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INSPECP�ON NOTICE r
wlt7 of Tigard Building Department i
13125 EB Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 6:t9-4171
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Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fcund. Plbg. Top Out Gas Line �12Nl1Lij
Post/Beam Struct. San. Sewer Framing ld
Vast/Beam Mach. Rain Drain Insulation
Plbq. Underfloor Nater Line Gyp. Rd. rlych.)
Data Requestodt_ - �l ! .—,Time: AM �PM
Addressti( b qv JM Cwt Permit Ii
Builder: rC�c"1\ — Lt. 2 _ '�73i1 ■
THE POIAAMING MRRACTIONS ARE REQUIREDt
Inspector: _ nate:
APPROVED _ DISAPPROVED ArPROVED SU"ICf TO ABOVE
Call For Rainep.
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INSPECTION NOTICE
Citi of Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 97 31
InsPxtion Line (Roe-O-Phone)a 639-4175 Business
�-4171
F �
Inspection:
� I
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL&
Post/Beam Struct. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Nater Line /
ayp. Ba.
_7 7, /
Date Requested: 3° •
PN
Address:�� Lit) "I"'t dJt� �-C 1 PBraLt #f
Builders
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THZ FOLLOWING OORRECTTONS AR= RtQOIRED:
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Inspector:
Dete 7
11PPRMMD �— DISAPP OVED �— APPROVED SUBJECT TO ABOVE
A„ all
For Reinsp.
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C,ERTir-i ,'ATF." OF
COF
�� ���� PERMIT #. . . UP. . aYMST92-�0305
(COMMUNITY DEVELOPMENT DEPARTMENT DATE~ 7:65UED s 12/29/9:3
13125 SW Hall Blvd.Tigard,Orogon 97223.9199 (503)639-4171
PAWIEL: 251 16AD•'-BED34
i `.a F 1'E ADDRF:3u. . . e 16640 SW JORDAN WY
SUBDIVISION. . . . s BEDFORD GLEN IONINGk r
i GLUC;K. W ".._.-._..�_..�. � ......_..___.r. LOT. . ____w.�
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CLASS OF WORtA. a NEW
f TYPE; OF USE. . . c 9F r
OCCUPANCY GRP. s R3
OCCUPANCY LOAD: 11-7 4
1 T FNANT NAME. . . z
'�pn.,i%rk:ss PATH I
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BEACON HOMES `
PO BOX 1362
REAVERTUN OR 971475
Phone ##: 524-•1999
BE OCON HOMES
9500 SSW 105TH
I
SE,AVERTUN OR 9700"
F1hone ##s 524---1999
Reg M. . : '70782
ccs of the above referenced building is hereby (given, and certifies
lir c .Inesnry
the compliAnce with the hi.ate Ot Oregon SPecia lty Code" for the jgsoupl
oc�:upam.!y, rnd use under whic.11 the referenced pirmit 1-jas iso,
LDI INSPECTpFi
BU LDINO OFF- 'C'IAL
POST IN CONSPICUOUS PLACE
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INSPECTION I/OTICS
e` 'r. DarIMnr .*City of Tigard Building J
13325 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undersl.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Boam Struct. San. Sewer Framing
Moet/Beam Asch. Rain Drain Insulation -Plumb.
Plbg. Underfloor slater Line 0". Ed. -H 'h. 1
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gate Requestedt -7 A Time: AN P!1 p
Addresst
Cl�� ,.%-:� 4 Permit 11" � �J
Builder:
1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_ — - --
Inspector: ?
_ 1�!'PROVED DISAPOROVRD -� APPROVED SUBJECT TO ABOVE
// Call For Reinsp.
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Ml k ON2. NOTICE
Citi of Tigard Building Depar:wont
13125 SA Ball Blvd. Tigard, Oregon �-
Inspection Line (Rec-O-Phone): 639-4173 Busintas Phcln-e: 639-•4171
Inspect ion:
1
Focting Plbq. Underslab Mech. Rough-i,i Appr/Sdwlk
Fc+uud. Plbg. Top Out Cas Line FINAL:
Post/Bee- struc`_. San. Sewer Framing -81;q.
Post/Beam Mich. Rain Drain l Insulation j -Plumb.
P'.:+q. Underfloor Nater Line Oyp. ed. -Meeh.
Date Requested:_ 2 �, �J.3 Time: AM PN
Address: ZID1 C, vv L Pormit #t _' ,
Builder:
TBE FOIJAYAINO CORRECTIONS ARE REQUIRED:
IX,
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Inepecto s _ 7 '
Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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_ Call For Roinap.
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_ ,pNSPECTIOA !4OTICE
t city of Tigard Building De;arl-- t
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business PhonA:l'6 .r41f
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lnspect.i.on:_. - ---
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Forming Plbg. Undorslab ouyn-in Appr/Sdwlk I "
Found. Plbg. Top out FINAL: !f
Post/Beam Struct. San. Sewer Frami -Bldg.
Poet/Beam MBCh, Rain Drain Insulation -Plumb.
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ne
Bd. -Mech.
". ::. ...... ... :. ...
Plbg. Underfloor ter
� �1% W- � OYP• I
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Date Requested:
Address: / �_4a �� �L✓ -� J"�Lnq'_ Permit
Builder: �� — --. `—. _ ■
THE FOLLOWIM CORRECTIONS ARE REQUIRFD:
lr
Inspectorr Date:
APPROVED DISAPPAOVED _ _ APPROVED SUBJECT TO ABOVE
Call icor. Reinap.
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00002 INSPECTION NOTICE
city or rigard Building Department �
33125 RA hall Bled. Tigard, Oregon 97223 % �� ,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 679-4173.
6
Inspection:
Footing Plbq. Underalab Mach. Rovgh-in i►ppr/Sdwlk 1
A
Fou.-M. lhq. Top Out Oas Line FINAL:
_� )�4;
Post/Beam Struct. San. Sewer Framing -Bldg. `'
Poet/Beam Mach. Rain Drain Insulation -Plumb.
d �(
_ Plbq. Underfloor Nater Line Gyp. Bd. -Meeh.
Data Retvest_ed: �1 Times AM PM i
� � 3
Address:_ Permit i:�i/S.Z'1L_
Builder:
TU :OLLOWING OORRECTIONS LRE REQUIRED: �t t
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Ino
pector:
__APPROVED DISAPPROVED -� APPROVED SUBJEt-T TO ABOVE
Call For Refnsp.
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KING CITY
mmm�� 15300 S.W. 116t:i Avenue,tiro;City,Oregon 97,224 Phone:639--X82
, COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions an reverse)
c
DATE _
1. NP.hE OF AP?LI(=,.NT: Phone No.
ADDRESS:
ADDRESS OF PR.OPOSM
2. T"f?E OF C?lZGE, LuFROVEMENr OR CONSTRUCTION FOR WHIC-tI PERMIT IS REQUESTED. � e
DE::GRIBE BRIEFLY -- ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
P1,R0P0,5E1) P=CJECT: C LQ Z C' (Ac s r Q
3. N:WE AND �ZLFLSS OF CC=,AC OR t Lk.)
PHONE NO. = 99 9 LICZNSE N0., 7 7 y / b
4. NE'GrIBCRS WHO MAZ BE AFFECTED BY THIS PROJECT WII,L BE NOTIFIED BY THE CITY.
5. ;LVPLICANT OR HER/PIIS RUIRESEN'I'ATIVE WST BE PRESENT AT THE PLANNING "OMISSION
M1•..c,TING NE--{T HELD ON _
E7-P?ZSEN`rATIVES Ii�IME _PHONE NO.
(The Ring City Planning Commission will con 'der only those applicat'.ons received at least five (3) daps
prior to a meet' )
X SIMaTURF.
-k "it*stir**********
APPLICATION RECEIVED BY DATE__
APPLICABLE FM RECEIVED $ �� y y TOT'AL_�[` __�• .—
PLANNING CCP2-IISSION ')ECISICN: Apprrrved j[ Denied
CONDITIONS
\Approved applications arF. valid for siz months only
¢ SignatureI Date /JU�/
TOTE: Oregon HameWlders Lar requites that all persans who contract far work on their residence be
registered with the Builders Board which means the contractor is bonded and insured an the ;jb site.
Far lour protection, be certain your contractor is registered 'y calling City Hall Ph: 639-4082.
NOTE: A permit must also be obtained f cm the City of Tigard Department of
Ccmmu-LJty Development Yps _ No
CITY OF TIGARD INSPECTICN RE--CRT
i�
The ahove listed project has been inspected aad Approved_ _Denied
Date_ Ccmnents
S.,.graturA
& i1di.n-g .Ln,6pe.c tin plea so- n AuAn. cn.2 ( i ) copy to KijLJ ci-f-y)
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1,116PECTION NOTICE
City of Tigard Building Department
13125 S" Hall Blvd. Tigard, Oregon 97223
Loraction Line (Rec-O-Phone): 639-4175 Sueiners Phon : 9•- 71
tinspection:9 -- ---
Footing Plbg. Undersi�b Hoch. 'lough-in Appr/Sd•.I.:: 0
Pound. Plbg. Top Out Gas Line FINALe
I
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/yea, strudt. San. Bawer Framing -Bldg.
4t/8"s Hoch. R4in Drain insulation -Plumb.
Water Line Gyp. ad. -Nech.
Date Requestedt
Address lit/L Permit ft���✓ ���� (, a
Builder:
THE FOLI:.WING CORRECTIONS ARE REQUIRED: 1
a
TY
tnepector• _ Data: --_�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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+., INSPEG'TION NOTICfC
City or Tigard Building Dspartsent
" 4 13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
rooting Mg. Onderelab Mach. Rouy.- '^ Appr/sd• .k
Found. Plbq. Top Out Gas Line FINAL: v.
^.st/Beam struct. San. Bower Framing -Bldg. dy
Peet/beam Mach. Rain DrainN Insulation -Plumb.
PUq. Underfloor Nater Line Gyp. Bd. -Koch.ech.
f Data Requested$ Timm AK
J$
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Addre: PormLt #s
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Buil carr
TBE FOLLOwINo cop"CTIONB AAE REQUIRED:
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Inspecto :_
Data
_APPROVED DI8APPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOME
City (f Tigard Building Departemt
13125 SN Ball Blvd. Tigard. Oregun 971
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: -4171.
IInspections_`
Plbg. Underslab Mach. Rough-in Appr/Sdwlk 1
J, Found. Plbg. Top Out Gas Line FINAL: C
Post/seas struat. San. Sewer Framing -Bldg. f
Post/Beam Mech. Rain Drain Insulation -Plumb.
Flyg. Underfloor Nater Line Gyp. Bd. -Hoch.
Dato BeQuestedt J� ' Times AM __PM
1►ddresst 166 Permit
Builders
TB's FOLLOWING CORRECTIONS MR REQUIRED:
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1
_-�
T.sepertoc: — - —_ — -- _.- Dates-
APPROVED i_ DISAPPROVED —__ APFROVBJE
D SUBJECT To ABOVE
� s-
('all For Reinap.
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unified `; I SANITARY*UD o
agency
155 N. First Ave.,Suits27C,"Mi2sbOro,0'r,97124 SURFACEWATER
503 ea»•8e21
CONNECTION f E.RMIT
I i''il.Jl' I1ATI? 051293 EX14 ArION MATT: 1101373 PERMIT 1041Y4
STRUCTURE ADDRESS 16640 PFl1JE C'T 19A9 #
STI<UC'T'URE 9,rREET SW JORDAN WAY
. . LOT 34 BLOCK 1
7Y1''f: 1;ONMC;PION- NEW
!' ' or BEnrORD GLEN PHAOE 2
TYr'E INSTALLATION•- ( 19) 'BLD 9WR/ERO CON/SDC
TYr'E OCCUPANCY- (1 ) 9INOL11' FAMILY PoRCEL 291 1'6 fill 26000
QTR SEC 4716 Mil 10092 s
OWNER BEACON HOMES , 1� qyi? ,`yi
1 ADDRESS 9500 SW 12�t�� i 'fI EAV0. KENI, 'I:AN7 DURHAM
BEAVERTON
1
r'HORS.... .24...1y�9q..............._.. . �:,� ���,,1;.��........................._....._...JURIED..,KiN .. t 1Y..._,._.......... ..... ..
IXTURE EQUIVALENT DWE'LI.. ING RESIDENTIAL
1.1N1:TS SERVICE UNITS 0 ,0 UNITS t SERVICE UNITS 1.
CONNECTION FEES SURFACE WATF"R 11f7VEL-OPMrN7 F'FE6
SEWER CONNECTION 2100 ,00 WATER QIJAI.JT'Y 100400
LESS CREDIT 180.00>
WATER CILIANTITY, 100"00
LESS CREDIT 0 .00:
t
E (13I0N CON 1'itUL
INSPECTION 46.00
PLAN CHECK 26#00
SUB TOTAL 1100$00 SUBTOTAL 166.GO
�
TOTAL 2266,00
APPI_ NAHC' PETER !(UYSK rHONE
AFFILLIP"ION VF'
REMARKS PROJ#1939-'$EDFORD GLE 2-1.111' # 34
x'24 1,.011RO ICE FOR 8Ib ONTR()I_ INSP'EC'TIONS REQUIRED
SIGNATURE .��_...�... __... ,.._...._. ISSUED BY 'THOMPSONJA
Permit Conditions: The applicant agrs to comp lyowith all rules and r!guiations of the Unified Sewerage Agency. When calling
for an inspection, please refer to he Permit Number. The Permit expires one hundred eighty (180) days from the date of 4
issuance. The total amount paid (permit fee, connection charge, line tap 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
measurement given, the installer shalt prospect three feet in all directions from the distance given. If not so located, the
installer shell purchase a 'Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral.
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6/90 WHITE - USA, ELUE - Accounting, GREEN -Inspection, YELLOW - Customer
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
� ijraii~
13126 SW Hall Blvd.Tigard,Onpun 97223.6196 (603)630-4171
16640 SW J'UkZEMN WY G`HafZt;'wf.s rr l lt.
BEDFORD GLEN 4()N.itUG:
L.CI'1.. . . . . .
. . . .
_ Lr Da✓,
+t1 i. vtr�jL.'.lMJiw6.r �.Jf`,. _ r);.-41A�:C�a]]fi.VfItC.
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"lb s f'
rJ»' UFLUNS a ,N F=IRST. . . . : 1449 S LLFT. . ;5 ft RIGHT. c5 fl
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TURIt I,:-',. . . . . . . s l )HIHI). . . . REUUIREU
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LUUR LC)faD- » . . :40 psf VAL.LIC. . . . . n : r it i:c: PARKING SPwC;k::b. . s 1
,INti5. » . . . . . . . » a 1 F1..Ot?It t.1.tl-1: fVis. , » . t
._HVATURIES. . . » . s 3 WNl EH HEATERS'. 1 TRAPS. . . . . . . • . • ,. • • • •Qr k`:
Ua/St IUWE:62;:9. . :s LAUNDRY T kti i'v'S. . , : 1 (;Na T Gf k 1�r1l;I i�l _ . . . . :u�
'ITT F1 CLUS E S. . c is I.L f? L. k I`Jk (f't) . :4'.1 GU ASE 7 RAP
( Ct ) . ^ s.t%10 orvii FNI i"
Hri FII E ))ISP. » » : 1 RAIN I)RA1N (ft) - :0
SF, . ; 1
Mra��H I laf� .r-+L,k•l. » .: : 1 ,a r' kis-a, fv ur�r-��w;.y» _
+.JC:.L. _'L$_ _....._ .. _._ -. UN1w0 i, y pa �maunt bey crate , cF%p.
VLNTS . » . •• . :0 LAPRT S 3C 1. 016 JH 05/1E/93 r
1A IW.-J1 -0 l'IU +tE N, k AN3. . s,:, IAPI_C $ 40. 014) Jt--h
U1,14N ( 1.00t'ti . . : 1 HL')ilDS. . . . . . . l IS. 05 •]IH 05i 1v 93
URN ) -100K . WCdDIUTUVE::.,, :+ill �}il,.rC. � �' . a+� ; 9
;:LOUR FURN. . . . 00 C.1_.0 11 k?Y`r't:-.,. 1 :~i?' � 40. ::;0 JH 05/1
;j I ;."f i. 11PLL 't 10. 1;:�
tlb 0:� JH 215/1r»i .�
�►whl�r _. F)PRT 1~ 140. rri4' JH 4t,:�d1�
i-104C:UN 1.40: Cb 1-';fk'f.;: '7. 00 JH 4.'+':�/
.shy -C LOX 1
'kEACON 1ILJtYIY :J
r'i7 bub 1363
9L.CiVILR il!'i OR 9'1075
524, 1`191
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hi6 pert,,,. ss9ue6 euu,�_'. to ti ,' j, Rl l) iNc F�L T IC.ltd,..,
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igard Avuc: pal Code, State Of a thee t�'O o t;f wun!:1 I n s p Fireplace n s p
i;pplicablk laws. All marry "t:lLaeam cl isc:t C, is f._1nN it sp
I ;;,ans, Chis pe Mit wail e / .8a� ust, I'SPam I'1Nchall lt'isulatic:rt Inisp
' iayfi C1 (.i)'13 b a r1Y t 1 I r'1 5 p
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PLHCK RECT #
OF CITY
TIGART13125SWHallblvd.1H. ■�J■ ''O[lox z"' PERMIT # msf4z- U 30)-�-
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 9722-;
(503)639-4171 DATE ISSUED
JOB ADDRESS: a� �'� _ TAX MAP/LOT -2-5J k' ��r�
SUB: —Cz>(Cffiy A 0ACd LOT: _ LAND USE: _
VALUATION:
OWNER SPECIAL NOTES
NAME: (A ally) ( ,-TV) REISSUE OF: __ I
ADDRESS: PLS box I�J�� LAST REISSUE: �
e-)V-jY1 CY- q7b?� _ FLOOD PLAIN/
PHONE: �f)AI ������ _ SENSITIVE LAND: _
CONTRACTOR APPROVALS RE_ UQ IREO
NAME: � VYUc� PLANNING: _
ADDRESS: ENGINEERING: j
FIRE DEPT:
PHONE: _ _ OTHER:
CONTR. BOARD #•• EXP DATE: +•�
7LjF — �Z
ITEMS REQUIRED
SUBCONTRACTORS PLUMB: ���hJV1 >I VI C1 LIST/SUBCONTRACTORS:
MECH: kh_r- ke U L( �--- BUS TAX:
ARCH/ENGINEER '. '' r A
�1 CALCULATIONS: _
NAME: ' V_�(A&k(�{ �,A-- TRUSS DETAILS:
ADDRESS: C 25 -(DW ecky s : y ' � OTHER:
La(a -�ll/c, u L c ( �
PHONE: --
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PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: _ __ Oate Received:
PERMIT # ACCT # DESCRIPTIO14 AMOUNT AMOUNT PD. BAL. DUE
fhs -Oa5 10-432 00 Building Permit Fees =' —
I �yU.l
10-431 00 Plumbing Permit Fees -
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 27
Building A-1 z�
Plumbing
I /Mechanical �-t3
10-433 00 Plans Check Fee Sol. / �' G /y,l3
Building 4
Plumbing
Mechanical /0,13 I
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10-230 06 Fire
30-202 00 Sewer Connection --
30-444 00 Sewer Inspection_
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
I
25-448-06 Institutional TIF Fees —
25-448-03 Office TIF Fees --
25-448-01 Residential Traffic Fees --
25-448-05 Mass Transit TIF Fees ---
52-449 00 Parks System Dev Charge (PDC) --
31-450 00 Storm Drainage Syst Dev Chry
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTEL
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CITY OF I C AF2D RECEIPT OF, PAYMENT R LE:I F1 l IVO. s 93--e39990
C:,HEC:� AMOUNT s 613. 71 I
NAME s REACaON I-IUMI=S CASH AMpUN'r s 0. eo
A DORF 59 s PAYMENT LATE a 05/12/93
i:iUBDIVisSION r
1
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT POI D
:361. 00 PLUMBING PERM 140. M@
MECHANICAL... PE 40. :'50 ST. bUll_D FUER 27. e*6
PLAN CHECK FE 10. 13 SEWER INSPECT 35. 00
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LOT :34 BEDFORD GLEN
16640 SW JORDAN WAY
TOTAL AMOUNT PAID - > 613. 71
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