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InitiallyGood A D DRESS: 12. 2 i:\records\microflm\targets\bui Iding.doc INSPECTION NOTICE City of Tigard Puilding Department 13125 SW Ball. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bw3iness Phone: 639-4.171 Inspection:-- _ -- - -- ---1, T A- Tooting F'lbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbq_Top Outl Gas Line FINN.: Post/Team Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: �• Timet / &_AM _PN Addreas:� L��y `7�f./C� TertAil(1T[-� -!/C•'�� Builder:—.-L��! LQ4� �" �C �s� -1/zv THE FOLLOWING CORRECTIONS ARE RRQUIRED: Inspector: -��_ ---- Dato: 15 �� APPROVED DISAPPROVRL -- APPROVRD SUBJECT TO ABOVE _Call For Reinsp. PLUMBING PERM 1T C11Y OF TIIA R PERMIT #. . . . . . . . P L M 9 2—0 0 5 1'.ip COMMUNITY DEVELOPMENT DEFARTMENT aleaooN DATE ISSUED: 05/11/92 4126 SW HWI MA P.O.Bac 2=7,TOW,Qvgon IF=(5W)8304176 J1 ?17 r1T)rRFP!5!1. . . j ti�4(91A 9W 5Ft381',9f.L:hF_ SUBDIVISION. . . . , BROOKSIDE PARK ZONING: R-4. 5 rA_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :5 GLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. - -IYPE OF USE. . . . -SF WASHING MACH. . . . . . . : BACKFLOW PREVN'rRS. . .- OCCUPANCY GRP. . ;iR3 FLOOR DRAINS. . . . . . . : TRAPS). . . . .. . . . . . . . . . i _i1URIES. . . . . . . . : WATER H=ATERS. . . . . . CATCH BASINS. . . . . . . : FIXTURES---------------- LAUNDRY TRAYS. . . . . . : GF PAIN DRAINS— _ : SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . s GREASE TRAPS. . . . . . . . i..AVATORIES. . . : I OT14ER FIXTURES— — . VUB/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . . : RATER G'LOSETS. . : l WATER LINE (ft ) . . . . : i-.)I SHWASHERS. . . . - RAIN DRAIN (ft ) . . . . : 1?emav-ks : Add fixti-tres to existing SFT) F-EE-S MARTIN MORION type amount by date recpt IL460 SW BROOKSIDE PRMT $ 25. 00 PLL 05/11/92 227 5PCT $ 1. 25 PLL 05/11 /1)2 2E'i- 11GARD OR 972P3 Phone #t 5033-598-0656 Contractor. MICHAEL AND CO. 15575 SW 74TH AVE !'IGARD OR 97224 ----------------------- Phone $ 26. 215 TOTAL, Req #. . : 67877 -------- REGUIRED INSPECTIONS "his vormit is issued subject to the regulations contained in the Top—out I n s p 7igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved 'plans. This permit will expire if work is net started within 188 days of issuance, or if work is suspended or more thar. 188 days. Permittep cGilinat'Are: Call for inspection a39-4175 CITY OF TIGARD RFf,FlPT OF PAYMENT RE(XIPT NEI. (,'HE.C-,K AW.)UNT NAME MIGHOEL & CO. PLUMBING CASH AMOUNT ADDRESS P, 0. BOX 23008 PAYME.NT min- i i SUBDIVISION TIGA14D, OR 97223- rURPOCE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOLINT PAID TOTAL AMOUNT PAID 26. 205