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Inspections CITY OF TIGARD BUILDING DIVISION PERMIT #:l°� °1s-a' 7 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .. Zeit I INSPECTION WORKSHEET FOR DATE: i1 f/c/i3 TIME: /0: Cp PAGE: SITE ADDRESS: If L75,SW &f Pt- CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1i!t 5 /3 Pour Time: Code # Inspection Description Confirm # Contact # Message I'/v r4.4 61•If I/I/ Corrections/Comments/Instructions: 501491/6) 101(14 104#44 P1141/ 4r ritimpikd PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 13 Phone #: (503) 718- 02 70