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10602 SW KENT STREET I=KjlllulLmlul[= WjLW ww aE rwr 10602 SW KENT STREET a uJ c: N M x ('J r� O 1 J � - I v 10. Ln mn�n C) cri 6 co *' to O2 to Z7 G \ O a w ` -9 m 'C p G k. q b v) © � cn O E-4 Nas ir~�ll N N o4.1 torq J4U L + rI r1 WWspy � � AW y M � O A 44 q try �y bA •O F V. M 1,�� ' `w`dtrtre�Se`.w a�—•eebd��tib£ebewa6e�..eZiT'dFe'S–.ta e•,�.�... ---�–�-r..:...�.�- nTrr-� � l R.F. w �A " ��. • ••� ,J, M,ut '�} t+,'�'' '�u Q i F TT �y •.. �a 4� �,{Q,�e�•. i1Ne. ��,,�� •r l x i.w. N��'!��,.'^'�rs�7q<t+` o'- t{y�.d �L,�'w' 4i ��.;,��_ ♦ I�+ ".v9 w' P. t s� ssst � INSPECTION NOTICE_ City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ,r ,te Requested G'1 Grime A.M. P.M.---- Address ��(v CJ /�'. Permit *2 r Owner A Lot _— Builder The following 131pilding Code deficip7ias are r�Pquirred to be corrected• "resented to _ - - - - ---- Approved Inspe,.w C� Disapproved - - -- pprave Date CALL FOR REINSPECTION 0 YER ❑ NO Alt� CITY OFT117ARD CITYOFTWARD COMMUN17 Y DEVELOPMENT DEPARTMENT OVIG43N 15F.WER PES PWIT 13125 S.W.liall Blve..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 PERMIT Nf)-. DATE: '3/29 08 PPIM , I---'M T* .NO (300580 10602 5W KENT ST (.J50 NUMBER: X)11.9 FAX PSI 15AA M500 SLID : DOVE'N L-ANDTN('-1' V-111-4 2 I-T 6-1 HK LAND I OT SIZE: SE:(',"T'I(:)N: 115 TWP viii, PW,, w WORK ("LAF-iS : NF.W USE"- TYPE'. : S:I:N(.;I E 1'AMIL-*Y tovs (:?41 tc) c�climpl.4 witil .1 a 5% wo-Ariage Agonc, TI-le pforinit Ii.',o ciay!% frc)m the- cha.tv, :1.9111i1-i"P(I I I-le -t'4:1 t i". 1. The "( "':)t ilLiticilint W:� I.W -ficir-reite(i a.•P ttie perinit exr)iret vi - f^-li, no -'Y (I(MI!, I :tnte 'I -p .1 t-p I!,j.(i([,? is owe I-- I, •ei r a 1.u; . UP the mower ii,; e Ithv-� tj licit, iat' the thm t -Xa _A, InTT—lik 1-1 INSTALL . TYPE: HILULDIN(3 SEMEN:! XT UNITS NO . CIF 0 W N E F*E:'.E.S R M11-1.1i.-JI ..JAY PlEnIVIXT c3n oo I U . U . LONNEC*T'T(3N 1111. 1.00 . 0 I AP INSTAI 1- C TIUARD OR L.I NF: 01 N T R A -n C MIA-L.E JAY TJAY MILLER BUTI-DE11:11 0 R P . t) . BOX 232191. L I "IT.61,M110 — 011-1 PHDNU': (50-3) 684-75413 ed in Title 14 This perp, TOTAL: 0 h�I�VgUl�t e of a of the T re on pec ally o es. zoning regulations and all other applicable codes and ordinances, and it Is hereby RECEIPT NO. agreed that the 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 restrictive V*:QLJTRlED INSPECTIONS covenants. Contractor and subcontractors shall have current city POUGol-11—IN business tax permits. This permit will expire and become null and void it work Is not started within 180 days,or If work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved PermITteePure al Issued By SEPARATE PERM!TS RECUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1 .6—ILLID ULL—IUU— C11YOFTIOARD 1 CITY OFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT \ OxlOOM MECHANICAL. r•)I:::NM1:'T 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 \�� PERMIT I'T NO . DATE: I SSL1EAll: :3/29/88 PN1'.M M. PM T' .NO E31130580 ..)(:)E3 AIa1Jr>E S!:i : 1.060i'? SW KENT ST TAX MAK)/I..(:)*T 1.5AA '2500 CiL)B: DOVER I. ANDING 11+1 2 I._T : 6XI EEK LAND lJSF.: : L.OT !:i 1 t: ITEM: VQ : N!:1 WORK G:...' ,S : NEW F''URNAC:E:. < :1.001( :I. A;I:F7 1••IANDL.rT <10 USE 'T'YIoE.. : SINGLE". F''AM:I:I...Y FURNACE 1.0010• AIR HANI:)l..rt 1.0K DONS T' . 'TYPE: : VN FL..001:41 FP UPNO CE. E:VAP.COOL_E:P OU'.1.11"' . WE:ATI 14 VENT F'AN :3 VFi:N'T' VE:N'T' . SYSTEM BL.ri/COMP < HOOD 1. NO. S TODIE S : 1. PL.P/COMP 3-••i5HP INC.1 NERATOR(DOM I:)WE'L.1... .UNIV5 : 1. BI...R/C:OMP 1.5--30Hlo INCINE.'PATOR((,.,(.)MF FEL. 7,YPE: GAS FJI...P/COMIC ;30 15011-11-) REPAID UN]"I"i'i MAX . 1:Nr)L''T B1—R/COMP 50 j•HP CI'T'I IE:'r: ra H I t:31•i PRESS*? I,,.OW PPE!. o7 A MAI:iK% : c7 W N E la MII...L l:::P ..JAY PEPM1 T' $1.0 . 00 F7(:)X 23P9:11. PLAN 1"4E V:1:1=W --17W 17 7 c:_c.,. F :CXTUPES IN 30 .11U cG)F•ONE: l:iU;3) 6144--'7".1 1;3 S TATE. TAX d12. q:.3 i) N ()'T'HI.-rT T R A HE.:rJIN PORE PT T HE DIN 9 HEAT INU T f)15 NW 231 SI R 1•)1.1.1.mbt3r • ur 9*71,R, PHONE' (50'.3) 648-13-59 This In Title 14 TOTAL.. : of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby PE;CE I P T NO, agreed that the work will be done in accordance with the plans and speC+fiCn1i0ns and in compliance with all applicable codes and ordlnancea the issuance of this permit does not waive restrictive r1E::Wl•JIRE D INSPECTIONS covenan!s. Contractor and subcontractors shall have cur-ent city DAIS LINE' businevs tax permits This permit will expire and become null and POST & PEK'AM void if work is not started within 180 days.or if work is suspended or POUGH-••I N abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assnr P I NAL all required inspections are requested and approver' Perms to nature Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE GAl. 1_. 1::*01:1 T r 4ir l::c;r:1 ON 6':39-••Aa1. P^1 CITY OFTIGARD CIT�Ln�ARD COMMUNITY DEVELOPMENT DEPARTMENT r LLJMHING PEAMI'T 13125 S.W.Hall Blvd..P.O.Dox 23397,Tigard.Oregon 97223.(503)639-4175 PEPIMI"T NO. : PL-8(3038.1. DfN*TE-- 3:5 Li)UE 1) "'1/29#1 1:18 PPIM. PM1' .NO . (4803(10 001191 ADI)PE:SS : 1.060P SW KENT' S'Y' TAX MAP/I CJ*I' 2SI :1 !"31010 F.2 ri()0 SLID : DOW:44 I ANLYIN(.., ['(A P L.'T 6A 63K LAND I.J51n: : 1-01, SIZE'.: I'T'[:'M: NO: W014K GL.065 : NEU WA1154 GI 0SE1, 4? I'PAP I'YPE: SINGI-E-' F'AMIl Y UPINAL 13KFLOW Pr4VNTA TYPE : VN I AVOPAII)PY 3 'TPAP PPIMEP OC'CL1P. Gl4P. : 1:13 411E3 SHOWEP 2 'T'PAPS DISHWAISHEI:l 1. ('.."ARBAGE: DISFIOSAI 1. NO. 51,C)PIEKS : 1. WASHING M0(.;1--1*I.NF":*. :1 0 W r-,:L,I tJN:E'T'1:i : 1. 1 ALINDRY 'T PAY IAL.D(., . DRAIN ( 1-.)IA F1 00P DRAIN ST N K 1. SUME.0 (F1') 0-1,11EP PE.MAPKS : W 14 E F-E-IFES MSL.l'A.;.P 4JAY PEPMT'Y* R L.)X R'M?9 1 17[701111 97712.3-- FIXYL)PEN 0 PHONE' (303) 684-7343 5'TA'T'E T A X toe! 01.,25 N T R A MTL.I..F-P %JAY C T ..JAY MTLL.EFl BUII DE-11 0 P - 13 . EK)x "2';3x'5 1. I'lGAPU OR 97223 (503) 684-1343 this per in Title 14 7111 All 3 1 P-5 of the TIVIC. State of Oregon Specialty Codes, zoning regulations and all other applicable codes and ordinances, and It Is hereby RECEIP1 NO. agreed that the 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 restrictive REQUIPED INSPIF(:'11-IONS covenants Contractor and subcontractors shall have current city PLB .UNDEPSI-AR business tax permits. This permit will expire and become null and a BEAM void If work is not started within 180 days,or it work Is suspended or W(-YT*F'P LINE abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure PL.1181 . 'T'0POILJ1* all required Inspections are requested and approved PAIN OPAINS FINAL Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE (A4 .1,NSE-.0 T l'ON 619-•-!11 75 CITY OF TINA RD MY011"flill ry COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERM11' 13125 S.W.Hall Blvd.,P.O.Box 23397,71gard.Oregon 97223.(503)639-4175 PEPM11' NO . : BUZ;80580 17A1'E TSSLJE:[): 3/29/06 PATM, 1*-*M'Y* .NO. 880580 ,10I--$ OUUPIF5i : J.0602 9W KEW* ST I AX MAP/I OT 251. 15Af-i SUB: DOVEIP LANDING PH 2 L.T 6/1 EW : I-AND USE: P1 . !5P[) 1-01' 51ZE: VAI-.(.IAT*:I'.ON: $ '741,225 I*:'l-40N*T* : 20 PEAP: a W(:)PK CLASS : NEW DWELA...LIN I LEFT : 6 111GI-I'T 1.9 LJI.-)F-: "I'YPE : V'AM]"I-Y NCI. BEOPOOMS) : 2 EXT , 1401-1._ CONST . CONS*T . TYPV-.*:: VN NO . UA'THS : 2 N: G : E : W : OCCUP .CPP . 113 PF101' . OPEWINGS OCCUP .I OAD N : 5 : K. W : 11111 AL. ARE 1.6c.3 NO . S'TOAXES : 1 1 S'T' : 1.623 POOF COWi T : F'1114'. 1:4E.-y"'1 HE'l G1,11 1.Ell APE:A SE-PAP'? PATE'D : 'S FIAEMILN41"? 3RD: SE!*%Apl? M F."ZZ A N 1.N I-*7 Iqu- 1-- 1 WL '%PHKI Q7 I GPM) HEAT TYPE: GTAG I-II)CIP) . AC(I"E''�,57 conw? 1:y.ON 11"HEKICK BY: r 1 t F,,F'.M A 141 K 5 -i-- - -- REELSSUE BF N8. I AS*T* REISSUE NJ F,E E S M11 LEN JAY PEPM 111;3;91:1 . 00 p . 1:1 . BOX 23"r.?91 F-11 AN PF.VTEW 1111P"-5p . 70 I TMAR1.) OP 1,7 P P.3 F*1 PE DE.1.1 T PHONE.: (50'311 6841-.7543 !')1'A*T'F.-'.. JAX 0 $1.7 , 90 N 0,11-4EP T R CHAPGES : A M.ELLEK11 ,.)AY SIX (STORM) *250 . 00 C T ..JAY 111L.I.-F-311 BUTI-OF44 5 DC I S'TPEK E I'll $600 . 00 U p . ci . 9 0 X 'E'.*,.5 2 9 1. PEX (CR $2,50 . 00 R T 3:C"A 1:4 U (:)F1 974E3 PPEPAID < PHONE (503) 684-75,413 This perk*-:44-AiJ44IN'41:*4hk4%tjlaiWtL%Mained in Title 14 1. '70a 6 0 of the TMC State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it Is hereby PF-*CEXP7* NO . agreed that the work will be done In accordance with the plans and specification!; and In compliance with all applicable codes and ordinances The Issuance of this permit does not waive restrictive REW-1111ED TN9PEC*T*1C)N'"n .;ovensnts Contractor and subcontractors shall have current city F001*1W., SEWE'A busineits tax permits This permit cApire and become null and I--*OLJNOA*T'10N WALL RATINI DRAINS void if work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has POS'T' 9 BF.AM WA11,R 1_INF: commenced It shall be the responsibility of the permittee to assure I-N-9-UNDI-.*P5il AR CI'T'YAPPrKIII-4/51A) oil required inspections are requested and appruved. 5+1-AH FINAL PI-B.14'.11POLIT FNAMINU FIRE'll"JI.-ACE nature Perm tel 113'AS L THE r TNS I.JLA*T'1nN Issued By ---- GYP . ROARD SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE ("01 1 FOP I*N5PEC'*T'1('.1N 639--1175 tt" s s>e ss as ANN 1-kll_, aq 1kill 131u1. 1 n R D PH I ,l 1 M Bi N(J •ly,.i jrxi (v (17273 Applicants must 1,,;!d Oregon Reglstral,nn Ic ccxhduct a plurnhn,p IT I',R M I 1 6:f'U75 Iws+ne �w mus(Ix p(openy owner/c><x:ralor not hiring<xolside help. __ _ r• ' j. N.ma d Dir"lopmonl — _ Plumb(nK Permit No.QUAN - Adders— CN"`n1'tKxr PRICE AMT 0R$814?l 810 -- Job Ta■La Map.No - Address _- FIXTURES Id Uiock SubbSink Arlon — - 7.50 Lavatory ------ _— 7.50 .J 2•> Dime tar risme o uness / 7.50 �• Tub a m Tub/Shower Cob -- ----• Shower Only - 1.50 . > Dir ess -- - 7-50 .T Owner �Ify/`tale ZrP -- ---- - -- � ?.Sp Dishwasher --_ ----- ._ -�Pfsorse _ Garbage Disposal- -- 7.50 _. Washings.i no _ __-- -- _ .1—. 750 Name 7,'0 - - Floor Oram - plgry ---- WaterHcater -L 7.50 - Dir rens ---- _ Laundry Rain Troy 7.50 Occupant City/State ---� - Urinal __ __7.50 _ - Ottser Fixtures(SI''ty)__.. 7 50 arrhe 7.50 - 7,50 - -- 7.50 mttr ; CaetCW ZIP — -- f' MISCELLANEOUS Y Bw Tax No 11"100, S+.wer-ea.Addit 100 _ 15.00 a a. tela s X:77o - — --' - a 20.00 (Residential) Wolof service 1 st 100 / __ __ 'IL- that the Wafer Service at,Addi1r -- t 5.00-- 1 hereby ac mawledge Meat I low reed this applcstlen. 30.00 — gt~is coned Chet 1 am reolslerad with the Slate Budder Boru�,and assn Slcxm 6 Rears Drain t s1.1100' -- - haw a State Pkmftq ken"Mut to nun**M?h'en are oorrwd.Mut an _ 15.00 d Ore- Sloan R P-in[rain Addfl.100' ptvmbirhq work rail be vers M eocondaros hlrlMs spp�ttbls Pf°�� 25.00 _ pon Revised Stelutas Chapbsn 447 tad 093 and appit li 11e codes and that Mob"Mane Space no twig will be employed unless Icerned under ORS 6113 (K Oxon Vit from State reolwalion.plea"9►h'e reason bsbw). Davi Fk,w Preve potato 7 50 I�viorr or/vstl-F',othaan t?svhoe 1.OJEOWNERS-I hweby owWy Mal l Orth tea towner d the testy d- eabed atxrvs,M v,A+i(!h IocaMon 1 p op,"Io make a pkwnl*o��cn for Arty Trap or W ante Not 7.50 rrry overs use and thle properly is not berg axattxllsd/or Sale.lsOSa a MA CerrmKwd to•Fsxthxe - -. Calor Basin - - ^- 1.50 ------ - 40.00 Per Hr d idst.PkorsksR+q- _ _ ___ ---- - - ------ a11! lno_ _'^_a 40 00 Per Hr Abair a PlumtM9 s W*l -__ - - --- -- - - an E xletnp R19 15.00 oleo-an leo - 1 __- -- New" a 804.Addition _ 25.00 min 10 AUT1RtIED SIONATIIRE _ r _ �- I c�ts111n / 15.0111 ! r � I � Oeecrihs-,veil', new L] addilton( ) atweretion C. repair I IQ be dor►-, resldenliel( 1 nosh reslderhrisl - ------------- F-viabrig use of @UFT'OTAL btt h*V Of Property pr pMperty_. - - NOTICE T1hM pOrndl bSoanSa n.4 and roll#war or owarwi lon a tfuXI&b WWI Cog, Mail ltd-it IMO d1lytAr M e>.th�(txMlon a rrorlt M Mnparrled a abSrsdorrd la is WW d Igo dOyS Si eny one seter,war Is mwiliOnWd •MCIAL OONOfTWHO , I1 • cyl � /CITY OF TIGARD MECHANICAL. PERMIT ,, N e Qo serlpllnn _- UY MIRA "MI Table 7A Mechantcat Code City of Tigard 1) permit Fee -0• u I u txt 13125 S.W. Hall Blvd. _•. _ __ _ _ ..____ P.O. Box 23397 2) Supplemental Permit 300 Tigard, OR 97223 639-1175 1) Furnace l0 100,000 BTU 600 , incl.ducts&vents _ Furnace 100,000 BTU + 7.50 ?) incl.ducts 6 vents _- .--------- — Flag Furnace 6.00 Name d Development - 3) incl vent - - - Suspen led heater,wall heater 6.00 �,I, Address 4) or floor mounted healer Tax Lot Map No. --�- 5) Venl not incl.in 300 appliance_permit _ Lot E+k":w Subdivision Repair of healing,refr ig., Name(or nanw of bus nes%? 6) 8.00 I cooling,absorption unit -- Boiler or comp to 3 HP &00 Maikfvj A ldross PhorM 7) absorp.unit to 100,000 BTU Owner _ Boiler or comp to 3 HP-15 NP 11.00 City/State -------� Zip 8) absorp.unit to 500,000 tiTU Boiler or comp 15-30 HP 1500 Name absorp.unit'At-1 m1lion __ _ Boiler or comp to 30.50 HP 22.50 Mailing Addeo" P10f1e 10) absorp,unit 1 -1.75 million Contractor -- Boiler or comp to So HP 31.50 ttyrsrate m 11) absorp.unit 1,750,000 BTU �- - -.._ Air handling unit to� q 50 State neglstrelion No -City Bus Tax 12) 10,000 CFM Air handling unit --- - --_� 7 50 f 1 hereby acknowledge Mal I have read Ifws application dial the Ndormation given is 13) 10,000CFM t rnnect.ttwl I am the owner ot suovidzed agent of the owner.that plans submitted are in -- Non portable pr enpliance with Stale laws,that I am rooslered with the Stale Builders'board.that"W 14) 1.50 rMxnbw given is cored I!I exempi from State registration please give reason below) evaporate cooler 15) Vent fan connected 3.00 <, - —" to a single duct -- -- --- - - --� 116) Ventilation system not - 4.50 Included in appliance pennit 17) Hood served by 4 5o 4 7. mechanical exhaust Siprutlrra(owner or pens) nate t 8) Domestic type 7 `_o --� incinerator - - i Describe wort( C] addition Elalteration ❑ repair ( 1 -- to be done residential ❑ non-residential E.) 19) Commercial or industrial it,(k) type incinerator Existing use of Other I e ,woodSI ve•water ,,++ building or properly - 20) howler,solar,cluthes dryers,etc �. 9 �--•-------.._--_....__ Proposed use of building or property 2.1) Gas piping Anil to Irnu otilll+ts / It►' 2-- Type of fuel- oil ( I natural gas I I LPG 1 1 electric I I 7.2) Moro tlt,ut 4•{ler inlllrt I NQTICE SUB-T01AI, S O THIS PERM11 RFCOMES N01 AND VOID IF WORK OR GON - ' A 406 SURCHAnGt C-!�' 0,3 STRUCTION AIJIHORIZED IS NOT COMMENCED WITHIN 180 5-_�O - -.----• DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oil PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFR TOTAL s. . I WORK IS COMMENCED -- 69,604 I i i i C11YOFTIVARD PLAN CHECK APPLICATION CRY TWARD PLAN CHECK COMMUNITY DEVELOPMENT DEPARTMENT offe" - +51.5 sw►W BN&P.o.Boy 2MQ7.rid,0MQ0n 9=(6M)eaw175 PERMIT # DATE ISSUED .JOB 'ADDRESS: /p(�c 1 j�-� I(r'h� TAX MAP/LOT 0); �- / h1 p V S� U SUB:_ bcye- 1 a,,,a LOT: _ LAND USE: �, '( �d VALUATION: , , ---:c , - SETBACKS: FRONT*� REAR: LEFT: R1�H�Sfs�T HEIGHT: TOTAL AREA: WORK CLASS: r l J� ^ . 1,, , �. USE TYPE: ,:5- F FLOOR LOAD: � 1ST: CONSTR TYPE: {EAT TYPE: _ 2ND: OCCUP GROUP: LIWELL/UNITS: 3RD: OCCUP LOAD: NO BEDROOMS:_ i BASEMENT: NO STORIES: NO BATHS: GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING; REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: LAST REISSUE: EUS TAX: FIRE DEPT. : FLOOD PLAIN/ -� CALCULATIONS: OTHER: SEN LND.: TRUSS DETAILS: PARK-ING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: OTHER: COM?fENTS: AC`.T — DESCRIPTION AMOUNT OWNER 10-432 Buil dla.g Permit Fees NAME: 10-431-600 Plumbing Permit Fees , ADDRESS:_ — 10-431-601 Mechanical Permit Fees 4 '� ;Z) 10-230-501 State Building Tax '3`.x`77 10-433 Plans Check Fee = "u t f $ -'Z PHONE: 30-443 Sewer Connection (20x) $ 30-202 Sewer Connection (80X) CONTRACTOR 30-444 Sewer Inspection - NAME: ��/� �� ', L1L(-,C .51•-448 Street System Dev. Charge (SDC) : ADDRESS: a X 1 91 '52-449-610 Parks I System Dev. Charge (PDC) s t a52-449-620 Parks II System Dev. Charge (PDC) ,n _ 31-450 Storm Drainage Syst Dev Chrg(S:"DC) s � - PHONE: ��y - �� 10-230-505 TRFD (95%) 10-435 TRFD (5%) J _ ARCH/ENGINEER 10-230-506 Washington Cour, y, Fire /1 (95X) NAME: _ ��NV 10-435 Washington County Fire #1 (5%) � ADDRESS: 10-220 Amart/Wedgewood - - �- TOTAL � PHONE: -""- �� PREPAID �s 7- RPC # 73 BF LANCE DUE A P P TsZr,7* Received By- Date ReceiNed: