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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
r'hone: 639-4175
19
Type of Inspection _Z. '-- - ---�
Date Requested- � 3 - � Time--A.M.—P.M.
Address
,! . Permit
— '—
Owner__ _ __ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Pressnted to P— Approved
Inspector - " __ ❑ Disapproved
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CALL FOR REINSPECTION
C-1 YEs ❑ NO
TY®FTI67ARD
COMMUNITY DEVELOPMZNT �
DEPARTMENT .:PKE T Nt", MLIE111111.0 131.3
13125 S.W.I fall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175
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This permit is issued subject to the regulations contained In Title 14
of the TIVIC, State of Oregon Specialty Codes,zoning regulationsV HI
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and ).1.14:.F) zc� , 92—
sPrcifications and in compliance with all applicable codes and ,
ordinances. The issuance of this permit does not waive restrictive GO!) I. I HE
covenants Contractor and subcontractors shall have current city `j y M
business tax Permits This permit wil'expire and become
null and P 1.14AI
void if work is not started within 180 days,or if work Is suspended or
abandoned for a Period of 180 days any time after work has
commenced It shall be the responsibility of the permittee,o assure
all ;equired inspections are requested and approved
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Permittee Signature
Issued By
SEPAkLOE PERMITS REQUIRED Fbhl�vdk!0 If4h'i'AA 6tk*1dk; ABOVE
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