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Inspections CITY OF TIGARD BUILDING DIVISION PERMIT#: /?1 ;/09 3-000.0 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: /A5-1`3 TIME: fo 3o PAGE: SITE ADDRESS: 1q7O Six/ ,Y J 4 0 6G✓ CLASS OF WORK: SUBDIVISION: ' LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: . Inspection Request Scheduled For: Date: /jl/5-1/3 Pour Time: Code # Inspection Description Confirm # Contact # Message tel0 (MIS /Ant, Corrections/Comments/Instructions: -74724-- mvcr- h if_i/d/ to ids/ 4- 4a pL5f9te,T//t GJk6 1 ,e6*-sy, • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 94/FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / —..11111_ Date: P/1-C113 Phone #: (503) 718- X704