Loading...
Correspondence CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Plumbing Signature Form Permit #: MST1999 -00155 Date Issued: 5/4/99 Parcel: 1 S125DA -10300 Site Address: 09435 SW 69TH AVE Subdivision: PP1994 -032 Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: Alteration to an existing dwelling. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work . No plumbing inspections will be authorized until this completed form is received AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: JUSTIN SANDEFUR OWNER 9435 SW 69TH AVE TIGARD, OR 97223 Phone #: Phone #: Reg #: x sa -- Sig of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have anv questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Electrical Signature Form Permit #: MST1999 -00155 Date Issued: 5/4/99 Parcel: 1 S125DA -10300 Site Address: 09435 SW 69TH AVE Subdivision: PP1994 -032 Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: Alteration to an existing dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: JUSTIN SANDEFUR OWNER 9435 SW 69TH AVE TIGARD, OR 97223 Phone #: Phone #: Reg #: x 1 S Sign - re of Supervising Electrician If you have anv Questions, please call (503) 639 -4171, ext. # 310