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�� CITY OF TIG�ARD C�
OREGON
� coopo ... opam n�ner:. r �7ev�e1 t Ca. _....... .......Permit No. ..7 ._.
Bnildini, Address....9 9.5...SAk 941 Street
('cel tik'ic,lt� is -.^reby given this. )W day of... February....... , 19.7.x...
that zaid huikiing may he occapie,l and
that it complies with allgiiirements of
,11(, 13iii1ding Code for the City of Tigard, i
as approved by the Tigard City Council.
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lit ing fns{ectnr
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : iGiz I
DATE: /t /77- DATE ISSUED
OWNERS NAME : c"A2 CL L ,,�eZ--,&?
ADDRESS: ---I 3vs. v _ 57g-2� e L'2 L I
CONTRACTOR : -
TE ST ',
ONTRACTOR : ,TEST . Air ❑, Water❑ , Visual B-, Laboratory ❑
RESULT: Approved La , Disapproved ❑ Pending p
S-IEET-CH
.soca ",1 4 iC%�,e- l 4c,
De�G'q✓� lIC �S old .
$ed tur..e y/jiof(C Sir
SPEC OR DATE
LNOTE: Attach supplemental teat data beret al
# DUILDER c��,�-� � Cc's VALUE FEE 5; _��_ DATE
LOCATION OWINER .�:u,L (_(r
c t TYPEPLUMB
O� �• ' PERMIT _
3EWER PERMIT «?r EE —�'` , Y M-ECHA �C L P,
DATE _._. BY DATE; _ . RY
EXCAVATION/FILL AIR CONDITIONING
FOO'.:INGS FOUNDATION _ VENTILATION _
FORM: SPRIN:LER SYSTEM
SLABS _ MASONRY FLUES
REINFORCING STEEL FIRE DOORS/EXITS
STRUCTURAL STEEL _ GARAGE FLOOR
PLUMBING R I . µ DRIVEWAY
ROOF/FLASHING — SEWER
FRAME _ STORM DRAIN
LATH;WALLBOARD
HEATING PENCE/SCREEN
WATER HEATER ----- FINAL .__.a. .�.. ._ ..�. _._._.. _._,.
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RMAM.A.MT
BUILDER / If' VALUES, DATE 5 a72
LOCATION OWNE
Rff
t_.PLUNBERT
• PERMi i ,-1'.._. --SFE i
SEWER EE - KHAN CA ) rERI
—-
v-�TE BY DATE R.Y.-
_ EXCAVATION AIR CONDIT.CONI.7G
FOOTINGS FOUNDATION "'
--• VENTILATION _
FORMSt I "JPRINKLER SYSTEM
SLABS 1---MASONRY/.FLUES
REINFORCING STEEL _ FIRc DOORS EXITS
_ STRUCTURAL STEEL _ GARAGF FLOOR
_ PLUMBING R. I DRIVEWAY
ROOF/FLASHINGSEWER
FRAME _ - _ STORM DRAIN
_ LATH WALLBOARD w PARK:iNG
_ HEATING FENCESCREE
FIISAN
WATER HEATER L
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�• \O��.co�r(�,�� c' l<eL.�,.,.t.( ,1��-0.f St'i.l�t,� 1_�,.,.�,
# BUILDER FEE , , DATE
LOCATION �,C�af OWht;R
10.8 MAP k\;3
TYPE 'fs
PLUMBER—. ERMIT
P -If y,2 c
, 2 7"PTE
SEWER PETY117 /4/.;? —^—FEE N>:CHANT CA 1, P ER J
PATE BY _PATE, BY
EXCAVATION FILL - . AIR COCONDITIONING7-
FOOTINGS/FOUNDATION VENTILATION
FORMS SPRINKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL FIRE DOORS/EXITS
STRUCTURAL STEEL GARAGE FLOOR
NUMBING R I
— I DRIVEWAY
ROOF FLASHING w SEWER
FRAME STORM DRAIN
1,Ar.H/WALLB0ARD PARKING
HEATING FEN C�;Y,Sq_4LEN
HEATER FINAL
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PERMIT TO CONNECT y-
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Tigard Sanitary District
PERMIT N° 1612 DATE
Pr,RMIT IS GIVEN TO
OF
TO CONNECT
TO THE SYSTEM OF TIGARD SANITARY 7ISTRICT
ATTHIS +IERMIT MUST BE rOSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ............TIGAR.D SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
Date --- - ---- -- dupulhtendeat
Address 9305 8.W. Commercial. Permit No. IW2.
Permit charge
owner ��wper Development Connection fee 200
Paid by Cooker Development
Type of building 17 'snits Date connected 11-30
service rate 51.00 per mr-ith Inspection fee 54.00
Contractor Cooper Developr-ent Paid. by same Date
site of connection bit Assessment � Paid
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