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Permit CITY OF TIGARD - w BUILDING DIVISION PERMIT #: PLM2O0i -O00U2 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/5/2004 Phone: (503) 639 -4171 /ai 4111,1i4 t, ( Inspection Requests (24 Hrs.): (503) 639 -4175 P:_.. INSPECTION WORKSHEET FOR DATE: 10/2512006 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 12496 SW SUMMER CREST DR CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 008 TYPE OF USE: PROJECT NAME: BRUHN DESCRIPTION: Installation of residential backflow prevention device. 10/24/06: REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR 30 DAYS. OWNER: BRUHN, WALTER H + SANDRA LEE, PHONE #: CONTRACTOR: CROWN PLUMBING PHONE #: 503771 -9449 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # e : sage 399 Plumbing final 038797 -02 503201 -5237 Y 3O Corrections /Comments /Instructions: C * 51: P -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CtiiF Date: /0/ZA"`/o4, Phone #: (503) 718- Z-4W