16629 SW JORDAN WAY 16 �
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4 INSPECTION NOTICE
Cit} of Tigard Building Department 1`
13125 SW Ball Blvd. Tigard, Oregon 972
InspectLm Lino (Mc -pti6naj s 639- 5 Business on -4171
3nsiect ion
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Footing P bq. tlndorsl Mech. Rough-in r/Sdalk
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Found. P p ut Gae"°r;iSd
s Lina FrXhLt_� r
Post/Beam Struct. San.-BSblJFF_ Framing
rF Post/Beam Mach, Rain Drain Insulation —Plumb.
Plbq. gnderfloor Mater Lino Gyp. Bd. -mech.
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Data Requesteds l' t` rime. AM PN
j Address < �t��! �C'ydU VX UJ04 Permit is J� y
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THE FOLLONING CORRSCrTON9 A1t �t
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Inspector Datet L
APPROVED DIS"PWMID APPROVRD SdBJRCT TO ABOVE
—`—Cal.l For ReJnap. f
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CITY OF TIGARD CE:RTI.=ICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY M
13125 SW Hall Blvd,Tigard,Oregon ,17223*8199 (503)839.4171 FSE {MIT #. . . . . . . .. Mr3T93• 01 9'i
.)ATE ISSUED.' 10/29/93
�'A}SCE L a 2S 116AD- REzD38
�1 TL ADDRE::i'.=:. . . : 1L4->.29 SW JEJPD-Ik W
5LISIDIVI5IITN. . . . i BEDFORD GLEN ZUNINSe
i13L.0C:K. . . . . . . . . . a L..01. . . . . . . . . . . . . 338
CLASS OF WURK,. i NEW
TYPE:: OF USE::. . . z SF
OCCUPANCY GRP. :R!
OCCUPANCY LOAD 7 117 4
TENANT NAME. . . ;
I
f3emz:rl•I,sx f=}a'rri ,I � ■
Owners
[.Af:A(:ON HOME'1:31`
0 SOX 1368
REAVLRTON DR 9 7007
Phone 01 1503524--1999 i
}
BVAC::C)N HOMES �
9500 SW 125TH
EfEAVLR'TON OR 97005
V'hone #: 524-1999
Rey 4F., . c 70782
Occupancy of -the above referenced building in hereby yivlen, and certifies,
the compliance with the States Of' Orer,Inn 131-ecialty Cod P.% for, the gr•oktp,
occupancy, and use under which the referenced pe;-mit was i9l-Lled.
PART MENT' �+1 NCS', SF,E_r;Y(IR
/ I
ILIAL
POST" IN CONSPICUOUS PLt~CLE
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INSPECTION NOTICE
City of Tigard Building Depertsent \ /
13125 S!1 Ball Blvd. Tigard, Oregon 97223 l
Inspoetion Lina (Ree-O-Phone): 639-1175 Busine— Paosig: 639-4171 � I
Inspections_ _ —— ---
Footing Plbg. Underslab Mach. Rough-in
Found. Plbg. Top Out Gas Line •IlfALs
Post/Beam Stn-!at. 4&n. Sewar Framing -Bldj.
Post/Ream Mech. Pain Drain Insulation -Plumb.
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Plbg. Underfloor Mater !.ine Gyp. P.d. -Koch.
Data Requested)_ . N-13 Times ......M PM
Address: �' 1. '(1rkto _ Permit Ps
Builder: -
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�T-HE`1FOL.I.OWIMG CO'ZECTIONS ARE REQUIRED: y
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tnepectuk•_ � Dates,
7� APPROVED DISAPPROV.1D APPROVED SUBJECT TO ABOVE
_Gall For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
13125 811 Hall Blvd. Tigard, Oregmi 97223 {
:nspsr-tion Lino (pec-o-Phone): 639-4175 Business Phones 639-4171
Inspoctions_
Footing Plbg. Underelah Hoch. Rough-in Apps/Sdwlk
Found. Plbg Top Out Cas Lite FINAL:
Post/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nstou Line Gyp. Bd.� -J�ech•
:� Time s / —AH PH
Date liequescads ---
/
Address l�C ( �6CE•s'.�lL 1__����`�narmit f s � �7 _,�1
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Bu1.lder:T ----
THE FOLLOWING CORRECTIONS ARE REQUIRM
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Inrpeators ''' �'"�` �`"' Data:� 2"� _5
Mfg DISAPPPOVID APPROVED SUBJECT TO ABOVE
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'1 a Call For Reinep.
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INSPECTION NOTICE
City r.t Tigard Building Departaeat
i3",s 8w Ba=.1 Blvd. Tigard, Oregon 97223 .�
Inspection Line (Rec-O-Phone)e 639-4175 Businese. Phone: 639-4171
Inspection: _ — --
Pooting P1.bg. Underalab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer rraming -Bldg.
bet/Roam Mach. Rain Drain Insulation \ -dumb. •
Plbg. Underfloor Nater Line Oyp -Mach.
Date Requestede_ <=,L� lI •_Time: AM PM
F /
Address: / / Permitii y)
Builder: --
i
THE rOLWWING CORRECTIONS ARE REQUIRED:
tilai 4'lgry'!a#i4k�t�,ryrM
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Inspect7___hPPROV1tD
Date.,
DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSP CTION NOTICE ;
City of TigerI Building Mparteent
13125 BW Ball Blvd- Tigard, vregom 97223 .^�
Inspection Line (Rec-O-Phone)c 639-4175 Business Phone: b9-4171
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Inspections
Footing P1bC• Underslab - Ifeoh. Roughh-iy 1►ppr/Sdwlk
Found. Plbg. Top Ou' Gas Lin ) FINALt
Post/Beam Struct. San. Sewer Q Fr iing•�t -Bldg. ) .
post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg
Underfloor Water Line Gyp. Ba -Meeh. ,
Date Requested: �S Timet AM PM
Address: �� 7 l�y� � Tl��:. ,� Permit f c
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Builders ----
TBS roLl"ING CORRECTIONS ARE REQUIRED:
VFW —
'"Wt'I6
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InspecDate:
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APPROVED DISAPPROVED _! APPROVED EUBJRCT TO ABOVL I 4 tm "R
'Wt��`�.
11 Call For Reinsp. I j1 �
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City or Tigard BullcOnq pepart-partr
13125 aw Hall Blvd. Ti?ard, Oregon 97223
Inspection Line (Rec-_v-Phono): 639-4175 Business Phone: 539-4171 �
Inspections -
Footirg Plbg. Onderelab Hoch. Rough-in Appr/Sdwlk
round. lbq. Top Qu Gas Line FINAL:
Post/Ream Structs. San. Sewer Framing ..Bldg.
Post/Beam Hoch. Rain Drain Ineuintion -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch,
Date Requesteds / �I, 7� ] Time: �— AN /-_PH
Address:_� �,r %�*1 ` LST Ptrmit i s t �� �'�c�_� •
Builder:. _
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Innectorsa
_—\ _ Dte* Y ", In
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APPROVED DISAPPROVED APPF'"D SUBJECT TO ABOVE
fAI 14"i4 �
C%11 For Reit:ep,
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JUN-04—'93 FRI 13:59 ID:CITY OF 1<1I,'G CITY FAX NO:503 639-3?71 1#800
KING CITE' msr9 3 - of�
15300 SW. 116th Avenue.King City,Oregon 97224 Phone;639-408'
COMMtiNITY DEVELOPMEVT
APPLICATION FOR BUILDING °ERMIT
(Instructions on reverse)
DATE '!9-�l
t c Lphcne No.__�y-"999 ■
1. PTP.ME OF APF'L I CANT': :.ri.�� r
ADDRESS, -Po �.(r F I •,.E3r �2'�.t1 _�_ _.
ADDRESS OF OPOSP� I)15T0 EHF-NT I 0 T 3 8 / (o�a�q 1 "✓�16
2. TYPE OF CHANCE, LMpR0VT1.f0T OR
TWTWO �X4sTRUF IION FOR WHI CH FEEF OF
EFIS RDQUETPM- a
NGS
DESCRIBE BRIL�
PROPOSED FRO=:_____ -
3. NAIL AND ADDRESS OF CL7NTRACIC)RphONE NO. ICENSE No.- -7 :7 14S'�------
4. NEIGHBORS WHO MAY HE AFFECTyM BY THIS FROJECT W?LL BE NOTIFIED BY THE CIT"' .
5. A2PLICANT QR. HER./HIS REFM-,MMTIVE MUST BE PRESENT AT THE PLANNING C CW13SION
MEED INC; NEXT h= ON W(WE NO s —
RE.PM ENTATIVFS NAME—
(The
---- - —
(?he Kinq city planning ca $ion til a sider only :hose a?plications received at least five (5) daps
prior to a vattinc i
I
****x*****�**�****•**�tx**x*x�r�►nt�t***�***�*******f**fntff********f�*�,�rf*f***�tf*****�
APPLICATION RECEIVED BY Car7—h-4 �A("'�,r f PATO 5-1 q-93
_
APPLICABLE FEE RD-EI.VED ��'---"- '---
FLANNING C WISSION DECISION: Approved Denied --
CONDITIONS �'S (4..-) .W �C� ( t_� N-�t �,L/ � ---
1}proved applications are valid for sir scnkhs only
ti
Signatures -•
30TI: orl:g Botieboilders bat requires tilt all persons who contract for tots an heir tesidence be
regia Bred 11th the Euilden board ihich means the contractor is bonded and insnrei on the job site.
?or your protection, be vermin gout contractor is registered b? calling City J&P Ph: 639-082.
KOTE: A perrrd.t must also be obtaincA frQn the City of Tigard Department of
Carrsrutn:ity Develakaimit Yes_.. � P No
-- CITY 0__�ICII�RD IN.SPir'CTTON RE�RT
The above listed project ',as been in_;pected and Approved---PerLied_
Date—•— CQRT11 -1t3__. --- -___— --
Signature.
f$u,t,i:dtng 1�tapct c#nti ptau�W_ nen o'19 (y } c ropy !n K cn g C< y}
s Ca 2-81
a,x.
INSPEgT12M ICE
City of Tigard Building INS" amt j
13125 LM Ball 61vd. Tigard, Oregon 97223 j
Inape^tion Line (Rec-O-Phone): 639-4175 Buni.ness Phones 639-4171 II
' Inspection:`_
Footing lbg. Onderslo Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
i
Post/Beam Struct. San. Sewcr Framing -Bldg. r
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: Time: _ AN PM
Address e�� � _ Permit is
Builder:
THE FOLLOWIlfG-OORRECTIONS w,tE REQUIRED:
G
Inspectors Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
Call
__ For Reinap.
,INSPECTION NOTICE �.ti
city of Tigard Bui ding Dapartaent /� ,
1-4125 SM Bahl Blvd. Tigard, Oregon 97223 ( J
Inspection Line (Rec-O-Phone)s 639-4175 Buainess Phone: 639-4171
r,
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Linu rINALs
Post/Beam Struct. Ban. Sewer Craming -Bldg. '
Post/Beam Hoch. Rain rain Insulation -Plumb. '
Plbg, tlnds.rfloor Nater Lith ,.� Gyp. Bd. -Mach.
Date Requested: �� Timet /t_2 — AN PM
Addrees: L Permit it
Builder.:
THE rOIXOWINO CORRECTIONS ARE REQUIRED: I�I
r rkT �ry
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Inspector _ �— —�� Dat:es � E
APPROVED DISAPPROVED — APPROVED SUBJECT TO ABOVE
__-__Call For Reinsp.
INSPECTION NOTICL
City of Tigard Building Departaent
'1332, dw Ball Rlvd. Tlgmrd. Otepoa 97223 � J
Inspection IrUe (Rec-O-Pho. ;s 619-4175 Busiaess Phones b.9
Inspections _
rcatinq Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
�nd. ,) Plbg. Top Out Ras Line FINAL+
P"MC/Beam Scn%ct. fan. Sewer Framing -Bldg.
Port/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. on+/erfloor Nater Line gyp. Rd. -Meeh. I
Data kequestedt f ' 1 _Time: ::31[ PH �
Addr,ass_�1 - �" 'JneAK1-JA Ute°`I Permit is»L—
Build
THE r MG CORRECTIONS AM PJCQUIREDt
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Aupectoxs Date:� ) �
APPROVED _ DISAPPROVRD APPROVRD SUBJECT TO ABOVE
__—Call For. Reinsp.
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CITY OF
TIGARD
. COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Qnpon 97223.8.99 (603)839.4171
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13125 SW Hall 3N&
CITY OF TI(lPLNCK/RECT /1
.A .��J.� PERMIT # 4q
COMMUNMDEVELOPMENT DEPARTMENT Taard•Oregon 9,213
(503)639- 171 DATE ISSUr.J `
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9.
JOB ADDRESS:
y�f'�'�_ TAX MAP/LOT SSI/ O
SUB: �' _ "-� LOT: _ LAND USE: — t,
VALUATION:
OWNER SPECIAL NOTES
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NPj!Z: _ "' ice+ ����.1 ut6 a —�__ REISSUE OF:
ADDRESS: 'P,Q , 13CoS__.._— LAST REISSUE:
gr) FLOOD PLAIN/
PHONE: ��`�'- \ j�l�l __ SENSITIVE LAND: _
CONTRACTORAPPROVALS REQIRED
NAME: PLANNING: __ A)
ADDRESS: �C� • _ 1 __ _ ENGINEERING:
Cn FIRE DEPT: _
PHONE: _�� — c� �o, __� _ _ OTHER: - --
CONTR. BOARD # 7nFb2 EXP DATE: _ f?��'1
ITEMS REQ IRM LD
SUBCONTRACTORS: PLUMB: ��. LIST/SUBCONTRAC-FORS:
i
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: _klOvtvA- - . TRUSS DETAILS: _
ADDRESS: I Z 5,w Lk-)l L:7A�llk� OTHER: _
PHONE:
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PROPOSED BLDG. USE: �7t ��LJE7- -0 t`^ F"v�-Cx)&ict-7
COMMENTS:
APPLICANT SIGN TURE
1
Received By: � ��_c Date Received:
AMOUNT AMOUNT PD. BA(.. DUE
PERMIT # ACCT # DESCRIPTION AM
10-432 00 Building Permit Fees
try l
10-431 00 Plumbing Permit Fees
i
10-431 01 Mechanical Permit Fees —
10-230 01 State Building Tax (5%) -
Building
Plumbing
Mechanical �-u3
10-433 00 Plans Check Fee — ■
Building U 71
Plumbing - .—
I
Mechanical
10-230 06 Fire -
30-202 00 Sewer Connection _
-3
30-444 00 Sewer Inspection —
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees —
25-448-06 Institutional TIF Fees —
25-448-(,13 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees —
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) -- — _
24-445-01 Water quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) _ ---- -
TOTAL , /2
nm/3587P.WPF
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CITY OF TIGAPE) — RECEIPT OF PAYMENT RECEIPT NO. s93-239805
CHECK AMOUNT n 4.12. 4 J �
NAME-, a BEACON HOMES CAGH AMOUNT a 0 (bizi
AD1)RFF,S e PC) BOX 1368 UlAYMENT DATE n 05/06/93 i
SUBDIVISION s
0(-"AVER'r(..1N nr? 97075—
PURVIOSE OF PAYMENT AMOI.INT PAID PURPOSE OF' PAYMENT AMOUNT PA ID
BUILDING •PERM �
160. 00 PLUMBING PERM 1215. 00
MECHANICAL_ PE: 411. 50 ST. BUILD PER P-6. 78 f
PLON CHECK FE 25. 13 SEWER INSPECT 00 {i
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MST 93_..0194 ,
16629 SW JORDAN WAY, LOT 38 BEDFORD OLENN
1'OTA1.. AMf?`,1NT PAID .. —) 41c.. 41
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united �
sewerakgO SANITARY D a
155 N.First Ave.,SSuuit�senCyro,Or.,97124 SURFACE WATER
503 648.8621 }
CONNECTION PrRNIT
ISSIJE VATi':: 050;;93 E XPIRATT.ON DATE 1101.93 PERMIT
1011.'15' �
STRUCTURE ADDRESS 16629 PROJECT i'7:49
STRUCTURE STREET SW (JORDAN 14AY
LOT 38 BLOCK
V. 01" DF-DF'ORD GLEN PHA E
TYPE' CONNE('TION- MEW
TYPE INSTAL.LATI ON... (10 ' Di_1 'tR/E pa CON/SDC
1'Yt''I` OCCUPANCY- ( 1 ) >�INbLE FAMILY PARC17L 2S1 16 AD 2'7200
UTR SEC 4716 MH 1000 " 6
OWNER BEACON I1014ES .
ADDRESS 9500 SW 1241, , TREATMENT. ,P'I_.AN1 Ill.lrt)mn
BEAVERT' N ." �0 �
PHONE 524-1999 it JURIr-D t
FIXTURE EQUIVALENT DWELLING RESIDENTIAL
UNfTS SESRVIC:E MNI<TS 0.0 UNITS 1 SERVICE UNITS 1
CONNECTION f EES SURFACE WATER DEVFLOF MENT r E.F:5
SEWER CONNECTION 2100 .00 WATER OUALI:T'Y i80.00
LEES CREDIT < iE10. 00'
WATER QUANTITY 100 ,00
LEES CREDIT < 0.00::;.
EROSION CONTROL
INSPECTION 40. 00
PLAN CHECK 26.00
`UPTO'rAL 2100.00 91.1BTOTA L 166.00
TOTAI. 2266.00
APr'i. NANO F'f:TER KiIYSK PI•IiJNE .(..L1!.!..._._
AFFILLIATION VP
REMARKS F'RO,J#1739••PEDFORD 13LEN : -L.L1T t 38
*21 HOUR N► TIC(_ 4E11.1011 CONTROL INSPC17TION3 REQUIRED
SIONATUR.E _ ._.._...,., _....._....... _....._.. ......_. IS;:;L1Fr1 PY 'fI4OMPSONJA
Permit Conditions: The applicant/agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling
for an inspection, please refer to the Permit Number. The Permit expires one hundred eighty (180) days from the date of
issuance. The total amount paid (permit fee, connection charge, line trio fee and/or other charge) will be forfeited if the
permit expires.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the
measurementgiven, the installer shall prospect three feet in all directions from the distance pIvan. If not so located, the
installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral. ,
z. 6/90 WHITE — USA, BLUE — Accounting, GREEN —Inspection, YELLOW — Customer
INSPECTION NOTICE
City of Tigard Building Department '
13125 SM Ball Blvd. Tigard, Oregon 97223
.nspection Line (Rec-O-Phone)s 639-4175 Business Phonet -4171
InspActiunt —
looting Plbg. Underslab Mach. Rougkk-in Appr/Sdwlk
,vound. Plbg. Top Out Gas Line FINAL:
_-Toe`t/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. - ch. I
Date d estedt Z- 1 �j Timet 1L_AM PM ;
/1[ddr.si / ' G Permit #s C L1
Builder: 1
11 TBE FOLLOWING CORRECTIONS ARE REQUIRED:
F.
Inspector: Dates_�
_A:PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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