Correspondence , JUL-31 -03 08:07 FROM- GERBER LEGENDARY BLADES 5036203670 T -240 P.01 /03 F -061
1c 6 - z-
Building Division
Applicant Request to Cancel Permit
Cit o Marti - \ ED
TO: CITY OF TIGARD, BUILDING OFFICIAL JUL 31 2003
13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGARD
Phone: 503.639.4171 Fax: 503.598.1960 BUILDING DIVISION
,.) .
FROM: Applicant Name: 62 �j � (. `S
Mailing Address: 0 I3a v1.36g8
Cit /State/zip: o r 1-(u &4 6 (1 1 77.48 1
Phone No.: 5O 1 10 - 3
Fax No.: /D3 (010 3 b7 it
PLEASE CANCEL PERMIT APPLICATION AND REFUND PERMIT PEES, IF ANY
FOR THE FOLLOWING:
V b W ermit • _,
Type of Permit: au.T 1 , c.,k 1?.1b LL6f4, *+4 f4 u r Pipi 'r P c�Fc£M .JT
Its, ss 14l ' 1 0. A
Subdivision: ■VA _
Lot No.:
EXPLANATION: _ _ _ l . . r .. ..' sF t.t3A- _
1 pt- - F tt PRon. sad 1 C
/ • •
Signature: _ _ Date: - 71 3d 10
Print Name:
Route to Admin. • Date: By:
Permit Canceled: Date: By:
Refund Processed: Date: B
a oo 3 -S3 7
inBuuldingWor RNCapcolPaguadoe OVW