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Permit CITY OF TIGARD BUILDING DIVISION PERMIT #: rr 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 qpy A Inspection Requests (24 Hrs.): (503) 639-4175 P'I I� P I-0'7 0 /3 - 0 G '7/I 97 INSPECTION WORKSHEET FOR DATE: /l —,Q—I) TIME: . PAGE: • SITE ADDRESS: /0 ?S 0 9 4/ C i✓ TG rvsu V Z`j CLASS OF WORK: • SUBDIVISION: L #: TYPE OF USE: PROJECT NAME: , . / DESCRIPTION: 4 ,ti OWNER: PHONE #: . CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Gonfir-m-• Contact # Message 3 y.0 - -S-r,2.Ai S L �� PA-s-,5 3 / /.)-1 u� /41 L p� 6 pA5 • Corrections/Comments/Instructions: /VOI—L . Aire C •/ .9--r -Z∎ C 0 ' Cif l " /4 Pet=-- 040627 ,T / a 714. 03 51 • /L1 o-- 4 o r=its Ti iv • CA rcff ff.�i r/ -r c� AA-k A-(t� S c.'v�I'1- �' P r ,A., °— r s—ttof,f4 (-4 t'-„ . . 3 . . . , . -, . , . , -,,, , , ,:, ,.., • 1hR I -, • , . .. . . . Y. -.SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED • 4 Inspector: �,1c Date: /( f Phone #: (503) 718°' r�