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Inspections CITY OF TIGARD BUILDING DIVISION PERMIT #:/d1 tC ,2 /3 619441'2 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: NO/S Phone: (503) 639-4171 Inspection Requests(24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: /1 kg/ 3 TIME: //,'TO PAGE: b1� l SITE ADDRESS: /44,203---S4/ 3l CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: all gll5 Pour Time: Code # Inspection Description Confirm # Contact # Message 60,91 /4Gifolet 69e__ Corrections/Comments/Instructions: ,ive.),44)14-t/ 141)191d1) • • • NQ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0103 - Phone #: (503) 718- Rao