8427 SW BONAVENTURE LANE d,<27 SW BONAVEN`i'URE LANF,
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�CITY OF TIGARD 1 CERTIFICATE OFCiT1POF 116.dRD
COMMUNITY DEVELOPMENT DEPARTMENT ORE OOH OCCUPANCY
13125 SWrWIBlvd. P.O.Box2�3:' Turd,��97223(503)00"175—J "7r,CP011 T 'rt. . . . . . . a MaT91 0067
DALE ISSUED? 09/30/91
�ITE ADDRESS. . 6427 SW SONAVENTUR[c LN PPRCEI_a 2SI121CC-1:3604
lJBDIVISION. . . . . rANIA PARK ZONING: R--•12
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . all
CLASS OFF WORK. c NEW
TYPE OF L.)SE. . . -.Si
OCCUPANCY GRP. r R3
OCCUPANCY LOAD a P25i 4
TENANT NAME— :
f�c,m;�rks
OwnF,r'•a ___-_._ _ .__ _.__._ ._........_...___.. __.._ .... .. .
E•-0 CONSTRUCTION CO
10445 SW CANYON RU #120
BlEAVE.RTON OR 97005
)home #; 503-.643-071 '.
Contractora _...__.___....._.. -..__ ..._-- -..._....._.._ _-.._.._.__.._ ._._
E•-0 COM81 RUCT I ON CO
1,0445 ,SW CANYON RD #t r'O
PEOVE"RTON OR 97005
Phone 0: 505-643--071,�:
!~)r.cupa+ncy of the above referenced `)uilding is hereby given, ,and Certifies
the compliance with the State Of O -eycin Specialty CodPu for the (roup,
OCCI.11)ATtc•y, and usp under which the referenced permit w,„ i il;ued.
FIRE: DEPARTMENT BUILDING IN P
Bl l ILD I!r[`3 Oi
PO!;T IN CONSPICUOUS PLACE
I
INSPRCTION NQr CE
C�t7 Of Tigard Building Departer nt
13125 SM Hall q1vv*. Tigard, Oregon 57223
Inspection f.inr (Rec-O-Ph.)Ah): 639=4175 Buein< a Phona: 639-4171
Inspection:
rooting Plbq. 1lndereleb Meeh. Rough-in Appr/Bdwlk
Found. P)bq. Top out Gas Line FINAL:
P at/Beam Struct. Ban. Sewer Framing -Bldg.
Peat/Beam Mach. Rain Drain Inaulation -Plumb.
Pibg. Underfloor. Nater Line Gyp. ed. -Mach.
Date Requestvd:_ G _-3 IL))/ Time: �j AN PM
Address: J ' .�„rpLt f: / l � 7
Builders_
'-►
TM FOLLt7NIM0 ODRRSM I1/S ARS FJWZRBD:
rnepactor: �� `� � 46"'L�
/'APPROVED _—� DISAPPRO AP^ROVED SrIBJECT TO ABOVE
Call For Reinsp.
INSFscTIGN Narks
City of Tigard e.7Jldisg
13125 ON Hall lIlvd. Tigard, 16 v 93�!
Inspection Line (Rea-o-Phona): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Dnderslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Boas Struct. ban. Sewer Framing -Bldg p�p
I
Post/Beam Hoch. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requested: 0 �,/ Time: _ LAN PM
Address e pl-G}7
1
Builder: f
TQM FounWING /ACTIONS An RMQDIRMD:
- i
Inspectors _ Dater
APPROVED DISAPPROVED APPROVED SOBJMCT TO ABDVM
___call For Roinsp.
IMBPSCTIOM MOTICS 141,
City of Tigard Building Department /f�,�
13125 M Mall Blvd. Tigard, oregon 97223 4-Y�
Inspection Line (Roc-O-Phone)a 639-4175 Business Phone: 639-4171
Inspection: --
rooting Plbg. Underelab Mach. Rough-in Appr/8dwlk
Found. Plbg. Top Out Can Line FIMALt
Post/Beam Btruct. San. Sewer Framing -Bldg.
Past/S*am Hoch. Rain Drain Insulations -P1�
Plbg. Underfloor Mater Line Gyp. Bd. -Much. /
Date Requestede � Times _ AM PM
y //
Addres _ yi:.�»/ A�o.rmit 9:�j —0UGt� 7
s
Builders :Z) 4-
THS
THS FOIJANIRG CORRSCTION8 ARE -IMQU1RM
InepectoS� Dates �17'
�PPROVHD _— PISAPPR MRD APPROVSD SUBJECT TO ABOVE
Call for Reinsp.
INBPRCTIgILNOTI�
City of Tigard Beildinq Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in App-/Sdw
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mech. Rain Drain Insulatirn -Piumb.
Plbg. Underfloor Water Lino Gyp. BJ. -Koch.
Date Regveated:_ -! -' / TimesP,4 _PM
�f- T
Address:%Vsc /���) y Permit #: L
Builder: `�Y%-_O JV .
THE FOLLOFIN3 CORRECTIONS ARK RFQUIRF.D:
1
Inspectors �_._l.i__
APPROVEn DIBAPPR D APPRO%'F.D SUBJECT To j1801R
Cell For Reinap.
L
IllNEMON NOTICE �-
City of Tigard Bsildiag Dwartemot
13125 SW Hall Blvd. Tigard, Oregon 91233
ineportion Line (RoC-O-phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out One Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -11luab.
Plbg. Underfloor Mater Lin•j i yp. Bd. -Koch.
Date Requested: ,F—/S-,?/ /Time: _ PM
Address:_ �y� ] �p�pLi,/ ii�d�.Permit
Builders
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspetaors Dates
_APPROVED ♦ISAPPROVED APPROVED SUBJR�RCTrToo ABOVIi
Call For Reinsp.
INSPECTION_NOTICE
City of Tigard Building Depart:-
13125 8N Ball Blvd, Tigard, Oregon 97223
Inspection Line (pec-o-Phone)+ 639-4175 Business Phone= 63 1
Inspection=
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FTNALs
Post/Beam Struct. San. Sewer framing -Bldg.
Poat/Beam Hoch. Rain Drain 'I'n-iulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requesteds_ - ^Tiimes / M/�/7/ pH
Address:- /S 7� / -='��t/J�rf�/�� L� / '�eFsAit 1= f V e "� 7
Builder= 1-0 C�k�
TBE !'oLLoNING CORRECTION8 ARE REQUIRED= -
InspectorsAPPDates�_�(�_
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICM
Cit? of Tigard Building Departments""'
13125 BW Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Pho 3 - 71
inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL&
Poet/Beam Struct. San. Sewer Framing -Bldg.
P08t/B9am Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line GNP• Bd. -Hoch.
Date Requested: q�
C / Timet AN PN
Address a O �/r� �� )1 Q err �7 Permit
Builder:
TNM FOLLOWING CORRECTIONS ARE REQUIRMDt
Inepectoxt —
1 Dotes
APPROVED DISAPPROVED APPROVED SUBJECT TO A
Call For Reinsp.
INSPI=IGm NOTICE
r
City of Tigard Buildup Deportment
13123 BN Ball Blvd. Tigard, Oregon 97223
Inspection Lire (Roc-O-Phona): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbq. underelab iiech. Rough-�n Appc/sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. Sari. Sewer Frami / -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbq. underfloor Mater -Line Gyp. Bd. -Koch.
Date Requested: / Timm: AM
Address:��ly�� 7 _L rn�n r i-t �__lLrmit "?L-
Builders -Builders
THE FOLLOWING CORRECTION8 ARE PJWIRED:
'~ 7 —
Inspector: _,--_ Dates_ /'
APPROVED DI8APPROVED APPROVNU quBJECT TO ABOVE
Call. For Reinep.
l
InInCTIOM NORICE
City of Tiymrd Bei.al±+9 Department
1312S on Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree:-O-Phone)t 639-4175 Business Phones 639-4171
Inspections_,
tooting Plhg. Underelab h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Btruct. San. Bever (Fr inam -Bldg.
Poet/Deem Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Me.
n
Date Requesteddt ��!' -C� Times _AM PN
Address: Q ` 7
Builders
IN4 CO CTIONB REQUIRED: i G
L, Tlee's
SNA" —efeAY 7If
0 _
vh
Inspectors, Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
SPECTION NOTICE
City of Tigard Building Department
13125 BA Ball Blvd. Tigard, Oregon 97223 _
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Fo.,ting Plbg. Underelab swoh. Rough-in Appr/edwlk
/
Round. Plbg. Top Out Gas
ULlnene lINALt
Post/Ream Struct. San. sewer Framing -Bldg.
Pont/3eam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date RequetV ettede7 �"1 h/ ----,--Time: 2L-PIX714
Address:_ 1 L I .CV .V:. Permit #:
Builders'21j—?'t
THE FOUA)WINO CORRECTIONS ARE REQUIRED:
Inspector: _ Date r V 7
__ PPROVBD D'SAPPROVEU APPROVED SUBJECT To ABOVE
---Call For Reinep.
CLty of Tigard Building Department S'
13125 SK Hall Blvd. Tigard, Oregon 97223 AM
tnspect'in Line (Rec-O-Phone): 639•-4175 Businese Phone., 639-4171 �
Inspection.
T� e
�*ooting Plbg. Undermlab Mech. Rough-in Appr/sdwlk
Tt�p Out Gas Line FINAL:
P081 ,Beam Struct. San. Bawer Framing -Bldg.
Poet/Bear Mach. Rain Drain Insulation -Plumb.
Mg. Underfloor Nater Line Gyp. Sd. -[Mach.
Date Requeatod/t2 ---Time: /`..J1M PN
Addresst T �r�mlt 00& 1
Builders
THE FOLLOWING OORRSCfIONS ARE REQUIRED•
OF
InapecLor:` Data /�
APPROVED OISAPPROM APPROVED SUBJSCT TO ABOVS
Call Por Rainap.
INSPZCTI02 NOTICE
City of Tigard ►Inilding Department
13125 d!1 Hall sivC. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): A9-4175 Business Phones 639-4171
Inspect`ions___
Footing Plbg. Und lab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam struct. Sart. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watery Line oyp. Bd. -Meeh.
Date Requesteds z—/d —11 _ Times AN _PM
Addreses rmit �:
'- G 7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED.
Inspectors__ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT To Man
Call For Reinsp.
INBPBOTIOE NOTIQ �
City of Tigard Building Department
13125 gR Ball Blvd. Tigard• oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639•-4.171
Inspections ---
Tooting Plbg. Dnderelab Mach. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam 8trueit. *torUne
Framing -Bldg.
Post/Beam Much. Insulation -Plumb.
Plbg. Underfloor Oyp. Bd. -Mach.
Date Reslaesteds
Address.
Builders
i
THE FOLLONING CORRECTIONS ARE REQUIREDs
i
inspectors Dates/xIL
APPROVED DIBAPPROVED APPROVED p!iBJECT TO ABOVE
i Call For Reinsp.
INSPECTION 11PTICK
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepectioni
Footing Plbg. Underslab Mach. Rough-Ln Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain C2Insulation -plumb.
Plbg. Underfloor Water Line a". Im. -Koch.
Date Requested! AN -PH
Address:_ it #I
Builder-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect:,- Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
----Call For Rainsp.
INSPELTION.NOTICE
City of Tigard Building Department
�}
13125 M Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 -41
Inspections
Footing Plbg. Underelab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
et/Beam Btructj San. Sewer Framing -Bldg.
(Post/Beam kWh. Rain Drain Insulation -Plumb.
Plbg. Underfloo Nater Line Gyp. Bd. -Mech.
Date Rrquested: ` _Time: _AN PM
� c _
Address: 17 , j A i -+ermit 1: 7 Li
Builder:_
THE FOLLOWING CORRECTIONS ARE RBQUIREDs
Inspector.: _I- A
_ Date:
DISAPPROVEDOVED SU 1'CTo ABOVE
-call For Reinsp.
CItT of ligLzd Aa ilding uenartrent t/, .. °i..
BITE, CO Hall 81vw2. Tigard, Oreton 9:../3
tnep,ctiun Line (Rec-G-Phone): 639-4175 Bofiinesc P!iona: 633-4171
Inspections__._... _.---- ----- _--------
ootinq Piby. Uncerelnb Hach. Rough-in Agar/Sdwik
Pound• ) Plbq. Top Out Gaa Li,.,e FINALt
Post/Oe&& Otruct. inn. Sewer Framinr, -B)c:g.
Poet/Beam Mw h. Rai-, D.u.n Innulation -Plumb.
Plbg. Underfloor Water LineGyp. Bd. -Mach.
wA iG
Date Raq.:wetAdt _ _ Timtts AM PM
Address:
Builde.a
THK POI-LOWING CMPJ .TIONS A1Rf PJIQUIRZDt
Inspectort Date
APPROViD DISAPPROVED APPROVED SUBJECT To ABOVE
Crll For Rei.nep.
I
- -
ITY TI
� C� BARD . .- ,
CCnOf11�14Rp t�(r-tS fER FERMI?
COMMUNRY DEVELOPMENT DEPARTMENT 040" 'ERMiT #. . . . . . . : MS'r91 -QI17jra7
13126 SW FWI Blvd. P.O.Ba 23397,TIp M,Orejon 97223(603)03"175
'�T TE. ADDRESS. . . : 8487 SW BONAVENTURE LN PARCEL: =S113CC-13600
';UgDIVISION. . . . : TANIA PARK, ZONING: R-ic
13I..ti`v,. . . . . . . . . . LOT. . . . . . . . . . . . . : 1 ,
BUILDING
R":I S6UE: DWELLING '.iN I T'S: 1 BASEMENT. . . . . . . . .0 St
.LASE' OF= WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..441 S
1'YPE OF USE. . . :5F F=LOOR AREAS---..--..-_-- REQUIRED
T PIPE OF CONST. :5N FIRST. . . . :748 5 f LEFT. . : 19 ft RIGHT. s 5 ft
:CUPANCY GRP. -R3 SFCOND. . . :7c0 ssf FRONT. :2 0 ft REAR. . :21 ft
i QF+1 E'S. . . . . . . :c TH I RD. . . . s 0 si f REQUIRED
,. I C,HT. . . . . . . . :25 ft TOTV4L-------: 146.3 ,f SMOKE DETECTORS. :Y
1=.I UUR LOAD. . . . :40 psf VALUE.. . . . . $s 75466 PARKING SPACES. . :0
14r Inar,ks :
PLUMBING
�INI'.5. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 NACKFLOW PREV1qTRa. . :0
__0VA-1ORIES. . . . . 1.4 WATER HEATERS. . . : i TRAPS. . . . . . . . . . . . . . .111
TUB/SHOWERS. . . . .12 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :V1
OH I LH LL.OSETS. . ::3 SEWER LINE (ft ) . :0 GREASE_ 7 RAPS. . . . . . . :0
01'3FJWASHEPSi. . . . o 1 WATER LINE (ft ) . : 1.01b OTHER FI XTURES. . . . . :v7
3()RBAGE: DISP. . . : 1 RAIN DRAIN (ft ) . :0
tiCISHING MACH. . 1 SF Ri-11ry DRAINS. . - i
MECHANICAL --------------- __..._._______.___ _- FEES _-.__-_.__-___-
IILL TYPES—__._.__..__.__ UNIT HTPS. . :0 type amount by date r•ecpt
GAS/ / / VENTS . . . . . :A PAYM 100. 00 JLH 04/04/91 211676
I,1�0 INGUT:N BTU VENT FANS. . :4 BPRT 4, 361. 210 IL-H 06/03/91
, URN ( 100K . . s 1 HOODS. . . . . . : 1 BPLC $ 234. 65 JLH 06/03/91 -
!-URN > =100K . . :0 WC;ODSTOVES. :0 B15PIC $ 18. 05 JLH 06103191 -
I- _GOR TURN. . . . :P CLO DRYERS. : 1 3SDC $ 375, 00 JLH 06/03/91 --
T'+r)IL/CMP ( 3HP:0 OTHER UNITS:O PARK $ 500. 00 JI._.IJ 416/0"/91 -
GAS OUTLETS: I MPRT $ 39. 00 JLH 06/03/91 -
lwner• . -____.__.__ .__________,_. ______ .__._.__ MPL_C, $ 9. 75 JLH 06/03/91 -
i-.-LJ LUNSTRUCT I ON CO M5PC $ t. 95
110445 SW CANYON RD #Iii! I PPRI * l tfV). 00 JI_1i Ob/0;:3/1)1 --
P5PC $ 7. 00 JLH 06/03/91 -
13F.AVERTON OR 97005 TIF' $ 1350. 00 JI_H 06/03/91 -
r=,hone #: 503-643-07122
I ontr-actor:
1 T--() CONSTRUCTION CO
10,+45 SW CANYON RD #120
1)i OVE.RTON OR 97005
: fi o n e #: 503-643-07121
P #. . 61.020
f 3036. 40 TOTAL.
This pertit is issued s:b ject to the regulations contained in the - -- - --- REOU I RED INSPECTIONS
- -- ---
i;ard Municipal Code, State of Dre. Specialty Codes and all ether Foot/found Insp F i •e p l ac e I n:,p
4Cpl::able laws. All Mork will be done in accordance with approved Post/Beam StrIACt Bass Limp Insp
plays. This perait will exviry if work is not started within 110 Post/Beam Mechan InsuInt ion Ins,-
days of issuance, or if work is suspended for tore than 180 days. PIm/undslab Inso Gyp Board Insp
PLM/Underfloor Rain drain Ing,
n* mittee 5ignr +. _1re : P(Aianical Insp Water Line Insp
`-dumb lop Out: Appr/Sdwik Insp
';'ted By : _ _ __... Framing Insp Mechanical F inaL
-+11 for inspection - 639-4175
� U
CITYOFTIFARD SEWER CONNECTION
JI" PERM I T
131215 SW HWI Blvd. P.O.Box 23397.TOM,Orqq0n 97223(503)6304175
i nDDRESS. . . : 8427 SW BONAYENTURE LN PARCEL:
/ vpE OF USE. . . . . :SF NO. OF BU1LDI*NGS: 1
,45TALL TYPE. . . . :BUSWR IMPERV SURFACE.
emar�s:
. '�ner: -----------------_—___ _
_ --_------- ---------------- FEES --------------
t/ CONSTRUCTION CO type amount by date recpt
**45 SW CANYON RD #120 PRMT * 1500. 00 JLH 06/03/91 —
nEr4VERTJN OR 97005 lNSp $ 35. 00 JLH 06/03/91 _
n`one #, 503-643-0712
',n,ractnr: -----------�---------_—___—_— |
` /'m| HACTOR NOT ON FILE |
|
___________________________________
"c #:
' $ 1535. 00 TOTAL
------- REQUIRED lNbPECT1ONS -----'
/w" Applirant agrit"o to comply wit, all the mins o"d regulations Sewer lnSpect ion
o' the Unified $#wage Agency, The oerw* expires 24 days from
date issued. Tl.o total a*v.mt rait will be forfeited if the
-,-Nit expires. The Agency Joos not yoa/mtee the acco,ory of the _____________-----i-e 5ew@r 5ewor lut*ralo, If the sewer it n'' located at the w»asm^,weot __ ------ ---------------
the installer shall pmonort , y*ot in all directions from _ -- ---'------------
t"v distance given. If not so located/ the motd|er shall oorctias* _ ______ --'a Teo leo onV 5ide Sewer" Permit and the Agency will install a lateral.
-- --'--------------
"`'� ittep ISignaturr " { ^ -----------'------- ---------------- /
-
---------- -- ' -- ------ ------ --'- |
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° |
/
�
CITY OF T1GARO - RECEIPT OF PAYMENT RECEIPT NO. x9l-213878 |
CHECK AMOUNT x 4471. 40
NAME , E-0 CONSTRUCTION CASH AMOUNT 69. 00
ADDRESS : PAYMENT DATE u 06/03/91
SUBDIVISION x /
(
PURPO�F 0,T PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID |
\
-----'--------------- -----^---- -------'--
8�]IL�%NE� PERM 361. 00 PLUMBING PERM 140. 690
MECH��NlCAL PE 39. 00 ST. BUILD PER 27. 00
P| !
AM CHECK F2 144 4� SEWER USA ���U0. �� '
� - . )
INSPECT 35. 00 RESIDENTIAL TRAPFIC FEES 1250. 00 �
//KS SDC 500. 00 STORM DRAIN GDC 375. 00 |
| T T |
TRANS1 �F FEES 1��. �N '
|
| �
! �
�
� |
42� SW 8ONAVFNTURE
i
|
| !
/
| 'OTAL AMOUNT PAID 4471. 40
|
-- _
,77��, --�----- -------------- -- -- -- -- \
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� [
/
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CITY OF TlGARD - RECEIPT OF-- PAYMENT RECEIPT NO. :91-211678
\ CHECK AMOUNT � BDN. N0 |
/ \
F- - 0 CONSTRUCTION CASH AMOUNT , 0. 0N
(' ADDRE9� pAYMENT DATE x 04/'34/91 |/
SUrlDIVXSION :
| \
|
|
� PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA%D
( --__ -_____--'-----'------' '------'------
/ - -- -------- �� P| A�� CHECK �E 4-�R
100. 00
P\ ��N CHECK FE �-6R �mp. '
\ - ��
�
4 BONAVENTURE ,
y RONAVENTURE
AL AMOUNT PAlB _ - - ~y 200. 00
Al