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Nap$CTIONNOTICE
Ctt7 of Tigard Building Depart—t
1312.7, On Ball Blvd. Tigard, Oregon 97223
Inspection Line (ReC-o--Phonr): 639-4175 Business Phone: 639-4171
Inspect 1 nn: -- — —�
rooting plbq. Underalab Hoch. Rough-in Appr/Sdw)k
FOUN" Mg. TOP Out Gas Line FINAL:
poet/Beam Struct. a MuMuer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Be. -Mech.
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Date Requestedt, 1 2 1– 13 _rime: I AM _._.__PM
Address: I' / hr�Q yyl (�i Fermat is
Builder: —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:__.. Dater_ _ {i
_�APPROVRD !� DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . . . PLM93
639 -4171 DATE ISSUED: 11/17/93
PARCEL: 1 S 135CD-00800
SITE ADDRESS. . . : 11415 SW G13EENBl1RG RD
SUBDIVISION. . . . : GREE.'NBURG HEIGHTS ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
F I XTURES•---_.___-.._._..._.____.. LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
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LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : 140
WATER CLOSETS. . : WATER LINE_ (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : NEW SEWER LINE --- RECONNECT HOUSE TO SEWER d
p:
_------------------------------ ----- ------•---- `
Owner: -_________.___ --- FEES ---
DAVID GE:DROSE type amo..lnt by date r-ecpt
11415 SW GREENBURG RD PRMT $ 45. 00 JH 11/17/93 -
5PCT f 2. ;'5 JH 11/17/93 -
TIGARD OR 97223
Phone #:
Contractor:
LARRY BREN & SON EXCAVATIVING
430 NW 334TH
HILLSBORO OR
Phone #: 648•-1903 $ 47. 25 TOTAL
Reg #. . : 41785
--- ---- REQUIRED INSPECTIONS
-----This permit is issued subject to the regulations contained in the Sewer- Inspection
Tigard Municipal Code, State of Ore. Specialty Code; and all other Final Inspection
applicable lams. All work will be done is accordance with
approved plans. This permit will expire if work is W started _
within 1110 days of issuance, or if work is suspended for more
than 100 days. —
Permittee Si gnati.ir•e :
I s s f-i e d R y:
Call for- inspection - 639-4175
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Ul I Y OF T lhfdkll PF.I;F'IVIT' OF F'FIYMFNI F C.1-APT NO. »4 60VI4 +.
NAMF". a DRE'AINNN, JOHN OIA
t�17I)F�F.: PAYMF:N I DOM
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,�aIIi1.01 VI.)ION
PURPOSE (Ii~ F'NYME:NI AMOUN F' VIAIl) OF W44YO N I OMI.II.IIV I Pf11 1)
yy. PL_UMFA FNG' F'E I;f 49. 00 ST. BUILD PEn.Ft
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F3EWER LINT-: PFRMi r
11413 SW GREF.NFAI_IRG
TOI fal._ AMOUNT PAID ) 4 7. r;5o
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