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Permit
CITY OF TIGARD BUILDING DIVISION • - PERMIT #: MEC2005 -00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6120/2005 Phone: (503) 639 -4171 .' �u 1 17 AA Inspection Requests (24 Hrs.): (503) 639 -4175 „,161- �i `IL INSPECTION WORKSHEET FOR ' DATE: 10/17/2005 TIME: 7:04AM PAGE: 51 SITE ADDRESS: 08053 SW LEISER LN CLASS OF WORK: ,((i, SUBDIVISION: LEISER PARK LOT #: 008 TYPE OF USE: PROJECT NAME: PENCIK Cf36) DESCRIPTION: AC install. a OWNER: PENCIK, HENRY PHONE #: 503 -743 -7541 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code \ # Inspection Description Confirm # 'Contact # Message 699 V Mechanical final 018428 -01 503 -670 -9294 N Corrections /Comments /Instructions: ii ? - :C _ 0:&O . c \ )1 I' . I c - -C D - 3 6 1 l ' ? --- LOVNI \ ❑_PASS ❑ PARTIAL _APPROVAL ❑_ CANCEL ❑_NO ACCESS ❑ FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . ili ,.,.._ j Date: / / Phone #: (503) 718- , 7 4:)/ .