Permit aldiuf
CITY OF TIGARD r
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BUILDING DIVISION PERMIT #: ELC2005-00424
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13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/17/2005
Phone: (503) 639-4171 12, turivtiv t 7 iolldliovOltt
Inspection Requests (24 Hrs.): (503) 639-4175 14'
INSPECTION WORKSHEET FOR DATE: 8/210007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 13270 SW LAURMONT DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT #: 030 TYPE OF USE:
PROJECT NAME: GREENWOOD
DESCRIPTION: Branch circuits: AC, GFI. Permit can be reinstated if owner pays reinspection fee,
OWNER: GREENWOOD, CAROLYN K, PHONE #: 503-524-1038
CONTRACTOR: TDS ELECTRICAL CONTRS. PHONE #: 503710-0866
Inspection Request Scheduled For: Date: 8/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054386-01 503.735-5652 Y
Corrections/Comments/Instructions:
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X PASS • 1 1 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
1 1 FAIL n C L FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: fir ' ' Date: 4 S/Z 1 7 ()7 Phone #: (503) 718-