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MCTUN NOTI�'.E
City of Tigard Building DeparI t
1317.5 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lino pec-O-Phone)z 639-4175 Business Phones 639-4171
Inspections.
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
found, Plbg. Top Out Gas Line '�11 FINALs
Post/Bjam &trust. San. Sewer framl7RJ -Bldg.
Post/Beam Hoch. Rain Drain InsulatLon -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hach.
Data Roqunateds
^? Times _AH PN
Addreass
Builders _ ik
THE FOLLOWING CORRECTIONS ARE REQUTREDs s
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Inspuctors `s A Dates
APPROVED _ DISAPPROVRD APPROVED SUBJECT TO AROVE
_Call Por Re.lnsp.
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CITY OF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT %}r i'r'£:. I�3`SUEZ)�: r1Y 1 1;
j 13125 5W Holi 81vd.Tigard,Oregon 97223.8199 (503)830.4171
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Ur WORK. . .t. V 7"l„�.)L){t f'tlls;'.�. . 1�_a�i��i�' (., l_E:Rxr,
7 YID lel~ LIGE. 9F UNIT HEAT£ RG. . : VENT FAN! . . .
0CCllr'1ANI'..�\' GRP, u : R3 VL''NT 5 w/J far+l'L: VENT SYS FEM S:
S i OPIES. . . . . . . . .0 BOILERS/COMPRESSORS HOODS. . . . . . . r
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NO. Or-' 0 I R H(aNDL I NG UN I T5 OTHER UNITS. :
r,URN { 100K Z TU: (- 1,21000 IIJA i UUTLE.:T i. : 1. ry'
FUR14 BTU: } i.0000 tto:
Herrnark•:,: RE LPCE tura°,:3 1._iNL-,.
Llwtier,o -_._�. .. __._._._....,_. . ... . . _._._....._... ... ._... _. .....__._ ... . .__..._ _ . _... ... FEES
L:,l 0RUE. E. VEL?•SIZLP t 1; try date t"eecp l- gra
11955 3W KING ,JAMES C'L PRM 1 � �.�;. 00 ,7H 09/15/93
14:1i`,1f f :TY OR
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OWNER
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"is permit is. Iss-�ec :".ttJect to the regulations contained in the ;..J nu Ina W
Aard Mvticipa. CCde, State of Ore. Specialty Crrdes and all other 17: i o a 1 i n=.peet i a ri
applicable laws. All work wiii be done to accordance with
apprcved plans, This pet,m:t will expire ,f work is not Started
within. l6� days of issxance, or if rlo,-k :s stisperied �'er ccre
___.....
a�,3n IN days. _._.___...._.._..__....._.
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CITY OF T I GARll RECEIPT F T OF PAYMENT RECEIPT F T NO. »9::,- �'•44�.1
CHECK AMOUNT , '6. 25
NAME, EVFL,IZER, EVELYN CASH AMOUNT 0. 00
ADDRESS 11955 SW KING JAMES FAL PAYMENT UAT'E. 09/15/93 i
SUBDIVISION
KING CITY, OR 97224-
PURPOSE OF PAYMENT W OUNT PAID PURPOSE. OF PAYMENT AMI)UNT PAID
CHANICAI. F -15 1 ��rll FE
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OAS LINE PERMIT
j TOTt i1_ AMO!R IT PAID . ..• ... -> P6. 25
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