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Inspections, CITY OF TIGARD BUILDING DIVISION PERMIT#:/ ec. 9013 —Odlortl 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171111 Inspection Requests (24 Hrs.): (503) 639-4175 ': INSPECTION WORKSHEET FOR DATE: i!f 1s- f j3 TIME: /;po PAGE: ' SITE ADDRESS: /OO1 Su/ , t Z1 '2/ on /..ft CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 0/61/3/3 Pour Time: • Code # Inspection Description Confirm # Contact # Message &111 7404. Corrections/Comments/Instructions: • /2/4 , 1-1 etet- il-Fa 14-6 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c a Inspector: [ , Date: 1104i3 Phone #: (503) 718- ,2704,