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INSPECTION NOTICE
1 City of Tigard Building Department _
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-417.5 ,
Type of Inspection
9 �
0 Date Requested '/�/ Time _ A.M. P.M.
Address Permit
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Owner cry Lot #
Builder — 4
The following Building Code deficiencies are required + be corrected: '..
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' Presented to _ �pproved
Inspector _ L_I Disapproved
Date 7l 4/0/
- _� --- ---
jf CALL FOR REINSPECTION
C7 YES FJ NO
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INSPECTION NOTICE - '
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223 ,
Phcne- 639-4175
Type of Insoection
Dat z Requested— A'KTime_-- A.M. P..M. �
Address . /xz�'`:'s ZZI:3 Permit #-� —al -2c-
Owner— — T— _ Lot # —._—. 4
Ruilder
The following Building Code deficiencies are required to be corrected:
i
1 Presented to _. .�_ Approved
T Inspector Aw
U Disapproved
fi Date
CALL FOR RF'INSPECTION
❑ YES
F.c U.[L.D.f.I�(.3 1'E�h.I=I.f. T ✓
CITYOF TIGARD CalOFTI6ARR 1'LRN IT' I:+Uf ':30 0:1.7`
COMMUNITY DEVELOPMENT DEPARTMENT MMON 1`R l:l=I.. PE.-81111 T H., » EcUF'g0- 01.79 �
13126 SW HWI Blvd. P.O.Box 13—
23347.roved,Ongw'97223 (641f7¢ ` D 0 T E:: :I S S U E::D r 0('-,/22/90
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4:>11*E (1r)nFiF:EiS. ,. ,. � .1.1.655 (SW I 1 311-1 1'1..
1G)134DC:-••:10( W
SUDDIVIS]:ON.. ,. . . ;: ItUT'T•1_Y 101:4
1,41LOCN. .. LAH.. . . . .. . . . . . . . . s3
........_........_......
REISSUE: F`LOGIl AFRI A��-____...__..._....._.. E:X'TE*.RTOR WALL CC1h1 TF:lJf.:'T:1C1N— ■
C 0 S S OF WORK. *ODD F']:Fiw�'T',. .. . . » f I�» <i: {:s W:
.. f I'RO1'E:C:'T(JF'E=hllhlCiS":>
T'YF'E: Gf-' U','i_ » :SF ;ECOND. . . s 7 '
TYPE OF:* r TI�]:RD. .. . . » sf I+1: ra: I s W» k
(7CCUF'AhICY GRP. s1�3 S—f• ROOF: C.:ONST s FIRE. RE�:'T":'s
OCCUk:,AHCY I (:IAD; sf AREA f31_.I"'. hA'Tf ns `
ft OARAGE=.. „ . » sf OCCAJ SEP. RATED."
F.cc,hlT">: hl f::I'7..'?;; F�E::CiT) fiL::i'E+A(:N.a........._._.._._...__. RLCTU].F��.I}._.........._........_..._........__.._.._..........
f l..E:F T's ft RGH'T's ft F:If; SPKI._s SMOK DE f„ . »
i::A_OOFi LOAD.. ., .. ,. s p.s
DWEI...LING U14.1T'Ss F RHT: ft REAP': f•t F:JR AI_.I�hls FINn:CI F' AM',
V D[--DFZMSi s E+ATHfa I11P SuRr-ACE. PRO r.;(: RR: PARK,I NG s 1
VALUE:. $,. 400
Rema rks.:;
.............-__ __.._.__....._.... FEES _........._._.._._....._.......
r)I:"rcr T1:: V.Thl(3 tyle <inic:)unt by d<at;e rcar.,(:)t;
I.:l(a55 SW :113TH F'1_ N'C:I*I'T' I 1.5.. 0)0
:• T'TGARD OR 97223 51='C1' fi 0. 75 /
1'hc.)ne ils P yl=I 9• 25. 50 L1..H 06/R2/90
Ccntr,ac:tar __.____..____........__._.._...__.._.._............_............. _._....._.
N F ]:I._ KELLY C:0
NEIL_ I/,k::L1_Y (,0
804 hl AI_NERI'A S'T..
1::'0 RJA..AN1) OK 97 2:17-00(A0
F'I1c:)ne 4.- 50;3•—'_'.88-•'74(:,1. 9� %'.;"i. 50 TOTAL
F2 rt H. . » 1663
. ..........._....•-•-. F:F•CJI.IIF<E:n IhlfiF'Fwr::T':CClNS _._._..._............
This permit is issued su'.ject to the reguiations contained in the F'rami.rlrl Ins;p
Tigard Municipal Code, Ctate of Ore. Specialty Codes and all other [nsu'l.at i can :I r)s p _ _......
__.�..._...._...._.._. _...
applicable laws. All wo,k will be done in accordance with (3yp EWA.r(l 1.1.1sp .._._.._._.._..__..___..._...._.__..._....___....
appro�md plans. This permit %Al expire if Mark is not started F' :tnraa Inspec!-Uc)11
within 189 days of issuance, or if Mork is suspended for more ..........._..___....._
than 188 days.
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f?r�r m i.+:t;r•.,�., > i y)-1;.A l c r r r,: _. __._.._._...._ _. _ _.....
CaI I for insper.. tic)n
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IT` OF' TIf.3fll^D PEC.-,ETr-,'r' OF ,=,(- YMENT PEL;ESF''T' hd0. o90-20l9i1
f_WEI-It AMOUNT t :`�.i. f)() (l
NEIL. k..F[A.Y CASH 'AMOUNT t 0 CK)
+S::r1)F:'E s 0 804 N ALBERTA TA PAYMENT DATE t 06/T7,2`/1a0
aL_IETIV16TLAN t
F'ORTI.AND. OF 972 17.-. MUT'TL_Y. LOT
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I-I P ? E OF PAYMUI T raMIIUNT• PIP,T D F UF"PIDI:iF OF' PAYMENT f)mo1.lyd'r PAID
:i13lL..(1Trar PERM �E�I,IF'�%i:i-t�7 . :a r-;-;iii .iT.� I+IJII.]?- F''C:Ft 0. 5
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CONSTRUCTION (((
APPROVEDCITY OF TIGARD
G,41-?O�D � SITE ADDRESS1.4_4-
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R Ps . DRAWNBY NEILKELLY
(� 41,,TL) cS(l�LY,C DESIGNERS/RFNIMLERS
288-7461 644-0445
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C17Y OF TIOARWf lT6ARD :r=:.y .... E f-'L.,I'I`.)G•)...(!�1.(�)t:.
{ I CITY I' L.f.11.l. Tt» » » » » » »
COMMUNITY (DEVELOPMENT DEPARTMENT OMON 1''h:CI*i. 11E:Ti111'ET' fa« :: PL.ly1'.@ PI W."
13126 SW 1♦all We,'. P.O Boot 23397,TIgsM.Oregon 97223(6'13)830-4176 �• 1 D Fi F E 1.'.i�:i I..1 E:D,. 06/18/90
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e 1 T'E': 111)1)'1`3I:;« » » s 111.55 f:iW 1.1.:,11-1 PL. I'ARCE:L_z 1Si1;3�iI)(: f)li7TJfJ
5LJBD1V1Sl:OIq—. . . z I'f(1•T'1'L..I-:'Yca ADIZONING. R
( 13LOC:K. . . » » .. . » h LOT. . . . .. .. . . . . . . .
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CL..f-1S:Si OF:' WORK— -ALJ GARBAGE D1S)F'O.,f-ll_.Si—, hIC)Er1LI HOME I:iPAC:ESi» z �
TYPE: OF UGE::. . ,. .. ::Si F7 WAG(—I1N(� hlr)CI-1.. .. » .. . . » : I+()C:KF'I_OW r-'(i17VI+TJT S. .
OC:CI-11"AFIC"Y 01`6'. . r.R3 FLOOR DRWENEi. .
(3T'OR TE 13. » ,. . . » » . z WAT'LR 1.4E ATI 1,:3» „ » .. , e C:fTTC f l
k 171:XT•URE.S LAUNDRY TRAYI:;. » .. » » . :: BF F;t'•lIN DRAINS. . .. ■
Si1FIKS. . . . . . . . .. . .. U1'2:I:Nr•11...::;;. . ., . » . .. » .. » » Oly'r:.WIE: TRf AIG
LAVA TOPiE:'S. » . . . z OT'I••ILR F IXT1.)RL•.s » I
TUD/£3110WI:S. . . .. .. 1. aE:WFR L.1N1: ( Ft) » » »
WOT'EF� CLOSETS. » WOT ER LINE'.'
Dj:511WFlSiHE.F%Si» » » . » PfI11`d DR()I'M ('F{:)
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IOW 11371-1 PL PF7YIII 41> 2(1 23 J'L.H 06/17/90
T1(3f1Fi1) t.)F; 5FICT $ 1. 25 /
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1.Y I''L_t.11,111 8 I•TE()T EIgG j
7 T 11 ST
OREi:(:30N (.',I T•Y OR 9704:1 __........_...._........ ....._.....__...__.__ .._ ._...____..._.. _..,.......
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Reg 0. . ., (21.32
— PEWJ:E'-:E:1) 1N!;';r1E:C7IUN9
`. This permit is issued subject to the regulations contained in the Trap- OUt 1--)SP .,,,•__.....__...____._._
Tigard Municipal Code, State of Ore. Specialty fades anJ al). other F j.rlei l
applicable laws. All work will be Cone in accordance with
)pproved plans. Thio permit will exp)re if work is not started
within 188 days of issuance, cr if work is suspended for more
than 188 days.
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CITY OF:' T I GARD « PFC,E I P T OF PAYMENT RECEIPT NO. a 90-201752 �
CHECK AMOUNT a 26. 25
NAMES OREGON C,I'TY 1:71.UMPING CASH 'AMOUNT F r,�.t)(:)
IADDREGS a 611 7TH ST PAYMENT DATE 06 1 F3;91)
j SUBD I te,I B 1ON c h
J OFtf;:GON CITY. OR 970451— 11655 SW 117TH PL.
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ClF- PAYMENT AMOUNT I`'A l D r'URPOSEr OF PAYMENT AMOUNT PAID �
_.,..............__ _.._ �--i �:� '_...�.__W_.._?r �:�.{ ;:�T,�BUILD L.T} PCFa .� y l .��
PL.UME4101 PERM PL.M9C 1 6 . � i,
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TOTAL nt. HMCIUN•',' PAID 25
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BUILDING PERMIT APPLICATION TIGARD DAiE—
THE UNDERSIGNED HEREE3Y APPLIES FOR A PERMIT FOIA THi"V.ORK HEREIN INDICATED BUILDER PHONE �
OR AS SHOWN MNG APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER , . ►Zi''; JOB ADDRESS 11695 ":' 71 '.'.tl` 1;'1-1ti=_—
ARCHITECT
ENGINEER
tO".Jl'pr R1:0VC2 DESIGNER._.
BUILDER ADDRESS
STRUCTURE ❑ NEW ❑ REMODEL f ADDITION (7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
F` ❑ RESIDENCE f_1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENCE 1
OCCUPANCY __—LAND USE ZONE ' BLDG.TYPE 1 d FIRE ZONE—_—PLAN CHECK BY V-=
HEAT�. e
;.nict 11vin- x'< rx-, bed roor F, Ptrarncfn 1,r,;t
t o sinc.1e f.li.l,r OWPw 111 7". I."t '
SEWER PERMIT#
OCG.LOAD — FLOOR LOAD HEIGHT NO.STORIES 1 _A_REA ,_ NO.BEDROOMS VALUE
BUILDING DEPARTMENT � 1 3 RIGHT SIDE
t` SETBACKS FRONT _ REAR LEFT SIDE ;
"i. Permit 4,a DO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIN: iN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE R
Plan Check 4, •'DD WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-Sub-total �g"rte RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
f— _ Q LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC-
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PDC# APPLICANT OR AGENT
By
!vyT! Receipt No.
4 Approved ADDRESS PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/ Contractor
Ptxmit No.rk
Roughen
O — Fixture
r Final
s''
HEATING �t
Contractor
Parrnit No.
Gas or 01
� f Hough-I n
Final — t
SEWER
— — Y—.— ---- Final
— — DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb S Street Final
Approsch
vii-Dr-DRPT.FIN:.L TKMPORARV CERTInCATE OrCUPANCY — —
CENTMICATUOCCUP.ANCY final
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
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Type of InspectionJ -
Date Requested_'.fN — �� Time_ .— A.M.___P.M.
Address _ !J�?_ ,1— 1 �-1=— --- Permit
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Owner ___ Lot #b
---- ----
Builder
The following Building Code deficiencies are required to be corrected: Y
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Presented to _ Approved y
Inspector `IJ��L __— _ Disapproved
Date
CALL FOR REINSPECTION
YES ONO
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L� �. PERMIT NO. Me
ADDRE5S //jo.SS ,Q��/' 3
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PERMIT CHARGE none a
CONNECTION FEE ��5_
: OWNER , PAID 9 Y ✓e2.
TYPE OF BUILDING DATE CONNECTED _
SERVICE RATE INSPECTION FEE
CONTRACTOR
PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PAID
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i City Of Tigard
INSPECTION REQUEST
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INSPECTION TIME: l PERMIT NO. :
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DATE: s� c� 77 DATE ISSUED :--I--./ r II
OWNERS NAME :
ADDRc3S: .1/ 6 .55
CONTRACTORf�->
BEST : Aire
O, WoterQ , Visuul .(�, Laboratory (j-
RESULT:
RESULT: Approved) Disapproved C Pending Q
SKETCH.
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INSPECTOR DATE
[OTE: Attach supplemental teat data hereto
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City of Tigard
INSPECTION REQUEST
for ,
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INSPECTION TIME : PERMIT NO.: �
DATE: / 4',/ 7"' DATE ISSUED:__Z
OWNERS NAME : f�iori 3 t ;
ADDRESS :
CONTRACTOR :
TEST: Air C7, Water Visual p , Laboratory p
RESULT. Approved Disapproved p , Pending p
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SKETCH:
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INSPECTOR DATE
NOTE ' Attach supplemental
test data {ieret-10
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llwM�lllOWlllYry!M:fy7 y,4:+)M�WFII+'�AM'l�?�IIWI��}�����4:��f IK'/9i":`:�R C'. N t'dCY.r:,:�M•{.�MK[i1•:'M+.y.�lli3u%+Y;�K� 4fk^KRT����; '/ ^�
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UNIFIED SEWERAGE /at; ILMY NO. -__ _. _116.65. _ . .. _ `'■
WASHING] O N COUNTY DATE
-- - - - - -
{ CITY OF- Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:ER:
Herb (niorssette '
-- --- - - - - - -
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OWNER'S ADDRESS:
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STREET
CITY STATE ZIP
BUILDING SITE: LOT- BLOCK _- _-_ ADDITION
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TAX LOT N0. .__`__ _ TYPE OF OCCUPANCY residence
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ADDRESS 11655 SW 113th P1,
DWELLING UNITS _-1 ______ FIXTURE UNITS
SURCHARGE. IF APPLICABLE
PERMIT FEE 575.- -_-_ INSPECTION FEE 25• _ TOT-AL DEPOSITED __ 600o a
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fanno_ Creek
The Applichnt agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT .�� �.� A" s'
a
SEWER PERMIT
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THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
1K!F SIZE _.- _.. .-- _-_-- INSTALLER
RECEIVED BY11
1AGENC ITS AGENT)
COMI'v1ENIS: -Bldg.__#131?
This Application and permit expires in one hundred and twenty (1201 clays.
The amount paid will be forfeited should expiration occur.
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APPROVED FOR COINS i kUC]•ION
ICITY Or i
BY
TITLE - 1
ITLE DATE 1'�2�C
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BUILDING PERMIT APPLICATION 1 FY TIGARD DATE- 2-21-23 19 R " 7
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPrir'FICATIONS. OWNERPHONE
I LOT NO
I OWNER " + JOB ADDRESS �Ci:J:7 )S.I FntF) HOME ADORESS
I ARCHITECT
ENGINEER I
BUILDER ADDREGS DESIGNER
I STRUCTUnE .,DNEW ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUF'
CARPORT OGOWT ORnIGIOUSOPATIO l •CARPORT ❑GARAGE ❑STORAGECISLAB [:]FENCE
❑BOND OMOV ING OCONDITIONAL USE ODESIGN REVIEW OCOUNCII_APPROVED OSIGNS
OCCUPANCY LAND USE ZrNE. f / SLUG.TYPE FIRE ZONE_ PLAN CHECK BY �t1,J HEAT
:;t1T1 it/ gr l�p.t: FIjtITl�� y >�tdt?� ifT;, t,i��l'�[;�J 1 lI i�ul`f3i ?r L;—.Lre!,ur Typs 41'5'p orruw w
' OCC. LOAD_ 14QQEJ.4AAHEIGHT' NQ SSGRIES 1 AREA i�5"; NO,BE E_Q_Q_l,,� .i VALUE28r 50r
i BUILDING DEPARTMENT SET BACKS FRONT REAR „�� j;,. LEFT SIDE RIGHT SIDE
Permit ;'�/L3(� ----- ---==— T_ rl
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 0I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4,0; LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total r...
By ,
APP- ICANJ OR AGENT
i Approved i Receipt No.
ADDRESS — PAMYE
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TE INlP TYPE INSPECTION REMARKS PLUMBING DATE
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Contractor
1
_ , Permit No.
C��a Ro -in
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Final
VEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Rain Drain Final
Sidewalk t �Rii- -7
j Curb 6 Street Final
iAPProach t S—G"-
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
i Landscaping
O 0
Zoning Final
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