13215 SW GENESIS LOOP ilwu Awl
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13215 cvl GENISIS LOOP —
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Jill-y 8, 1991 -
CITY OF TIGARD
New Castle Homes, Inc. OREGON
P.O. Box 23291
Tigard, OR 97223 ;
Re: 13215 S. W. Genesis Loop - Permit # MST90 -002.4
Dear Sirs:
On December 13, 1994, I was called to make an inspection on
concrete forms for sidewalk and driveway apron. At. that time, I
gave vernal instructions, as well as a written inspe.tion form,
indicating two items necessary prior to acceptance. These were as
follows;
* Place one curb outlet between curb face and back of walk.
* After concrete has set up and cured, repair a3ph3l.t
pavement adjacent to new curb/drive.
On vebruary 25, 19cl, a final inspection was denied. dur� to failure
to comply with thy: above noted. items.
The repairs to the asr'nalt are still required and we would now
request a commitment as to when we can expect this work to be i
accomplisned.
If you have any questio.s regarding this matter, please call. me 3t
639-4171.
Sincerely,
c
Carl W. Vieweg,
Public Improveme t Inspector
c: Chris Davies, Private Development Engineer
v'frad Roast, Bui.leling Official_
13125 SW 1 lali Wr+ P.O.Box 23397,Tigard,Oregon 97223 (W-')639-4171 ---_.____
fw
0
RSP)gi;PP NOTA
City of Tigard Rulld.inq Department
13125 811 hell Blvd. Tlqard, Oregon 97223
Inspection Line (Rec-O--Phoi.el: 639-4.175 Pueineee Phone: 639-4171
V
inspection:^_- ---------- ------------- ----
Tooting Flbg. Underslab Mech. Rough-in App:-/8dw
Found. Plbg. Top Out Gas Line FINAL:
Coat/Bean >truct. San. Sewn:. Framing -Bldg.
[lost/Bonn] Hoch. Rain Drain Insulation -Plumb.
Plhq. Underfloor Nater Line Gyp. Rd. -Meeh.
Hate Rague.Ated:__.w9_j2,oy/ Time: _-2!�_IW
Address: f ��`� � �1�-� Permit (j:�
Builder._._
THE POI.LOWING OORRECTIONS ARE REQUIRED:
Innpectorr/t - Data: (::y
yAPP.�:VED DISAPPROVED APPROM) OUDJECT -0 ABOVS
Call For Reinsp.
CI7YOF T0��RD CERTIFICATE OF
`WYOF RD OCCUPANCY
COWUNrTY DEVELOPMENT DEPARTMENT on PERMIT #. . . . . . . : Jvl�, r00-0024
13126 SW HWI Blvd. P.O.Rckx 23397,Tlgrd.OmW)n 97223(50)63"175 7F7
G IT I-' A b U I?E S2 a. . . : 132- 15 SW CAENES IG LP FARCE I...1 251.e)WE, t 05
SUBDIVISION. . . . : GENESIS NO. 3 70NINI-.ss R-4. S .to
SLOCK. . . . . . .. . . . a LOT. . . . . . . * o . . . . 170
CLASS OF WORK. sNFW
TYPE OF USE,. . . sSF
OCCUPANCY GRP. aR3
OCCUPANCY LOAD:2,P0 4
TEMAN'T NAME.. . . o
Remal-ks' 10' utility �asempnt on left sidt- of proper-try line
Owners
NEW CASTLE HOMES INC
P. U. [lox 23291
TIGARD OP 972,213
503-639-3608
NEw rASTLE HOMES INC.
I-*,. Cl. BOX 23P91
1*10ARD OR 972i.-.3
639-3608
'k.t-.t,.4parwcy of the sb,,ve reFor-enced bttilding is hereby given, end certif jpN
the compliance with the State (If Or,qgoj, c;
,t)pcia] ty
for the grWIps
(jucupancy, and utKe under which the rpfer-encod permit wjF.-- isiiucd.
FIRE DEPARTMENT
--841LA)ING; 11W-3PECTOR
POST TN CONSPICUOUS PLACE
INSPECTION NOTIQI
City of Tigard Building Departsrant
13125 81f1 Hall Blvd. Tigard, 1)regon 97223
Inspection Line (Rer_-O-Phone): 639-4175 Business Phone: 639-4:71
Inspection:________
Footing Plbq. Underslab Mach. Rough-in Appr/Sdallr
Found. Plbq. Top Out Gas Line PIMAL�
Poet/Beam Struct.. San. Sewer Framing Illdq.
Post/Beam Mach. Raln Drain Insulation -Plumb.
Plbq. Underfloor. Water Line/ oyp. Bd. -Mach.
Date Requestedc 1-12 �5—7 Timet AM P14
Address:
� ••�/S�� ti � Permit #:
Builders_��(a��
THE FOLLONINO OORRRCTIONB ARS RSQUIRSD:
�- LIOfL-�Zyti/TY�L_ L T"[U,-,i A 62
Inrpretor� ' _.. Date:
APPROVRD DISAPPROVED APPROVSD SUBJECT TO ABOVE
Call For Rei.nep.
ow RWXMAWJ
INSPECTION [iQT�7CY A `/
City of Tigard Building Department:
13125 SA Nall Blvd. Tigard, Oregon 97223
Inepection Line (Reo-0 hon*)) 639-4175 Bustnees Phone: 539-4171
Inspectiont_e,_ —,
Footing P Dnderelab Mech. Rough-in App./Sdw
Found, Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plog. Underfloor Water Line 47Gyp. Bd. -Mach.
Date Requeetedt - _ '.itnet AM ,, PM
Address: � Permit #t, �(1 -L/C , tZ
Builder:
THE FOLLOWING CORRECTIONS ARE RRQUIREDt Clr
ruitil
l c�:rc• _
4
LTAA
3 v l U-C
tiLJZJ
inspector: 7 j�,�4- _ Dates
__APPROVED ' tUIa$PPRO APPROVED SUBJECT TO ABOVE
fi_�all For Reinsp.
� w sq w .. ewtl er as1
Igo PI:�""ION_ftO�Ir.E
C)':y of Tigard Juildinq Departxmnt
13125 811 Ball Blvd. TLgard, Oregon 97223
Inspection Line (Fwc--O-Phon')! 639-•4175 Business Phones 639-4171
Inspections___—___ ---��---------- -----
Footing Plbg. Underalal) Moch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Strs.ct.. San Sew.--r Framing
Post/Beam Mech. Rain Train Inaulatlon Plumb. ,1
Plbg. Underfloor Nater Line cyp. Bd. -Mach.
Date Requested:-_ �� —_,-_T 1sne: ,�AN PM
Address r )"�/5- z21__-- Pe
Bu
1._���
Builders
THE FOLLONINO CORRECTIONS ARE REQUIRED:
L
Inspectors ��✓ —._____ Dates,-�_ �
��APPROVEb DISAPPPOVED _ APPROVED SUBJECT rO ABOVE
----Call For Reinap.
II PPLUON NOTICE
City of Tigard Building Department
1.3125 SW Ball Blvd. Tigard, Orogon 97223
Inspection Line (Roe-O-Phone 639-4175 Business Phone: 639-4171
Inspect ion:___
Footing Plbg. U relab Mech. Rough-in Appr/Adwlk
Found. Plbg. Top Out Gan Line FINALt
Post/Beam Struct. San. Sewer Framinq -Bldg.
Post/Beam Mech. Rair Drain insulation _Plumb,
Pll,y. Underfloor Nater Line Gyp. Bd. ._Hoch.
Date Requested: / Z Gf�i_ Time: AM PM
Addreee: SPermit _
Builder:-_-,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepec
' 3.QL`a- Date:
PPROVED DL'APPROVE APPROVen SUB..IECT TO ABOVE
':all For Aeinnp.
t
�NS_PB�_T_lUN NOTICF ��� �,
City of Tigard Building Departaent
3.3125 ON 11all Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
-----✓"—
Footing Pibg. Underslab Ilech. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Can Line FINALE
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mwoh.
Date Requeeted: ��a C7� Tom_ 1� pm
Address: ✓�/ "� -SGS:,�j-� — Permit f:�
Builder:__
TRE FOLLONINO CORRECTIONS ARE REQUIRED:
�Xhl
Inspector: � -----------_�..._�
atDatr
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION_ O��o
City of Tigard Building Department
13125 8w Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-4171
Inapections_
Footing Plbg. Underalab Mach. Rough-in 11-C Appr/edwlk
Found. Plbg. Top out Gas Line FAIN-AL:—�
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Raia Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Meeh.
Date Requested: - 7 U TL.,/-15
AM _ PM
Address: .���Jr ��/!1 Q �f i Permit
Builder:
THE FOLLOWING CORRECTIONS ARS REQUIREDs �
ULC r L W_f. 4_5:..
U 1
y � r\-two /
7G.Jw wu,-w
Inrpectort ( ! ! 4�,c4'.• _ Date:
__APPROVED DISAPP VEn APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 2e397
Tigard. Oregon 97223 1
Phone: 639-4175
Type of Inspection
Date Requested X14" A 3 2Q � Time � A.M.
Address -.,e--3 Z i -S W 4 'r SYI S Permit #
Owner Lot #
Builder C/ 5 _
The following Building Code deficiencies are required to .e correr:ted:
7-
Presented
Presented to �"pproved
Inspector I Disapproved
Date 10R�,F
CAL LINSPECTION
F-] YES ONO
city a. ►Aq ld rwX Department \
'3128 ME pal. "I" i, Oregon 97223
Inspection Line (Roc--O-PNone, 115 Bunineow Phone: 219-4I 1.
Inspection: •---
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FIRALt
Post/Ream Struct. San. sewer Framiny -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Mach.
Date Request
ed: /1 -L _.Timet AM PH
Address: \ i i 5M^'/•��7 `J lrL�D Permit
Buiider:
THE F011A)WING CORRRCTIONS Agit REpUl*,'^Dt
10 Aj CJ X17-14-
a=
Inspector
__APPROVED DISAPPROVED APPoOVED SUBJECT TO ARM
_v� all For Reinap.
i SPECTIO NOTICE
City of Tigard Builrting Department
13125 Bw Ball Blvd. Tigard. Oregon 97223
Inspection Line c-O-Phone): 67,9-4175 Bi-,ineas Phollst 63
Inspection: I
Footing Plbo. Underalab Mech. Rough-in 4ppr/Sdwlk
Fou:d. ' Plbg. ToV Out Gas Line FINAL:
Poet/Beam Struct. Ian Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain lnaulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
''/'
Date Aequested:_// �� �4L(L_ _ Time: __ AH `PM
e—
Addre"s:� Permit
� 1
Builders-
THIS FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ -- Dates__
r
�—APPROVED DISAPPROVED G' APPROVED SUBJECT TO ABOVE
�_ Gail For Relnnp.
1NSPRCTION NOTICE
City of Tigard building Daparti,ent
13125 SW Hall Blvd_ Tigard, Orogen 91223
Inapection Line (Rec-O-i`hone)s 679-4175 Bu9ineen Phone: 6.19--4171
Inspections
Footing Plhq, Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor `water Lina Gyp. Bd. -Hoch.
Date Requested, �CJ r�� ` yd —_ —.. .rime, —_--AH _ PH
Address:_ / x Permit t:
Builders_ `-w -- —
THE POs.LOWI'M OORRRCTIONB ARE REQUIREDs
Inspector:,l/1, �- _. natal 0
APPROVED DI9APPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
v
Type of Inspection
Date Requested
� � Time__ . A.M. P.M.
Address _L — / Q/ Permit # L� -
Owner — ----__ -- ---- -- Lot #_
Builder ___--
he following Building Code deficiencies are requited to be corrected:
Presented to �pproved
Inspector ___— �, �j� r ❑ Disapproved
Dots
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested1'(me. _ _. A.M.___P.M.
Address _ i 3,2 Permit # zL':2 C/
Owner- _ Lot #
Builder - ---_— -- --.�
The following Building Code deficiencies are required to be corrected:
Ar',—ab�� _ A s �1A1
Presented to _ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl Y E 8 ❑ NO
� sss >• �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Ins1ection _ —
Date Requested `l Time_ _ A.M._..._._,P.M.
Address ___L �LJ— L3:-i4;9 ---- Permit
Owner _ Lot ----___---
/
Builder -- -----The following Building Code deficiencies are required to be corrected:
Presented to __ ____–_ --_ Approved j
Inspector �1 _ [ Disapproved
Date –
CALL FOR REINSPECTION
[] YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested Q Time A.M.__.. _P.M.
Address _
Permit
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected: A `
Presented to
-- --- Approved
Inspector " _ Dila
- pproved
Date
CALL FOR LEmspE'CTION
@ YES ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department / r
P.O. Box 23397
Tigard, Oregon 97223 i
Phone: 639-4175
Type of Inspection
Date Requested 741` - Time A.M._�P.M.
Address !'S �!� Permit *9_gr�Z
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _— _ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
EJ YEt . NO
INSPECTION NOTICE
City of Tigard Building Department
.', D P.O Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested 17 "
Addrers ,�/ `? 1.. - -- ----Permit # Q
Owner - —_ Lot #
Builder�✓
The following Building Code deficiencies are required to be corrected:
w
���_100
t-u✓��� .1 ��'i�G�9,P_S C°D�2iN a o u�� �t .C?;. i
� 4
5? ✓ 7«:oG ��s /EI `ice
Presented to _ Approved
Inspector �,� Disapproved
Date
CALL FOR REINSPECTION
0 YE8 ONO
ass
EMPRAFRAME
CITY OFTIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
CFTYOFTWANDim R M 1.T Of. . . . . . . : MST90-0024
041100N
1112;SW H211 Blvd. RO Box 23397,Tigerd,Or*V)97223(503)W4175 1-:'RIM- F'ERMIT #J. i PIST90-0024
- ---- - -- 't I , I. DOTE ISSUED.- 0*7/li/go
T I i)DbkLi:,S. . . : 1321b 6W GENE. L-P VIARCEL.- 2S103DB---1050(-1
sUDD IVIS 1011. . - : CiEFIE-Sls NO. 3 TONING: R- 4. 5
W-OCK. . . . . . . . . . v L01.. . . . . . . . . . . . . »70
-----------...----- -----..--- ---- BUILDING
REISSUEo60Y DWELLING UNITS:O BASEMENT. . . . . . . . s265 sf
CA ASS OF' WORK. »NEW BEDRMS ii BATHS 10 GARAGE . :0 s f
T YF'F 0F* USE. . . SF FLOUR AREAS------ REQUIRED
TYF'E OF CONST. -5N F.T.R ST. . . . 3 sf LEFT. . »40 ft RIGHT. tt1. f t
()CCUPPINCY GRP'. :R3 SECOND- . :;324 sf FRONT. : 12 ft REAR. . a2 ft
STORIES. . . -.2 T I+L R 1). . . . ::941 sf R E Q U I R E D-
:TIGHT. . . . . ., »20 ft T 0 T A L.-------------:0 sf SMOKE DETECTORS. %0
F1.0OR LOAD. . . . g40 psf VPL.UE.. . . . . $-. 1.03050 1."jARKING SPACES. . :4
RemArksc 10' Utility easement rare :left side of property liner
r11-.UMPINGI. ........
N K S. . . . . . . . . . tt1 FLUOR DRAINS. . . . :.3 PACKF1.0W FIREVNTRS. . »0
1-0VOTORIES. . . . . a0 WATER HEATERS. . . -,o TRAP-19. . .. . . . . . . . . . . . .
1.
TUI!/SHOWERS. . . . LAUNDRY TRAY S. . . c I CATCH BASINS. . . . . . ., :
WATER CLOSETS . SEWER LINE' (ft) . : 1 GREASE TRAM'S. . . . . . . »
DTSHWOSHERS. . . . 4 WATER LINE (ft) . : 1.0 OTHER FIXTURES. . . . . tj
GORDAGE DISE'. . . P) RAIN DRAIN (f-,;) ,
W0SHJ.*NG MACH. . . e3 SF RAIN DRAINS. .
............... ME7CHONICAL..
FU Ek. T Y P E S---------- UNIT HTRS. . s CA type AmOU11t by date recp-t
/GAS/ VENTS . . . . . go F-,RMT $ 443. 00
MAX INPIUTPO B TU VENT FANS- so PIL-CK $ P87. 95
FURN ( 1.00K 0 HOOD13. . . . . . -.0 5PCT $ 22. 15
FURN )-100K . . :0 WOODSTOVE S. go STDG; 600. 00
F1.0OR FURN. . . . go CL-0 DRYERS. 1 4 SEDC 250. 00
3HPi1 OTHER UNI TSal PAR!! 250. 00
GAS OUTI-ETS.no PIRMT 4; 40. 50
Uwiiern r11-CK $ 10. 13
NEW CASTLE HOMES INC 5 P CT $ 2. 03
P". 0. BOX 23291 V,R M'T $ 147. 50
(3 A R D OR 9 7 2 2 WCT $ 7. 38
PIAYITI $ 100- 00 JI...H 01. 1.6/90 j.(4
F'tlorie it: 503-639-3608 P'A y 11 $ 1960. 64 JLH 0-i'11119@ 0
Coll tr actor a
NEW CASTLE HOMES INC
U. BOX 23291.
ITGARD OR 97223
1::'f10v1e #1 503 639--3608
Reg #. . 1 59667
2060. 64 TOTAL.
This persit is issuW subject to the regulations contained in the REUUTRED INSV,ECTIoNS
Tigard Municipal Code, State of Ore. Specialty Codes and all ot�,"f Foot/found Iiisp GYP 'Board Irimp
applicable laws. All work will be done in accordanre with approved Vlost/peanl 11-1sp Ravin drain Irisp
plans. This persit will expire if wort is not, started within log PlIm/UridslAb 11-ISp Water Y• L_ijje Ij.jSp
days of issuance, or if work is suspended or sort than 181 days. Mechariival .111sr.) Appr/Sdw1k. 11-1sp
.4
F'r a m i.riq 1119 p Final. 1' -1 s 11 F.-c t j.cm
1,e-rmit,tee SigllatU-Peg FA.-replace,
111sp .......
11-5SUOC! Pyg Gas 1-ine Inap
...................... 11-ISUIatic-m Trisp
CA11 for inspection 639---4175
k-
if
iI
�—TT'y OF' TIGAPD RECE-APT OF PAYMENT RECEIPT NO. (1-21)2 49 13
CHECK-� AMOUNT 171(). 64
IIAME NEWCASTLE HOMES CASH AMOUNT c (1.(Ki
ADDPESS s PAYMENT DATE 7 f 11
StAiD 1''J 15 1 ON
17 � W1 ES I S GEN
TTGARD. OR' 9 7 "T"
1,.",IJPPOr,:%E OF- PAYMENT AMOUNT PAID PtjPPO'--" OF PAYMCNI'
DIALDPAG F`EPM 44:r'.
VIECHAHICAL r`E 40, 5(l SO'. ESU ILD PEP
FLAN I—HED: FT 198.(0 STREET SDC
PARKS �,'L)C 250. 0
Amf')1-)I,JT PAID 40
s, mer
SEWER CONNECT:1ON
CtTYOF T11FARD PERMIT
CfIYOFTMRD t1. . . . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT ORIGM
1:11 IM. r:ll:-"Rlll*T #. MI' T90-0024
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97(223 6N-4175D ATE .11
-GSUED.- 06/27/90
i ii)1)R L S)S. 132 .'5 S W C)EJq 19 IS L F� PARCEL:
V1!.) ION. . . GENE 7S I S NO. "3 ZONING:: R 4. 5
BLOCK. . . . . . . . . .. .. LO'T.. ---70
...........
NAME:. . . . .
(j5f) NO. . . . . . . . . . -.41635 FIXTURE UNITS. . .
(:J-()":;S OF WORK. .. .. -NEW DWELIANG UNITS. . -. 1
,I*yf:ll,::, OF' U1:'3E- . .. . . .-SF NO. OF' )HUILDINGS41
11,1,(:;1'0 L L T Y P L. B U S W R IMPERV SURFACE. f
e ni a-r k s
Owl-le.r.- FEES
IIF.:*W COSTLE HOMES INC type aMOU11t by date rt:ac rte.
0., B U X 23291 PIRMT $ :1.250. 00
I N Si P $ 35. 00
TIG(IRD OR 97223 F'f)Y M $ 1285. 00 J1.1-1 06/2-//)0
1*11-ic)iie flio 503-639 3608
Corit-rac.-Lorc
( C)N'T'RACTOR NOT ON FILE
1,11alle 0: J.2185. 00 TOTAL
RECWIRED INSPEC"TIUNS
This Applicant agrees to comply with all the rules and regulations Sewer I'vispeetion ,,,V,__,_._„,,,_....
of the Unified Sewage Agency. The permit expires 120 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 sewer laterals. If the sever is not located at the measurement ...... ........... ..........
given, the installer shall prospect 3 feet in all directions from ........... ................................
the distance given. If not so located, the installer shall purchase ......................
a "Tap and Side Sewer” Permit and the Agency will install a lateral. .........
•
Pi: Vnii.ttee Si.gllatUf'el
.............................
I d B y ..........
Cat I... -t-- ------ T:75- ...........................
711TY OF TIGAPD RECEIPT OF f"AYMENT RECEIPT NO. :9 21
CHECV': AMOUNT t J 515.()Q
Nk IE t NEWCASTLE. HOMES, l ASH AMOUNT t ().
ADDPESS ; PO BOY PAYMENT DATE x 06/ 27/9()
SUSD I V I S I ON
7 1 GARD. OP 9'7422�.-- 11215 5W GENESIS LF'
PURPOSE OF PAYMENT AMOUNT PAID ri.wrosE or PAYME'1\17 AMOUNT V-A(D
I F44 —T 75. ()0
STORM DRAIN SDC
: 11liA, t'it-10UN7' PAID .1535. C.)()