Inspections CITY OF TIGARD
BUILDING DIVISION PERMIT #: L 2O/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: od
Phone: (503) 639-4171 r A,
Inspection Requests (24 Hrs.): (503) 639-4175 7�
( ) ( ) 5172
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /o epic- /.6 U f2 CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: • PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Correction's/Comments/Instructions: ��
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■2 PA : ❑ RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � H . 2‘ar
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p Date: I I / Phone #: (503) 718-