14845 SW KENTON DRIVE 1
I
i
14845 SW KEMION DRIVE q
CITY OF TIFA RD CFIYOFTARD OCCUPANCY
PERMIT . . . .. . . . I ms T 9e-0107
COMMUNITY DEVELOPMENT DEPARTMENT13W68WHWlBWd P.O.BOK23397,TOWX mo
23347, (5W)4"75 \17�
0 --- -- 7'
A—.1plirlij a . .I __
PARCEL:
!,,:I T E ODDRESS. . . a 148415 GW VENION OR ZONINU: W-7
EjUpt).tV Y SI ON. . ASHFC,RD OAKS 3
Lol . . . . . . . . . . . . . a I too
lJF WORK. oNEW
OF USE. . . :SF
OCCUPANCY ORP- 03
ULCUPONCY LOAV122i�
TENANT NAME, %
ftqmarq(sv PATH I
Uwrs P r: ---_'_
JA'i MILLER
f-11c1 Box 23p91
OR 9728A
Qs 684-7543
Contractor
JAY MILLER
PO BOX 2 S291
TMARD OR WEAL
pl,cly-le *,.,) (,84-751
ft e y 0. . A 30 109 bktilrijng hereby 1jiven, emd vertities
Uccupmncy of ttle, aNbOvP f"efOv fcjr� the group,
the c.,j)mpjjarjr th,i Btat@ Of Uregon SpecialtY (�OdOs
_e wit
and use uncey, wtlicti the Yeferericmci PPT-mit wags 'sv;-tp("
Nt•' JIF"PEC,
FIPF' I)EVIARTMENT
1AL1.11-DING OFF�IlAll.
CONSpjj',UOUF.s PU4 '.
1
�nseECTIOg i�arici;
City of Tigard Wullding DE:partaent f y'
13125 SN Ball Blvd. Tf.gard, Oregon 97223 (A
Inspection Line (Rec-O-Phon x,:,-6_39-�4�175 Business Phone: 639-4171
Inspect Lon:
Footing Plbg. nderalab Mech. Rough-in �ppr/Sd-lk
Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sew3r Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hach.
Date Reque
ste
d:_.. / C; _(i -Time: AfS PM
Address' f�-o--F ---- �1Ld�Ll1L. Permit
Builderi
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IRC
Inspector(/T�T natal 0-
_J"PROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call For Reinap.
�SP�CT�ON NOTICE
City of Tigard Building Deparent
13125 SN Hall. Blvd_ Tigard, Oregon 977
Inspection Line (RPC-O-Phcme)r 639-4175 Puniness Ph �639-4171
Inspection:
Footing Pllxj. Und-selab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poot/BeAm Struct. San. Sewer Framing -bldg
Poet/Beam Mech. S!sin Drain Insulation !-�✓)
Plbg. 'inderfloor Crater Line Gyp. Bd. `Mech
Dati ;,4, //jested: �� ��-, Times 11N PM
Address/-// Permit I:
Builder: r„�� t'i�+.� • / �� 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: __ -- Dater��/
APPROVED DISAPPROVED ^� APPROVED SUBJECT T() ANNE
Call For Reinep.
i
INSPrui f1IC$
City of Tigard Building Depertsent I
13125 RN Rall Blvd. Tigard, Oregon 97223 �� �
inspection Line (nee 634-4175 Business Phonds 3p
Inspection:
�._�_.___
)Otin9 Plbq. Undersiab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struc:t. San. Sewer Framing -Bldg.
Poet/Ream Nec'n. Rain Drain Insulation
-Plumb.
r—
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requec�ted:
//1 �2 Timet 1—�_AM PN
Permit 1!�.-0 7
Address:._ �
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Cec
IIA
zh vj
-- 1
Inapecto Date:
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Rsinep.
INSMCT�ON NOTICE
city of Tigard Buildit►g DepartAbe'nt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Pho : 639-41-11
Inspection:-
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Cao Line FINAL:
i
post/Beam 9ttvet. San. Sower Framing -Bldg.
) .
Post/seam Hoch. Rain mInsulation -Plumb
Drain ��-_ —
Plbg. Underfloor Water/Line Gyp. Bd. -•Neth..
Timet TJi PM
Date Requestedt—
- L/ i Permit
Addreset
e-1
Builder: 1— =----.THE FOL.I.OWING CORRECTIONS ARE REQUIRED:
I
nspector Date:
APPROVED hT"APPROPED APPROVED SUBJECT TO APADVF
call For Reinsp.
�j,�CTInN,NOTICE: �j�pnf.
City of Tigard Building Orman 972
Ba11 Blvd. Tigard. 3171
13125 4175 Bus'
Ph n
Inspe tion Line (Rec-n-phO11s)s 639-- —�-----
-_-__ -`�- Appr/rdwlk
inspections // Mach. Rough�n-/
Plbg• Underalab <-'
outing FINAL=
P
Ga. Line
plbg. TOP Out 31dg•
Found. Freaking
Ban.
^uct. r+yaer. -Plumb
poet/Beam St: Insulation
Mech Rain Drain -Koch.
poet/Beam OyP_ Bd.
Nater Line AM PH
P1txJ• Underfloor _--T�s _,----
Date Requested:__ __- /, ,r_ permit
pddressv�� --'-'-
Builders
INO CURRECTION3 ARE REQUIRED,
tNE FOLLC W ---
• 1
Dates
Inspector: a DTSAPPppVED pppRWED SUBJECT TO ABOVE
pPPR3VTD __-_-- _.__--_
call Far R�insp•
r
FSPFCT'M NOTICE
'n, City of Tigar•S 'tailding Oepartn"nt
�, �YU'� 13125 SSP Hall BI*A. Tigard, Oregon 97223
/ �, Inspection Line (Rec-o-Phone): 639-4175 Business Phone: . 39-4171
Inspections, _ --- --
Footing Plbg. Underelab C M h. ouR qh-in \ Appr/Sdwlk
Found. Plbg. Top Out 'Gas Line FINAL:
Poet/Beam Struct. San. Sewer ( "iiraminq -Bldg.
Poet/Beam Hoch. Rain Drain insulation -Pludb.
Plbg. Underfloor Water Line Gyp. Bd. -Necls,
Date Requesteds -3e _e7 -—_ ,_Times AM PH
Add*rees:_17j -7Ly�L__ (� Permit is � ` i�C✓ 7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-r
Tnepectoc•s Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO Ar WE
Call For Mrinap.
iNSPECTLgN_NOT IgE � J
City of Tigard Building Ifepartnent t// .01
13125 SW Ball Blvd. Tigard, Oregon 97223
Inapection Line (Ree-O_Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in g Appr/Sdwlk
Found. � Plbg. Top Out J Cee Line
FMAL:
Poet/Beam Struct. San. Sewer
Framing -Bldg.
Post/Ream Mech Rain Drain
Insulation _ply.
Plbg. Underfloor Hater Line Gyp. Bd.
-Hoch.
Date Requestede. �_� Z_
TimI PM
Addreea:
Permit ?�
Bu i lder•
THE FOLLOWING C*RRRCTIONS ARE RRQUIRRDt
Inepe_ctor:
Dates
1[ _APPROVED pJSATPROVSD APPROVRD SUWgCT To AgM
__--Call For Reinsp.
I�
INSF /PION NfiTICE {
City of Tigax-d Building Department i
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection: --.-----
Footing Plbg. Underolah Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
r.Mt
em San. Sewer Framing -Bldg.
-plumb.ssonnss
-14ecis� Rain Drain Insulation -plumb.
gJ.bg. Undarflc � Nater Lina Gyp. Bd. Mach.
Date Requested:_ 7- Z'_ C, -- _Time: AM __PK
Address: .s Fermi:: #:--
TRE POLL0WIING CORRECTIONS ARE REQUIRED:
Inspect r•___C._
_APPROVED DISAPPROVED T _ ).PPROVED SUBJECT TO ABOVE
Call For Reinap.
I
1
r
INSPECTION NOTICE
City of Tigard Building Dcpartaent
13125 SW Hall Blvd. Tigard. Oregon 97223
7nspection Line (Rec-O-Phone)t 639-•4175 Bustness Phone: 639-4171
Inspec
r/Sdwlk
Footing Plbg. Underslab Mech. Rough••in A PF f
y�
Found.. Plbg. 'Top Out
Gas Line FINAL:
-Bldg
poet/Beam Struct. � n. Sewe�
Framiaq
G� Insulation -plumb.
Poet/Beam mech. Raln Drain
� GYP. Bd. -Nech.
watai_t `�
Plbg, Underfloor (I
c
Timet AN PH
Date Requestadt__. y<—�
L�,L J '
am_ _ Permit
Address:
Bul-idert_
THE FOLI.OHING CURRECTIONS ARE REQUIREDt
Dal-fl:
Inspector -- —
PROVED --
DISAPPROVED APPROVED SUBJECT' TO ABOVE
APJ_ --
Call For RainaP•
1Nsr GTi� _N• '� /
city of Tigard Bulldiuq GeparUoent 1
13125 SN Hall Bird- Tigard, oregon 97223 l
Inspection LLr.i (Rec-O-Phone): 639-4.175 Business Phones 639-4171
Inspect Lon:� _
1
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
round.
Found. Plbq. Twp Out Gas Line FINALS
Poet/Beam Btract. Ban. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain
Insulation -plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Times �11N _PK
'gate Requesteds __Times
�—y
Address: /�O '7 i9t Permit
--�
Builders
THE FOLLOWING CORRECTIONS An RNQUIREDs
Inspector ----------__----�
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
call For Reinsp.
CITYFTIGAR ® /,
D
'lam
COMMUNITY DEVELOPMENT DEPARTMENToRmooa MASTER PERMIT
13126 SW HWI Blvd. P.O.Box 23397,TOM,O"Von 97223(03)638-4175 PERM11' #, . . . . .. ^ MTI;2-0101'
DATL 1:-,-AjEi).
SITE ADDRESS. . . : 1484L SW KENTON DR PARCE1-: 2S112CB--AOI,'-,,
SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING: R-7
BLOCK. . . . . . . . . . . L.bT. . . . . . . . . . . . . : 150
BUILDING -------------------------------------------
LlNljhjAc�.
WORK. :NEW
TYP-1E OF USE. . . :SF FLOOR AREAS REQUIRED
FYPE OF- CONST. .5N F'I RST. . . . -970 sf* LFFT. . : 10 ft RIGHT. : 11 ft
OCCUPANCY GRP. :R- 5ECOND. . . :8F,/i s f FRONT. :20 ft REAR. . :20 ft
S I URIES. . . . . . . ..2 THIRD. . . . :0 5 f R'EQUIRED---------------------
HEIGHT. . . . . . . . .. ft TOTAL_-- •..: 18--4 S f SMOKE DETECTORG. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 91886 PARKING SPACES. . :0
Remar-ks : PATH I
-31NKS. . . . . . . . . . : l FI-OOR DRATNS. . . . !0 BACKFLOW PREVNTRS. . :0
LAVAJORIES. . . . . :4 WATER HEATERS. . . I TRAP'S. . . . . . . . . . . . . ..0
'ruB/SHOWERS. . . . m-3 LAUNDRY I RAYS. . . I CATCH BHSINS. . . . . . . iO
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE rRAPS. . . . . . . :0
01SHWASHERS. . . . : 1 WATER LINE (ft ) . - 1130 OTHER FIX-CURES... . . :11,
13AMNNE 94K': i I R R I IN
----------------- MECHANICAL- --------------- FEEC-3
!-"UEL UNIT HTRS. . :0 t ype 44MOlInt by date r e C:p t
/GAS/ VENTS . . . . . :0 TIP' $ 1380. 00 JLH 06/15/92
MAX INPUT:0 B TU VENT FANS). . : 4 BPRT $ 4013. 00 JLH 06 1!1 112
FURN LOOK . . il HOODS. . . . . . : 1 BPLC $ ii65. 85 JLH 2 7951,
I 00p, . . :0 WOODS TOVES. :0 131.3pc $ 45 JL.H 06 1 t)/14L -
, L9OR FURN. . . . sO CLO DRYERS. : 1 SEDC $ 280. 00 JLH 06/15/92 -
130IL/CMP C 3HP:O OTHER UNIl'S.-O PARK $ 50O. 00 JLH 06/15/92 -
GAS OUTLETSi I MPRT $ ,x,9. 00 JLH 06/15/92 -
f1wn P-.-- -- - -- --- - -"' --- MPLC It 1). /15 ,11-H 06 1!:/9 -
JAY MILLER M5PC $ 1. 95 JLH 06 1';1/92 -
iJ(3 AID,: 23291 P 1�,1 1 $ 155. 00 J LH 06 1` 9
7. 75 JLH 06/15/92
I' IGARD OR 972,61
i-,hcme #: 684-7543
JAY MILLER
,�') BOX 23291
IUARD OR 916?81
-11-ioile 684- 7543
Req :30101)
306q. 775 TOTPL
his permit is issued subject
ject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Itisp Fireplace Insp
applicable laws. Ail work will be done in accordance with approved Vlost/L-aam Stt-,.tc-t Gas Line Insp
ulans. This permit will expire if work is not started within 160 -Jost /jppam mec--ban Ins1.tlatiori I n s v
days of issuance, or if work is susuended fv more than 16f days, PIm/i.inds lab Insp Gyp Boar-d Insp
PILM/Utidet,fl aor R-Aill dt^aifl ITISP
11?111m i l t P-P S i flylat echanical 1:iisp 14,4tpt, Line Insp
Plumb Top OLtt f4ppr,/SdwIk Insp
s s 1.t ed El v I f- i-amitiq lnsp Mec,tI A 11 1
(-',a I I for i ii spec:.,t i on 639-4175
SEWER CONNECTION
CITYOF tfGArRD PERM I I-
COMMUNMY DEVELOPMENT DEPARTMENT OFTWARD I-'ERt IT *. . . . . . . : SWR92-0212
crri7- -
13125 SW HWI Blvd. P.O.am 2M97,Tolud,Oregm 0?=MMYOW4176 0410M ! ATE ISSUED. 06/15/9i?
SJ TE ADDRES1r;- 1-+845 SW KENT-01\1 DFI�
SUBDlVlS1O"- - - - -' ASHFORD OAK�j 13 PARCEL:
BLOCK. . . . . . . . . . . 2Sl '2Cq—n0150
LOT. . . . . . . . . . .. 150 70NING: R--7
,rENANT NAME. . . . .
USA NO. . . . . . . . . . :
CLASS OFFIXTURE,
WORK. . . :NEW UNITS. . .
'IYPE OF USE. . . . . :SF OWELL I N6 UN IT'S. .
INSTALL TYPE. . . .]bUt-WR NO. OF BUILDINGS: 1
.)
Remarks : PATH I I11PERV SUfJF'ACE. S f
Owners ---------------
J ----------------------- .........
AY MILLER FEES'
�-`O Box 23291 type amount Lly (late
PRMT $ 1goo. 00 j
LH 06/15/92
"'(3ARD OR '37281 1 N 53�P s 315. 00 JI-H 06/15/92
�-'hc:ne #" 684-7543
.01'"trac.'t o r -------------------------------
:ONTRACTOR NOT ON FII.-P
Phone ---------------------
Reg #. . : $ 1935- 00 TOTAI_
This Applicant agree: to comply with all the rules and re ------- REQUIRED INSPECTIONS
of the Unified Sewage gulations
Agency. The permit expires lea days fro$ SewerInspect io,
the date issued, The total amount paid will be forfeited if the
Permit expires, The Agencv does not Pusrantef the accuracy of the —-------
side sewer laterals. If the sewer is not located at the 902sureepnt
j1he'd ,
n: thein1tallPr shall prospect 3 feet in all directions from
distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer, Permit and the Agency kill install a lateral.
4=
Isquecl Sv: 6�
Call 'L!t- ihsgeCtiDrn 639-4175
ftlkhlli�
1TY0FT1
��RD
Oregon
-
PL Ma r NCF
ERM rCOMMUNITY DEVELOPMENT DEPARTMENT rcwrriRp PERMIT #13126 BWHWjBlvd P.O.B=M97,Tipd,Onpon07223(6i!e3W171, OM
. MST92-0107
- \-
Dr4 I S.iIlE'la
ITS ADD,,_r�r E3G , . : j.4a45 SW VJ-NTQN.,r)R - 06/1`;/92
:31."D I V I S I O I. . . . : ASFII i IRD OAKS .s y ,
FARC;EI_ s 2'911c.ft3•-p171�4i
Flt_OC'P:. . . . . . . . . . s ___ LO1.. . . . . . . . . i ;(CI Z.ON I(,{G s H•-•7
CLASS OF+WORK. rlr--.•w _.._ �:_�.:_:_.`
TYPE t?�. CAFTFIpG DIS'POSALS. .
LIST• . . . s SF
OCCUPANCY
,.ACII XCTU!P_IRAFNSC-Y_GRP. .
RP. . s_�......._. ._ WA`HING MACH . • . . . . es 01
BACKFLOW PREVNTR S.STORIES. . . . . . . . rFLOOR DRAINS. . . . . . . rRAPs„ . . . . . . . . . . . . .
WATER HEATERS
LAUNDRY TRFYa. . . . . CATCH BASINS. . . . . . .
.:s N{%TO. . . . . . . . . 31 . . . . . . S= RAIN DRAINS. . . . .
rIVARIEr. :4 ]THER FIXTURES. . . . . GREASE TRAPS. . . . . . . .e0r7
J'UB/cHOWCRS. . . . s SEWER LINE
WA trR (:l._(ltlF_:P5. . 13 WATER LINE (ft) . . . .
U1:iF•1WAr31`{k'RC,. . . , s 1 RAIN DRAIN (f't ) . . . . a 1.k"IQI
10
Remarks ! PATH I r . .
OWNFRs
TAY MILLER
Fell BOX eae-91 TIF E 1380- 00 _JLH 0H/15/9u _.__•.___-
SPRT $ 409. 0Q1 JLH 06/15/92
TIGARD OR 97281 BPl_C $ . 85 JLH 06/03/92 227955
Phone #s 684-7543 B41jrPL $ :_'0. 45 JL.H 06/15/9;? -
,SDC f ..80. 00 JLH 06/1x/92 _
Plumbing Conn,rasOtar;--___.__.,__--�_.._,__ PARK '500- 00 JLFi 0Fi/1■r/�32 -
MPRT :.39. 00 JLH 06/13/92 -
NaIIIes_ ? MPLC f
'x
c.: �• r . 75 JLH 06/13/92 .-
1. 95 JLH 5/92
Y'
' 155- 00 JLH 06/15/92 --
ps I-tihone�l a !. 75 .JLH 06/15/c)2
+ i'tis permit is is9,aod <iubjec:t to the r,eg_ REOUIRED INSPECTIONS -- -_._
ulatiOns contained in the Tigard Municipel Foot/found Ins
Code, apl State of p , specialty Codes and ,a11 F'ost/Plasm Str,.ret Wate►`Pain ciLine InInsp
ather appl i e arf+l e l AW5.
All wark will Ire done Frost/Seam Mjji � eehan
in arwcordance with appy^nvryrf sp
t}e►~snit will expire it work ipinot • atar•ted Plm/undslarb Ins Aecra Mechanical
Insp
FLM/Underfloor p Mer_hanical Fi.rrarl
USP4'in 1FJ0 days of issuance, Or if work is Mechanical Ina rlUmb F'inail
1iu< perrde�I t nr n pr•e than 180 days. p Building Final
Pl!smb Top Out Frosion Contra t
Framing Insp Crawl Drain
Fir,epja1r..e InPp
/
Gas Line Insp
�� _ 1ns�.1lration Insp
rr._a..__ t _.__.._._. _ _ G
Im ing Ontrar_tor Signaat .Ire Yp Board Insp
-i z ed P
Contractor NotQsj Call for inspection - 639-41.75
Ow *w so It s" ooseo ' 4o jcKwA 4ir
Permit No. {a _
J
CITY OF TIGARD - TREE REMOVAL PERMIT 0&V7
A CUP: OF THIS DORM MAST EE CLEARLY PORTED ON SITE OFt I!N THE POSSESSION OF TBS
PERSON RR?lOVING THE TREES DURING ALL TREE REMOVAL ACI'IVITI7RS.
1. GENERAL INFORMATION �
PROPERTY ADDRESS / LOCATION uN
�y S� K TL.� CJS
T 1 SU ro}hf
mks,� ZONING
TAX MAP AND TAX LOT NO. L
PROPERTY OWNER * jay Millor Bldr. Inc. SIGNATURE _
ADDRESS P.O. BOX 23291 Tigard, or PHONE; - 4 -
CITY Tigard Oregon _ ZIP 97123
APPLICANT • Jay Miller_ SIGNATURE _—
ADDRESS P.O. Box 23291 _ c� 4--7543--
CITY
--7543CITY Tigard, Or i _ ZIP 223
BUSINESS NAME Jay Miller Builder Inc.
* When the owner and applicant are different people, the applicant must be the
purchaser of record or a leasee in possession of written authorization frau the
owner or an agent of the owner with written authorization. The owner(s) must
sign this application in the space provided or submit a written authorization
with this application.
2. REASON(S) FOR TREE REMOVAL New Hatw Const-reaction
3. RELATED LAND USE APPROVAL CASE NUMBER (if applicable)
4. Please attach a photocopy of a tax map or site ,plan to the back of this form.
A larger site plan may be submitted if necessary to adequately addrese the
proposed tree removal. The site plan shall show:
1) The location of the subj,%ct site
2) All proposed or existing structures
3) All easements, dedications, streams, wetlands, etc. . .
4) All trees over six inches in caliper size, meenuLed four feet above
grade.
5) Basic identification of tree types (common names).
, .
bS,00
j"►Iwt w x POO 2191,TO 4 Gr V"l v
"1""450 ..
_ LIL2 Sw K.,T,.. Q_ ��•
LOt S {rhF J i't� �7.i•. TVn gig
IZ�
'w tL
r V'
.4 T '4� (• f.'vr / —141 (v�����ti,�' �
to 4 1 e
!F
•I"✓t,,L
be 11cbec
4fe ch,
' bpl` �� win vc fuil'1
40
4ev ev AQP 1,cc-
Sttvtl Ct(V
�' ►� Cl
1
bio cr,kvla ` C �Nll(L
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ig.l�V e
It N� �)f��te��
I �av,u ✓�c,Uaf rf
�_ r. —'3i•.'� _
x.S. Willeve! div✓�
ts' c7d /,-gg cal y 4 ---v et5� u '�' 1
it
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k,L 11
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bass : 14 a eco
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f�ltS � GL1C7q�
F (IN4 5i ucl
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rC)
CITY OF" TIC-:iARI) _. RP.CF I PT' OF F-"AYMENT Wr IRT NO. 992-226495
NAME s M I L.I_.F R CHECK AMOUNT MOI.JNT tt753. 'lam
ADDRESS o PO BOX 1.132291 CASH AMOUNT 0. 00
PAYMF14T DATE' : OE+/15/9r:�
TIC3ARD, OR 97`A1-- SUBDIVISION
IPURPOSE OF PAYMENT AMOUNT PAID PURPOSE r
___ _ l RPp,.yE L1f" PAYMENT' AMOUNT PAID
RUII_.D1N-G F'ER.M._ 409. 00 -
I="l_UMA I NC^PF RI,1 ---,._._.._.. ._..
MECHANICAL. RE': 3�). Vla� o, 1�0`. 00
PLAN CHECK F F. ST. BUILD PER 5n. 15
SEWER INSPECT 25. 60 SEWER USP
00. 00
fIJ
l�PARKS STSX5. 00 RF.SIDENTIATTRAFFIC 'f-j-S
MASS TRANSIT TIF' FEES, ��h. 4QSTORM TRAIN SDC E0.
�O
100. 0k) ..18!70. 00
I
IL GT 1 aka ASHFORD CIAKS I I I
14845 SW KEN'TON DR
ITO1'nl.. AMOUNT PAID _. _ - > - �
I47;53, �'..,
.. .... .w....+.-.—�......._.w.•..•-......,,-..w--.-•--.-.-•^mqRt n'e+n"�, T' ,��'fi"�� q.•..- _ _. _ ..., -.........Yr.+�ryvMy�+u
CITY OF T I LARD - RECEIPT OF PAYMENT REC E-C PT NO. :92-2,27955 <+
CHECK AMOUNT a 250. 00
NAME a M I I.L.E P, JAY CASH AMOUNT a 0. 00
ADDRESS
PAYMENT CA'TE a 06/03/9P
SURDIVI1.iION a
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PURPOSE Or- PAYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT PAID
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LOT 150 ASHFURD OAKS I I I
I 14845 SW KENTON DR
t TOTAL_, AMOUN-'r Pn 11) 250. 00
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