,that I am the owner or ni ithorized agent of the owner,that plans submitted are in - -- _--
compliance wit"State laws,that I am registered with the Stare BuildersBoard,that the I 14) Non portable — 4.50
number given is correct(If exempt from Stale regishation please give reason Wow) evaporate cooler
15) Vent fan connected 3.00
to a single duct
16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
mechanical exhaust
------ ---------- -----
Signature(owner or agent) ',QQ' n — � 18) Domestic type, 7.50
Describe work. [1 ad`d'itiof~�j ❑ alteration [04' repair ;_i incinerator
to be donH residential ❑_- _ non-residential [RI 19) Commercial or industrial 30.00
type incinerator
Existing use o1 -
building or properly...... --____— _.. 20) Other i.e.,woodstove,water 4.50
Pfoposed use of heater,solar,clothes dryers,etc
b-gilding or properly__. M. 21) Gas piping one to four outlets 200
Type of fuel- oil F] natural gas ❑ LPG 1-1 electric [�
-- 22) More than 4-per outlet
S NOTA SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON % ,SURCHARGEG'
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 O .,
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --
WORK IS COMME=NCED. TOTAL
Special Conditions
--------- —___�--- ^_____- Date issued --by-----
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...L,.. . .. r ...,.... _ r „ .. •a..+r,rw.Xt.F iYtYtlf4Md'!MA:l J.� IMiYlA3dM. i,e.••w........WFM'.NNMM�Garikfr�MM1rFrnM.J�MYF . �, 1
FIRE MARSHALS OFFICE
Washington County Fire District No. 1
City t of Beavarton Fire Department '•
Tualatin Rural Fire Protection District
e� 4755 S.W.Griffith Drive • P.O.Hox 4755 Beaverton,Oregon 97076 Phone 15031 526-2469 •
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July 1.2, 1989
Tramme.;1 Crow Company
10260 S.W. Greenburg Rd.
Tigard, Oregon 97223
s
s
RF: Turnkey Communications
10260 S.W. Greenburg Rd.
Lincoln Tower - First Floor
Tigard, Oregon
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the 1985 editions
of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code
(UMC), Uniform Fire Code (UFC) , and other local. ordinances and regulations.
This review covers the tenant modification to the above noted occupancy.
The plans as submitted are approved for construction.
Approval of submiLted plans is not an approval of omissions or oversights by
this office or of non-compliance with any applicable regulations of local
government.
If you desire a conference regarding this plan review or if you have
questions, please feel free to contact me at (503) 526-2503.
Sincerely,
Bob Hunt
Deputy Fire Marshal
BH:kw
cc: Tigard Building Department
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1...1):EN(:; i=�l=:I�M:f.'T' ••
CITY OF T167A RD /r!rs1�, r-.71-1M:ET NO. : Bt.)(3(i 1,16'3 (�
CITY nGAW
9glOON
COMMUNITY DEVELOPMEN"f DEPARTMENT I)r1'T'E:: :I:!iSiUh:1:) '7/1:1./09
1125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 -I.i.M. P11 1.No. 091463 ••
J0FJ AI)I)P;ESS : 1.0 .J60 !:)W GP I:A:..N1'3Ur-4(:; RI')
'TAX MAP/I._r)T SUB: LINCOLN '1t7wiii:ll :-51' F'I...Pi I_.'1' :
L..ANI:) USE: I
+' I...tn. !:i:1:;7.E:: : VAI UA'T IUN: $ 15,W40 SE'T BACKS, g;
FRONT: ISI:AP't
WOPK ('; S . AL_'rE F1A'T'TC)N DWELL... UNITS : LEF"T : P:r.(.;I-TV : � •
USE;: TY.,I (:MMME14C.,:I:A1.. NO. BEDROOM : EXT .WALL. CONST
CONST . . 'PI'-: : IFP NO. 13A'T'HS : N: S: I::: : W
OCCUP.('..,PP. : 13P PAU 1' .OPENINGn')
OCC.JP.I...OAI) 2A N: S : 1::: : W : •
TO'T'A1_. AP11:KA : 1.3Z10
NO , S'rOR1l5:s : 1.i''. 1.ST: 1.3dd0 ROOF= CONST : F :I:Ftl PETI?
I..II:.'.):(3H'T : :I.70 2ND: AREA SI":P�Al2'� N!:) flAT'E:I)
I:'SASEMI'r."".N'T'7 N(:) 3R1): OC(AJP. SE:FyAI '7 YE:S RATED: •
ME::I:"l.AN:ENE:'? NO BASE:M''T
FI...00R LOAD; '.::CI t3ARAGAE: VA:PI-K l:iPPKl._Pt'7 YE:1.5 AL.ARM7 YES
F LOW((."PM) 17ETECT ? YES
PLAN CHF:C.:K PY: JhJ
REMARKS :
Te3nia.nt Mad : Turrll(e1y C:ammuna.c: r :i.an :; Pil 1:!:i!:i1.lE: OF NO .
I...A!F1'T'
.E::F--:S
W T i-ni minel.J. Craw PE:RM'L'T' $1.1 h . 50
N PI AN Rh:V:l:r_"W $'T,,5 73
E
R F':EPeE DEPT *-'16 . E.10
STA'T'E: 'TAX $`.)
_-
OTHER
]oN
E)E:VEL OPME'NT CHARGES :
HO'rC:l IK I SS AI...AN
T TRAMMEI...I... CROW ('.:(J. SE)C:( STREET)
R i(11260!3W GPEl;.!NE)L1P:(.-; P;I) 56 ,750
A
C 1A6(-..Iar-d al- 97PP.3 PREPAID < '1;2:441 . 66)
T
O PHONE (,503) 2.e4::i 9400
R PE(.*.'.l:S1'PA'r7ON NO . 'rl"+ll.lnlnr, 1:l.
P EC:E.'7 VYT' NO . 1.0 0.1
This permit is Issued subject to the regulations.:ontained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby E.EQU:EREI:) INSPECTIONS
agreed that the work will be done in accordance with the plans and S!_AE!
specifications and in compliance with all applicable codes and FRAMING
ordinances. The issuance of this permit does not waive restrictive INS(.JL.A'T':I:(:)N
covenants. Gontractor ano subcontractors shall have current city
business tax permits.This permit will expire and become null and (EYP' . F! )API)
vol'1 If work is not started within 180 days,or If work is suspended or SIDS MEND .C:E::]:1...J NG
abandoned for a period of 180 days any time after work has O T•1.4ER►h
commenced It shall be the responsibility of the permittee to assure F::I:NAI..
all required InspActions are requested and approved
AM Signature
A, *Exit :I.rLty<Jing
Issued By __ fl
.•• ..... .. . .t .. .•P,':: ::T7C)N639-6-11.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CCITT'OF TIIFA RD
OREGON
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July 7, 1989
ti
Alan Hotchkiss
Trammell Crow Company
10260 SW Greenburg Rd.
Tigard, OR 97223
l
Project: Turnkey Office Conua, BP 891.463
First Floor, Lincoln Tower
s
Dear Alan:
Plane for this project were reviewed for conformity with applicable
s
codes, and are approved. If. any changes will be made to the sprinkler
system or the mechanical system, please submit pl.ns which show such
I
changes. You may obtain the building permit for tho project at your.
convenience.
The exit door from the west office space is requirec to have a 3;1-in.
wide by 44-in. long landing. The round stepping stones, noted on the
plans, are not sufficient for a landing. The surface of the landing
shall be not less than one inch lower then the door .hreshold.
If you have questions, or if we may be of assistance, please contact
us at any time.
Sincerely,
im Jaqua
Plans Exam. er
FAX 684-7297
i
13125 SW Hall Blvd.,p.(`..Box 23397,Tigard,Oregon 97223 (503)63Q-4171 -- — --- _il
CITYOFTIFARD � PLAN CHECK APPL CATION
C:ffy ARD PLAN CHECK #
COMMUNITY DEVELOPMENT DEPAIT i MENT PERMIT N i� � _— •
13125 S.W.Han Blvd.,P.O.Box 23397,Tigan,Oregon 9TM,(503)6]94175 DATE ISSUED
y JOB ADDRESS: �� _ SC G+�R-.�` ' i AX MAP/LOT --- -�-
SUB: _ LT.
__L - LAND USE: v_ •
VALUATION: —
OWNER — SPECIAL NOTES {
NAME: '�f")'��ec< C1�4s.t_— — REISSUC OF: _ —__... •
ADDRESS: -j b fin- /Z/ _ — LAST REISSUE:
FLOOD PLAIN/ '
_. --
SENSITIVE LAND:
PHONE: _—.a� _��Q-� ----- — r •
APPROVALS REQUIRED �
CONTRACTOR PLANNING:
NAME: �� —__ __ ENGINEERING:
ADDRESS: FIRE DEPT —-----
OTHER:
OTHER: -- --
ITEMS REQUIRED
`— LIST/SUBCONTRA' TORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
AODRESS: _ TRUSS DETAILS: —
_ PARKING PLAN:
LANDSCAPE PLAN
PHONE: —_ r —_ OTHER:
COMMENTS: _ LrKAI.4 P 1^�r T✓N1V r ' c«_..vrr�,4C�e�-� _[_�_
PERMIT # ACCT of DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees ��'
10-431 00 Plunking Permit Fees
10-431 01 Mechanical Permit Feet
10-230 01 State Building Tax (5X) 71) -
Bu i.Id i rig
�__:_�7') -Bui.Iding
Plumbing
Mech
10--A33 00 Plans Check
Building i
Plumbing
Mtn c h
30-202 00 Sewer Connection
i
30-444 00 Sewor Inspect ion
51--448 00 Street: System Dev Charge (SOC) _��----
52-449 00 Parks System Dev Charge (PD(:) i
31--450 00 Sturm Drainage Syst Dev Chrq (SSOC)
10--230 09 TRFD _--
10-230 OG Washington County Fire N1 (95X) --___--
i 10-210 00 Amar•L/Wodgewood
TOTAI
ky APPLICANT IGNATURE
Received fly: Date Received:
cn/358713/18P -- ---
Y.
MAW
AM-