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IN61PECTiON NOTICE
City of Tigard Buildinl Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_ 7 ` L Time— .___A.M. X P M.
Address __ *7-S � G� ;mit # � --
Owner______ Lot
Builder -----The following Building Code deficiencies are vequired to be corrected:
Presented to __ --__�jy� Approved
Inspertor Disapproved
Drite
CALL FOR REINSPECTION
YES NO
W dff
INSPECTION NOTICE
City of Tigard ILlilding Department
12420 Main St.
Tigard,Oregor, 97223'
Phone: 639.1 171
type of Inspection
Date Requested-r___
Time A.M.- P.M.
Address
r "I Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Apprr-ved
Inspector Disapproved
Date
CALL FOR REINSPECTH,"T
F-1 YES NO
e.
M
BUILDING PERMIT APPLICATION TIGARD DATE 19
HE UNDER SIGNED HEREBY APPLIES FOF1 A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONC —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNS LOT NO.=R _ ---i JCE�ADDRESS --
ARCHITECT
_
BNi�.R
BUILDER_ _ INCR
_ ------ -- ADDRESS GI_ � '
STRUCTURE ! I`1 NEW ❑ REMODEL_ ❑ ADDITION ,❑ REPAIR_ _ ❑ RENEWAL ❑ FIRE DAMAGE L-1
Cl RESIDENCE [ 1 COMM ❑ EDUCATIONAL O GOVT ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABO FLNCE
OCCUPANCY -----LAND USE ZONE )�+:) BLDG.TYPE _� FIFIE ZONE PLAN CHECK BY - HEAT,
,rx '(7tiOT1 She-t 'tt.t::
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor—'_'_)
r Permit No. �S g y�S a �_-
/22. 27`- a L�! m A- Rough-in
I ')tWp /�{�„re Fixture
1 *�• A `-_ i�,�..0 •(�.w,. ,yr(�,a`�. Final --
/2•-t/-f� �="��_ HEATING —�
Contractor P.j1'I! /~6 2270
Permit No. I8 20
_ Gas or Oil
---�- --- ------
Rough-in
Final
SEWER
—_ — Final `
DRIVEWAY
-_-- Final --
Storm Drainage -
_ Wain Drain)Finui
S idewa i k
Curb&St,eat Final —
_ _ APProsa4
W.DEPT.DEPT.FINAL T-GERTlFlCAT£OrCiJPAt.,:Y TEAIPORARYCERTIFICATE OCCUPANCY —`
Final
Landscap;og
—� - Zn,,+np Final -
1
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