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Permit
CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005.00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005 Phone: (503) 639 -4171 :M Inspection Requests (24 Hrs.): (503) 639 -4175 11.. INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:03AM PAGE: i7 SITE ADDRESS: 15666 SW SEQUOIA PKWY CLASS OF WORK: SUBDIVISION: MARRIOT LOT #: TYPE OF USE: PROJECT NAME: MARRIOT COURTYARD DESCRIPTION: Remove double check valve and replace with correct (2) atmospheric VB. OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503 - 624-6300 CONTRACTOR: DEAN WARREN PLUMBING & REMODEL PHONE #: 503 -492 -9514 Inspection Request Scheduled For: Date: 8/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 012628-01 503.236 -4152 Y Corrections/Comments/Instructions: 71 4_ SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� Inspector: Date: a:'' Phone #: (503) 718-