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Permit
CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007- 00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 1t SITE ADDRESS: 16306 SW 92ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STEWART DESCRIPTION: Bacldlow preventer for irrigation. OWNER: STEWART, HAROLD PHONE #: 503 - 9214343 CONTRACTOR: LIEUALLEN INDUSTRIES PHONE #: 503 - 921 -6343 Inspection Request Scheduled For: Date: 8/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 0516113 -01 503 -921 -4343 Y Corrections /Comments /Instructions: r4PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: % di1 k1 /1/4".,A) Date: gl ) I 07 Phone #: (503) 718-