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13249 SW BOUNEFF STREET e y i V •I CRY OF TI A L,!-'RTIFICATE UF OCCUPANCY COMMUNITY 05VELOPMENT OPPAR PERMIT 14. . . . . . . 131 Rd$W H&H ENS.Tigard.On ,W "Wool* DATE ISSUED 05/g:.i/93 911L ADDRESS. . . 11 13249 SW BOUNEFF ST PARCEL.; RS104PC-09100 GjUBDIVISION. . . . i MORNING HILL 09 Z ON I NG i SLOCK. . . . . . . LOT. . . . . . . . . . . . . 1234 OF WORK. 04EW TYPE OF USE. . . eSF (IGGLIPANCY GRP. oR3 CILCUPANCY LLAD a 29 4 Yr-,.NAN'r NAME. . . i F?*marksi PATH I Owner JAY MILLER BUILDERS INC 0 BOX 83291 TIGARD OR 47224 Phone On 684-7543 !-'ontractorr JAY MILLER 1-10 BOX 2.3P91 TIGARD OR 97281 Phnne #s 684-7543, P43g) *. . 1 30109 Occupancy of the at-love i,"forenced building is hereby given, and certifies, the compliance with the S*Atp Of Oregon Specialty Lodes for the group, ,-yrrltpant:y. and use undo- whi ,:h the referenced permit was issued. FI iFF—D-EPARTMENT I T r, ICTOR L INGiF Fl ;IAL POST IN CONSPICUOUS PLACE i INSPs�rION_pS?'wICIF clsv or Tigard Building Departwoot 13115 " mall Blvd. Tigard, Oregon 97213 Ineraction Line (Aossc-O-Phonal 639-417. BusinwM• Phonal 639-4171 Inepaations Footing Plbg. Underslab Mooch. Rough-in AppR//dwlk Pound. Plbg. Tor Out Gas Line I=MALs Post/seam struct. Ban. Bewer Framing -Alda. Post/sea= Iwoh. Rain Drain Insulation �flu�b. j Plbg. Underfloor Mater Lim Gyp. ad. t" Date Mr•4ueetede�._ y —Time /N Addreme Z Nr71t #o "M'5— Builders TIIR TOI.IQNICN7 fv)nnRl Tif1r1A Ann RRQ111RRns r f Inapwcf or, I)af wt APPPOVRn D1nAPPPnv1[h APPPnvRf) PIIn.iR1`T 20 ASM Call ►ur 1!wlnnir Citi of Tigard Building nospartmant: 13125 e11 Mall Blvd. Tigacl, Oregon 91223 Inspection Line (Rwc-0-P1Wna(, 639-4175 Business Phanat 639-4171 Inspection#__ Zga- rootingUnderelab Hoch. Rough-in `- 16r/k Found. Top Out Gas Line tIIKAL_i� Peet/seas struct. San. Gower Framinq -Bldg, Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbp. Underfloor Mater Line Gyp. ad, -Hoch. Date .,oquestode Addroses J �1�3 �-Q Lc _ hrolt � Builders TMR FOLLOWING ODRRRC10"M ARE RRQUIRRD, Inspector) Dates t APPROVED DIRAPPPOVRD APPWWFD Smite? To AR0VR __ Call For Relnsp. ;r IN/PI<GTIOH NOTIQ, ���.. City of Tigard eoildlog D"wrtaent 13325 NII Ball Blvd. Tigard, Oregon 97223 Inspectlnn Lines (Rae-O-Phono)i 639-4175 Business Phones 639-4271 1nspec:tlon1 rooting 01bg. Underslab Hoch. Rough-In Appr/Sdwlk round. Plh;. Top Out gas Line FINALe Post/Seam stru^`r.. Ban. Bower rraming -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb, Plbg. Underfloor Water Line gyp. M. -Koch._ \��O Date RaQuestods .. `7 'S �._T 1.me /SAN Addressc_ l r rsrmlt /c L ~Q Z 11-1-2 Buildery TNR YOUA30ING MCNISC9I009 AM RBQOIRSDI Inspector Datel 7 APPROVED n1nAPPRcnnlD APFFAAM To ADM call For Rainsp. INSPECTION NOTICE �1') City of Tigard Building Department 13125 SII Ball Blvd. Tigard, Oregon 87223 Inspection Line (Rec-o-Phones 639-4175 Businans Phones 639-4171 I napect 1-on t-- --� —__--- ^— �- rooting Plbg. Underelab Hoch. Ro+igh-in (\ Arer/edwlk Pound. Plbg. Top out Can Line FINAI.t Poot/Beam Btruct. San. Sewer rrasuing -Bldq. Poet/Beam Hoch. Raln Drain insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Nisch. Date Requenteds � � -__Times [7� 'AN PH Addresss _ Pernit. / 1 , Builders_-- ��/' J --_------ TBR FOLLOWING OORRECTIONS ARE RSWIREDt fill I CIL LQ i.A? ?� '&k- 6291)Z k D A f- TE9. POZ/4//.l 6, _-- Inspectors e M f Date r_ / Z _"r"1`__ APPROVED DISAPPROVED / APPR(r."M S!IRJRC'f To ARoVE -Call for Reinap. IHBPBCTIOH NOTj� City of Tigard Building Department 13125 BN Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)i 639-4175 Business Fhonot 639-4171 Inspections Footing Plbq. Underalab Mach. Rough-in Appr/edwlk Found. Plbq. Top out sae Lina FINAL. Poet. Rn,im Htrurt., Ben. Hewer Framing -Bldg. � Post/Deem Mnch. Bain Drain Insulation -Plumb. PIlxa. Underfloor Na or Line oyp. Bd. ,� -Mach. Date Requested) Timet Addraaat 7;"114 9 1 / �f" 51 Permit 0,711-cej '3 2— Builders v / /( C`J)�1% �� 6,,SAS – V���� TNR FOLLONINO CORRRCTIONB ANN prguipRot Inspector(---sem`*` Datet__ _'.3��/ APPRo1►fD ,-- DIHAPPROVRD vAPPR(riF,U Rl)RJR(,T Tt) AR(ri/R Cell For Hnlnnp. I11RP�Q�SIM NOTICE City or Tigard Building Department 13175 611 Ball Blvd. Tigard, Oregon 97273 Inspection Lina (Roe-O-Phone: 639-4175 Business Phones 639-4171 Inspections__-___ -- — --- — ---- — Pootlny Plbq. Underslab Nech. Rough-in Appr/Sdwlk Found. P1bg. Top out as 8r PINALs Post/Beam Struct. San. Sewer yraming -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Oyp. Bd. -mwh. Date RoWesteds 3-,z ^�3 Timet AM PM Address s_�3.Z Permit Builders TME FOLLOWING QORRECTiow; Asir nv.Q111Rltnt Inspectors_ _ Date s _ APPROVED DICAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. S�Pa4.�EQtl_rm'x&� City of Tigard Building Department. 13125 SH Ball Blvd. Tigard, Oregon 97277 ' Inspection Lina (Roc-O-Phona)z 639-4175 Huninsae Phonal 619-4171 Inspection:. — --- — ----r �— --- -- — 1 Foot xinq P1tx1. Undaralab (Noah. Wiugh-- 1►ppr/5dw1k Found. P1Mj. Top Out Oa. :eine FINALI Poet/Ream Struct. Ran. Rawer JC Framing -01c1q. Pont/Ream Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Lino Gyp. Bd. -Koch. Date Request.dt (.f _ _ TLreI —�1K ♦' PM Addr...t 1� u YAPermit to Builders —91 THE roMMINO CORRECTIONS ARM RMUIREDc 0,900 c A s`�+_d6a, ['tJ.�T�cf�v 4/v t T a �/s i4ns,i 2 N'� Sm2 y t�to�_ Bc�7D�_ i i In.pectort _- Data — -73Z i APPROVED DIAAPPRovRD APPROVED SUBJECT TO ADM Call For Rainsp. INS PC�MM._49Uce City of Tigard Building Department --� 13125 BW Ball Blvd. Tigard, Oregon 9722 Inspection Line (Rwc-o-Phone)t 639-4175 Business Ph at 639-4171 Inspections —.�-�._---.-- Footing PIN. U •lab Mach. Rough-in Appr/edwlk Found. . TopOut Gas Lina FINALa --�� r j. Post/ROAM 9Lruct. Han. Sewer Framing �ld / Post/Ream Mach. Rain Drain Insulation 1 Plbg. Underfloot: Nater Line Gyp. Bd. -Nach. Date Roque stedt -�'/ � --_TimesAM _ PN Addrowas f ;7 V !7_ :�>-& '3 X1 is ou Buildert� 14 ' !� �. ------ THE FOLLOWING (VRRNC`-IONS ARE REQUIREDt Inspector ---- --- ----_ DatesS�T�/�� APPROVED n19APPRnVRn APPROVED BUB.tNCT TO ABOVE call For Reinnp. i jNIFAMION STIC City or Tigard Building Departaeot 13125 BN Ball Blvd. Tigard, o_-wgon 97223 Inapeation Line (pec-O-Phone)e 679-4175 Business Phones 6.19-4171 1napactlona Footing PIN]. Undwralah MecF.. Rough-in Appr/Bdwlk ►Mmnd. PIbg, Top Out Gas Line PIRALi (Beam at Y. Ban. Newer Praming -Bldg. •t/Ream MM—.h. Rain Drain Insulation -Plumb. lbg. underrloo Nater Line Oyp. ad. -Mech. Date Regueateds�2 /V _ TLaIsi AM Addresse Permit Tin POLL0VING OORRRCTIONB AMR RRQUIRRDi I nspeotor i –-- D1te I APPROVlD DIRAPPROVOO APPROVBD BUWBCT 7'I1 AwVB Call For Relnap. A G 3N6P6GTION Nip, �/��. itr or Tigard building Department / V J 13125 SW Ball Rl.rd. Tigard, Or qon .17223 tnepaction Line (Rec-,i-Phono t 639-4175 Business Phonet 639-4171 Inspections looting Plbg. Undorelab Mach. Rough-Ln Appr/Sdwlk o,,^.d. P1bq. Top Out Gas Line rINAT.i :.,dL ' ,fvnm Struct. Ban. Bower Framing -Bldg. Post/Beam Mach. Ra1n Draln� insulation -Plumb. lbq. Un� .rrloor liter Llne� Oyp. Bd. -Mach. Date Requantedt r v ` Tunes __)�Al( PM Addreaat_/3 Z 4 Z Permit til-3 i Buildari___ 22Q/� TNS FOLLOWING CORRECTIONS ARE REQUIREDe Inspector,- �! `�_— --—---- Date t: . X=_ APPROVED DISAPPROVED APPROVED BUEJECT TO AB()VIS ,_Call For Reinsp. IMMOIN MAMM City of Tigard Building Departwe t 13123 Bp Nall Blvd. Tigard, Oregon 97223 lnnpe(Alon Line ,Roc-O-Phone)i 639-4175 Buolnoss Phones 639-4171 l nspact.i on t--_. -- ------ 1. Tooting �) Pibg. Underalab Much. Rough-in Appr/Sdwlk round. Plbg. Top Out Gen Lino FtNALt Pout/Ream struct. Nen. Rower naming -Bldg. Post./Beam Mach. Rale Drain Insulallon -Plumb. Plbg. Underrloor Nater Line Gyp. Rd. -Hoch. Onto Raquootede_,.'_,I Times _ AM Aedreaacy 2 �� ;,�1F--- � Permit ft�� Bulidert TNR rOLLONIN9 CORRECTIONS ARE RXQUIRBDt rAti __APPROVED DIRAPPROVRD /✓ AP!'RCYVRn RURJECT TO ABOVE _Call Por Ralnap. PLUMBING PERMIT C'7YOFTI IFARD PERMIT #. . . ­ i M8793-0032 COMMUNrTY DEVELOPMENT DEPARTMENT vseeoN DATE ISSUED3 02/09/93 13125 8W HWI Rtvd. P.O.Sat 23M.Tigod.Orepn Of (M)6*4176 SITE ADDRESS. . . 1 18249 S14 BOUNEFP' St 7`41-4r; 23104AC-RHE34 SUBDIVISION. . . . i MORNING 14ILL 119 ZONINGS BLOCK— * , . . . . t: LOT. . . . . . . . . . . . . e234 —-----------------------­__�----------------- CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . tL TYPE OF USE. . . . sSF WASHING MACH. . . . . . . sl BACKFLOW PREVNTRS. . sO OCCUPANCY GRP. . eR3 FLUOR DRAINS. . . . . . . 10 TRAPSo . . . vo . v . . . . . * 10 STOR I ESv . a . . . v . 12 WATER HEATERS. . . . . . $ I CATCH BASING. . . . . . . sO FIXTURES--------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . 11 SINKS. . . . . . . . . . & I GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . 14 OTHER FIXTURES. . . . . iW IUB/SHOWERS. . . . a SEWER LINE (ft) . . . . 80 WATER CLOSETS. . e3 WATER LINE (ft) . . . . 1100 DISHWASHERS. . . . sl RAIN DRAIN (ft) . . . . 10 Ramariisa PnTH I UWNE14 1 --------------------------------- ------------------FEES----------------- JOY MILLER BUILDERS INC TIF $ 1460. 00 JH 02/09/93 - P 0 BOX 23291 BPRT $ 455. 50 JH 02/09/93 - BPLC $ 296. 08 JLH 01/14/93 93-23,N640 TIGARD OR 97224 B5PC $ 22. 78 JH 02/09/93 - Phone Os 684-7543 SEDC $ 290. 00 JH 02/09/93 - PARK $ 500. 00 JH 02/09/93 - PIUMbing C nt rAct ar 0 MPRT $ 43. 00 JH 02/09/93 - MPLC $ 11. 25 JH 02/09/93 - Name 1_,_, ,- M3PC NamesM5PC $ 2. 1:25 JH 02/09/93 - Address 2PPRT $ 1753. 00 1.714 0P./09/9"1 C.i t y I t a t P5PLI, $ 15 JH Ot?./09/93 Z I p on a#i Reg RF_WUIRED INSPECTIONS ------- This permit IS i%SU&d SLO) JOCt to the reg- ulations contained in the Tigard Municipal foot/found Insp Rain drain Insp Code, State of Ove. Specialty Codes and all Plost,'Bomm Struct Water Line Inap other applicable laws. All work vv.. _ ' be done Post/Beam Machan Appr,/Sdwlk Insp in accordance with approved plans. This Plm/undelab Insp Mechanical Final pwroit will expire if work is itot started PLM/Underf I uor Plumb Final within 180 days of isstiancog tit, if work in Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Line Insp IngUlation Insp x Gyp Board Insp 06thorized Plumbing Contractor Signature Call for inspection 639-41.75 ontractor 14oteql- CITY CSF' TIGA ISD Twora nar CQMMUNITY DEVELOPMENT DEPAUMENT CRY MASTER PERMIT 13125 6W HAN BW. P.O."23W,71pM,Orsom 97 (503)830,4175 PERMIT 0. . . . . . . e MST93-0032 639-4 171 DATE ISGUEDo 02/09/93 SITE ADDRESS. . i 13249 SW IJAOUNEF-F ST PARCELS 26104AC—MH234 SUBDIVISION. . . . : MORNING HILL #9 ZONINGS BLOCK. . . . . . . . . . a 1-07'. . . . . . . . . . . . . :234 ------------------- BUILDING NEISSUEx DWELLING UNITSil BASEMENT. . . . . . . . 10 sf CLASS OF' WORKoeNEW BEDRMGe3 BATHS#3 GARAGE. . . . . . do . . 1440 SF TYPE OF USE. . . tSF FLOOR AREAS---------- REQUIRED SETBACKS—----­ TYPE OF CONST. :5N FIRST. . . . s1342 sf LEFT. - olO ft RIGHT. v19 ft OCCUPANCY GRP. sR3 SECOND. . . o851 5f FRONT. i291 ft REAR. . s36 ft STORIES. . . . . . . :2 THIRD. . . . 10 sf REQUIRED___________________ iE I GHT. . EQUIRED------------------- iEIGHT. b . . . . . . 329 ft TOTAL-------12193 s SMOKE DETECTORS. iY FLOOR LOAD. . . . a40 psf VALUE. . . . . so 108798 PARKING SPACES. . ti Remarks PATH I ----------------------------------- PLUMBING --------------------------------------- - SINKS. . . . . . . . . . it FLOOR DRAINS. . . . i@ BACKFLOW PREVNTRS. . 10 LAVATORIES. . . . . 14 WATER HEATERS. . . s TRAPS. . . . . . . . . . . . . . 10 7UB/SHOWERS. . . . e3 LAUNDRY 'TRAYS. . . : 1 CATCH BASINS. . . . . . . 40 WATER CLOE3E7'8. . s3 2EWkR LINE (ft ) . s0 GREASE TRAPS. . . . . . . 10 DISHWASHERS. — i I WATER LINE-*. (ft ) . v .100 OTHER FIXTURES. . . . . 10 GARBAGE DISP— ol RAIN DRAIN (ft ) . i@ WASHING MACH. . . : 1 SF RAIN DRAINS— o1 ---------------- MECHANICAI- ----------------------------------- FEES FUEL TYPES-------------- UNIT' HTRS. . sO type amount by date ret-pt /GAG/ VENTS TIF $ 1460. 00 JH 02/09/93 MAX INPUTiO BTU VENT FANS. . e4 BPRT' $ 455. 50 JH 02/09/93 -- F URN ( 100K . . 10 HOODS. . . . . . it BPLC $ 296. 08 JLH 01/14/93 93-235640 F'URN ) -100K . . it WOODSTOVES. iO B5PC $ 22. 78 JH 02/09/93 - FLOOR FURN. . . . i@ CLO DRYERS. s I SEDC $ 280. 00 JH 02/09/93 - BOIL/CMP ( 3HPeO OTHER UNITS: l PARK $ 500. 00 JH 02/09/93 - GAS OUTLETSil MVIRT $ 45. 00 JH 02/09/93 - Owners ---------------------------------------MPLC $ 11. 25 JH 02/09/93 - JAY MILLER BUILDERS INC M5PC $ 2. 25 JH 02/09/93 - P 0 BOX 23291 PFIRT $ 155. 00 JH 02/09/93 - P5PC $ 7. 75 JH 02/09/93 - TIGPRD OR 97224 Ptione #1 684--7543 Contractor: -------------------------------- JAY 0111-LER PO BOX 23291 TIGARD OR 97281 Phone #o 684-7543 Reg #. . s 30109 _______________________________________ f 3235. 61 TOTAL This Wait it issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, Stott of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas Line Insp plans. This permit will expire if work it not started within IN Post/Beam Mectian Insulation Insp days of ittuance, or if work is suspended for sort than IN days. PIM/Uncislob Insp Gyp BoArd Insp f;,Launlert I yor Wn,,drtin M rJer,mittee C ,AT) CA n%p Water - lie 1114S • Vllotmb Top Out Appy­/5dwIk In, p Issi.Awd ByeFt�aminq Insp MPCIIaniUal FiTIA1 Cavil for s-p 9 c t 1 639-4175 CITYOFTIFARDIF SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT 1-,E.RMIT #.HERMIT'. . . . . . : SWR93--0030 rarzaare IAMOad.P.O.Box23W,T1VM,OregonOf (SMIGN417 ! T77 SITE ADDRESS. . . I 13249 SW SOUNEFF ST FIARCE:L: cS104AC-IIHP-31. SUBDIVISI001. . . . I MORNING HILI_ #9 ZONING: BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . :214 __._..____..___......____.------------.._-----_-..._-._---__-----._-------------------.._,.__..___...._ � TENANT NAME:. . . . . I USA NO. . . . . . . . . . a FIXTURE XTURE UNITS. . . e CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . ..SF NO. OF BUILDINGS: 1 INSTALL T'YPE. . . . IBUSWR IMF,E;RV SURFACE. . : : s<f Remarks: FIATH I Owner: ------------------------------------------------------ FEES JAY MILLEF. BUILDERS INC: type amount by date recpt I P 0 BOX 23291 PRMT t 2100. 00 JH 02/x.79/9:3 - INSR $ .35. 00 JH 02/09/93 ' ] (GARD OR 97224 I-Ihone #: 684-7543 Contractor% --.__-------------------------- CONTRACTOR NOT ON FIL.F_. ---.- ------------_--------....r_-..-.r- --._. 1hone # f 2135. 00 TOTAL ---- REUU I RED I NSF,ECT I ONS _-- This Applicant agrees to cocply with all the rules and regulations Sewer Inspection of the Unified Sewage Poency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side setter laterals. If the setter is nut located ai the measurement given, the installer shall prnspect 3 feet ir. all directions from the distance given. If not so located, the installer shah purchase a "Tap and Side Sewer" Permit and the Agency will instal', a lateral. I'n r m i t t e e '�i [1 n a t e-W e Call for inspection - 639-4175 CITY OF TWAND — RECEAPT CW PAYMENT RECEIPT NO. %93—,F-'36472 CHFCR AMOUNT : 5120. 61 NAMr MILLER, .JAY CASH AMO,JUNt v 17.1. 00 ADDRESS PAYMENT D14TE t 02/09/93 SUBDIV191ON PURPOSE UF PAYMENT AMOUNT PAID PURPOSE UF PAYMENT AMUI.INT PAID ki1J I L I l i NG EERM 455, :i0 PLUMBING f-" 155. 00 MrCHANTUAL, FSE 45. 00 a7. BUILD PER :32. 78 PLAN CHECV. V kZ 57. 33 Irh`_WE;f? 0iA 210 A.til 0 �4:WF'R INSPECT :35. 00 PARMS SDC 500. 00 STORM DRAIN SDI.; ;R80., 00 RESIDENTIAL TRAFFIC FEES 1.351b. 00 Mf1FIc� 1 HAN1317 TIF F V EIS 1 10. 00 LOT c?34 MORNING HILL 9 1 ,"-'49 :;W RUUNE.FF ST T11TAL AMOUNT PAID — - -> 8180. 61 f /�� A13125 SW IIall W. PLNCK/REC1' NCITY OF 1 IGARD P0 Mix v11q7 PERMIT aM5 S -OU���2—_ `- COMWNITY DENE"LOPMENT DEPARTMENT Mprd.Orcgon47 23 — (S03)6.1"171 DATE ISSUED JOB ADDRESS: /3 2y9 5v✓ 800 P-ff ,:t' _ TAX MAP/LOT 04& SUB: 2Qr1)t*(7Hi'll 9 _ LOT: 2-34 _ LAND USE: VALUATION: jog Zm � Q.1 SPEC IAI,.�pTf_ NAME: _jc�{ �1Le P dr'. ynC REISSUE Of: ADDRESS: _ 0 �30X Z? 29 1 — LAST REISSUE: _ �_• urd . Ot FLOOD PLAIN/ PHONE: _ �► 754 a _ SENSITIVE LAND: CONTRACTOR ApAp4_YAL_s_n I8.Eu NAME: J� (1T�'�I�( PLANNING: UL NOk ADDRESS: ENGINEERING: . FIRE DEPT: PHONE: - — � OTHER: Tlf CONTR. BOARD #: EXP DATE: -ITEMS REQUJAER SUff&ffR 99RS: PLUMB: l!'UVf1C-it S,sJ�l1 Q (. LIST/SUBCONTRACTORS: MECH: �L�t�� fi'nQ �' BUS TAX: +_ _EGLNH; CALCULATIONS: NAME: — TRUSS DETAILS: ADDRESS: _ OTHER: _ PHONL: PROPOSED BLDG. USE: COMMENTS: — APPLICANT SIGNATURE Received By: _ Oate Received: 1PERM IT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees �f3S,sv _ w azo ^_ 10-431 OU Plumbing Permit Fees • _ ^ •G 10-431 01 Mechanical Permit Fees _�/, �✓ ' _ elj,,,,, 10-230 01 State Building Tax (5%) 3 7 e Building d;LjC 1 Plumbing _'7 Mechanical �,��✓� 10.433 00 Plias, Check Fee Building Plumbing Mechanical 10-230 06 Fire , �N (?�,1-oo 0 30-202 00 Sewer Connection d9l 0 30-444 00 Sewer Inspection 3,J'' 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees r' 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees / D ILAIL- 52-449 00 Parks system Oev Charge (PDC) .-G to 31-450 00 Storm Drainage Syst Oev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL CITY OF 716'AkD RECEIPT 01' PAYMENT RECEIPT NO. a 93--,P35640 CHEM AMOUNT a 250. elo I ir)W- a 11TI.-I FIR7 JAY GAGH AMOUNT s 0.lao PAYME NI NITS r 01, 14/93 suar)I V I S 10114 I i IPPOSE OF PAYMENT AMOUNT PAID PURPOSE UF PAYMENr PMOIJNT PAID i ,l .(4N CllrCK FK- 250. 00 OT 234 MORNING HILL 9 1 ..x"49 SM E11JUNEF-P ST TMAL AMOUNT PAID IA. ovi