14976 SW KENTON DRIVE F*-,4Awa a ar
r
i
14976 SVI KEN704 DRIVE __
CITYOFTIFAR. D
CrEPTIF ICATE:. OF
AID
COMMUNMY DEVELOPM►:NT DEPA I o i m OCCUPANCY
531268WHWIMY .P.O.Bm23397,T4W1,Or� m 97723 t6C3� PERM IT #. . . . . . . 1 .1"��T9 1
v.:,'+ 71
+tz;I'TE ADDRESS. . . 3 1.4'f %r 3W KENTON DR PARCEL.- 2'G118CS--AO138
SUP-DIVISION. . . . . A► -)NFORV OAKS 3 ZONING: R-7
i'LOC:F:. . . . . . . . . . 1 LOT. . . . . . . . . . . . . 1138
MASS OF WDRK. 1 NE'W
TYf'r7 OF USE::. . . I SF
OCCUPANCY CRF, a R3
OCCUPANCY L LAD 3::'25 4
1 E-114ANT NAME. . .. c
Rein tr k�sE
Mc`.1_11:N WAYMI RE.
rare JAOX 2 1 'C4
TIGARD OR 97;.-!23
Photfe #e • 639 -674c.'
MELVIN WAYN I RE.
PO BOX ."'31164
TIC3raRD OR 9722.3
i-,hranea #: (n39.-674,---,
I l e y #. . 3 35'.)/76
Occupancy of the —bovv r-�' ;hrenc:erl bLi. Iding is hereby given, and c-ertifier,
f1,�o compl. ianc_a with th o 'jtafrr, ()f Ot-*1Zjc,: r,paaialty Codes for the group,
oc;c,uFrATIV.Y, A.-id k,se finder vihic.'h the referer.red per-mit vja!5 issued.
F'T RE DE^P"PTMCrd C 1. t- I h 6+1 -'Ff 1 ClR
PHIL DING i:1Fr rail
POST IN r '01%-)P'.CU0US PLACE
,�NS�E�T�OII NOTICE
City of Tigard Building Depart3sent
131.25 SW Ball Bled. Tigard, Oregon 97223
Inspection Mic (Rec.-O-Phone)s 39-4175 Busin.,es Phone: 639-4171
i
Inspection:
Foot Ing Plbg. Und lab Nech. Rough-in 4� AppriSdwlk
Found. Plbg. Top Out Gas Line PINA :
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfl('a- Nater Line Gyp. Bd. -.Hoch.
Date Re ueat A t _ / ! Timet AM PM
y .��1 -- '- - -
Address: /' e? '7'�' '�-� Permit ft -zj
Builder
THE FOLLOWING CORRECTIO I ARE REQUIRED:
J
Inspecto . ti C. Dates�S
PPROM DISAPPR rt) —_ APPROVED SUBJECT TO ABOVE
Call For Rainsp.
IN' ECTION NOTICE:
,{ City of Tigard Building Departt
� ) 13125 BW Ball Blvd- Tigard, Orec*on 722'
4 Inspection Line (Rec-0-Phone)t 639-4175 Business
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Tap Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Reath Mech. Rain Drain
Insulation ui
Plbg. Underfloor Water L:ne Gyp. Bd. ` N ��
Time: --AM
PH
Date Requested: _ -/
Address: _ permit
THE FOLLOWING CORSE C ARL REQUIRED:
-- Date:T ��L�--
inspector: —
.APPROVED DISAPPROVED APPRnVRD SUR.IEC'T TO ABOVE
Call For Reinsp.
INSPECTION NOTICE C)
City of Tigard Building Department
13125 SR hall Blvd. Tigard, Oregc..: 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171 1
Inspections_
Footing Plbq. Underslab Mach. Rough-in (F Appr/Sdwlk
Found. Plbg. Top Out Gas Idne FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor .-? Water Line
Line Gyp. Bd. - ech.
Date Requested: •.-�'✓ / ._Time: AM PM
Addreas:--r�- ! �'/(,(, ����_ Permi: # i/ D �l[/
Builders���l��
- I
THE FOLLOWING 06RRECTIONS ARE REQUIREDt fF
CC
T -AL
L--t Cb- L L=- w 100, I
Inspectors �.. ��L l� 7 •! _ Date: _3 I 'i APPROVED _-- DISAPP D PPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTIgg /`r
City of Tigard Buf.ldi-ng Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O.-Phone): 639-4175 Busineas lhone: 639-4171
Inspect ion:._ --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sen. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Kiter Line `p.Bd. -Mech.
Dane Requested: _ _ J � - -Mimes %/�_AN _--PM
Addrasee��Z 767- L Permit f
Builders� L� 11.1 __..._ '�"'` � � '(0
THE FOLIOWINa CTIONS ARE REQUIRED:
1
t
�tt
Inspectors _--._-__..____ Date:
"----__APPROVED DISAPPROVED - APPROVED SUSJFrT TO ABOVE
Call For Reinsp.
IN6PECTI N ICF
City of Tigard Buildinq Departaent
13125 Sit Hall Blvd. Tigard, s)regon 97223
Inspection Line (Rec-o-Phone), C-39-4175 Bus knees Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in ��Appc/Sdwlk rj
Pound.
Plbg. Top Ot,t Gas Line FINAL:
post/Beam struct. San. 5ewes Framing -Bldg.
Poet/Pearn Mech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gvp. Bd.
-Neth.
/ --� �M nN
Date Reyueeteds�..�l�. Ti,41CJ✓r� -----
t� l ri
Address: Permit 1 s
_ � --"'
i
Bui-Ider ,LL/ � U O —
JHE rOLLOWINGCORRECT ONS Af.E REQUIREM k
w
�r
n C LTJ, l,.rlY1,'TII�
j\r144.. - 1.�ii
7 6 w �viL�. 'ZXI
1 _ i
1 Q C '
{ 7 1
..—
lr L L'
//
�1 ) �l
L nepeator s__ .� I ZL C....I1./( Da"z.
. - -'
AppRMD DISAPP4VdD APPRGh:6D SUBJECT To ABOVE
Call For Reinep.
n
tiv
3
INSPL._._CTIQN NQT+�71 r
Cl.ty of Tigard Building L"prt�97223
ot
13125 ON FAA' Blvd. Tigard, Oregon
Inspection Lina (Rec-(• 0,,.)ne): 639-4175 BgOlOena Phone: 639-4171
Inspection:_,_
. Underelab mech.
Rough-in Appr/fdwlk
Pouplting �
Plbg. Top Out
Gas Line FINALS
Found.
Framing -Bldg.
Post/Beam St.ruct. San. Sewer: _—
In„ -Plumb.
Poet/".,Am Mach. Rai' Drain � ..sv�1Gat'icN- �
i
Gyp. �� -Nech.
plbg. underfloor Mater Linty !+
TL. PN t
Date Requestedt,__,
Addreea:_
i —
Bullder:
11tg FOLLOWINGCORRE/IONS ARF. REQUIRED:
Date:3
,f .
Impsotor t
APPROVED APPROVED SUB.TKCT TO ABOVE
�APPROVED DIS --
Cell For Reinsp.
i
i
INS
CION OT�CM
City of Tigard Hui.Iding
Department
Hall, lid'B Ti ard. Oregon 97223
13125 �9_A171
Lon Line ( hbne): 639-4175 Business Phocips 4
-0-P l(
Inspect Rem --,
Inspect ion: Appy/ScSwl k
plbg/Under ab Hach. Rough-in
root i-ig F I NAL
Plbg. Top Out Gas Line
Found. Framing Ban. Sewer -Bldg.
p,et/BOAm Btruct. Rein Drain Plumb
L-eulation �
poet/Beam Mech. -Koch.
Gyp. Bd.
plbg. Underfloor Water Lind PH
�C� L�c77
Date Reque't•dt_�--
Permit #t /
Address$ 1
guilder:
I
I
THS 'TIONS
CORRg^'TIONS ARE RF.t3UIR8Dt
DAte:-
Inspector t
APPROVED
DISAPPROVED APPROVZD BUBJRCr TO ABOVE
Call. For ReineP-
ir
s1Rff MEA'INA
City or Tigard Building Dgyrkaent
13125 SP Ball Bled- T'9rd, Oxon 97223
Inspection Lino (Rec-O-Phon0 t 639-4175 Bueineee Phon 6 71
Inspect ion t -----
Footing Plby. Underalab / M
h. Rough-in) Appr/gdwlk
plbg. Top Out �Gas Line a
F INAT.t
Found.
Rost/Roam Struct. San. Sewer
Framing -Bldg.
post/Beam Much• Rain Drain
Insulation 'Plumb'
pltq. Underfloor Water Line Gyp. Bd.
-Nech.
t C 2 —PN
TLoes
Date psquestedt_
permit �t7
Addremes.— �
Builders
TH$ FOI.LOWIMG CORRRCTIONS AR:: F=UIRRDt _--
Dates
Inapect,rs _ ,
� APPR(IVI�
APPROVED sUB.TSCT TO ABOV1
DISK
all For Reinsp•
INS TCEP ICONN_ 0_..T_ICE /
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
2 f+ni F
Type of Inspection A.M. Q.M.
7 i � Time Q _
Date Requested_.1— 7 Z
e,w _�_�_____ Permit #_
�4L r��✓_
Address _ Lot # ------"-
Owner —
/++ /G !c____-- —---
Builder _. 7� — _-
o be corrected:
-file, Building Co le deficiencies are required t
r_ _,c_.---- _ _— — -
l r
pproved
presented to Disapproved
nspector �—
�j 6
Date — —
CALL FOR REINSPECTION
[] yE_S �� NO
of T qi and g,,i.ldin9p 223
city -lgaphone:rd, OVOI 639-41'71
�il'i
13125RNBM 41.75 Buei.•-
InePection Line (Rec-O-pj639-
�one):
-- Appr/Sdwlk
Inspection: mech.Flbg• Underalab Rough-in FINAL:
booting Gas Line
Ylbg• Top Out
_n ldq•
Found• ' Framing
7,;,m
StruC Ban Y -Plumb.
oat. Beam L _ / insulation
---' -- in D
_Mach.
ost/Bea:° Neches Gyp- Bd•
Nater Line
--�`
AM �---•—PN
Timet -- -
na e'"fequsetedt_ pelyit t:�
Addresst_
Bu
SCTIONS ARE RSQUIRSD, 1 �-
THF CO
_ Datet
InspectorPJpPPROVRD BUBJSCT 10 ABOVS
APPROVSO _�-_-
DISAPPRCVRD
Call For RpinsP•
I�pEGTIQi NOTICK
City of Tigard Building Depart220nt
13125 Mf Hall Bled. Tigard, Oregon 97223
Inooec:t:on Line (Roe--G-Phone',: 639-4175 Business Phone: 639-4171
Inspxtion:_ _. -.— ------ ._—
Footing Plbg. (,ndec..:'!r Mach. R,)ugh-in Appr/Sdwlk
Found. Plbg. 'Pop Out Gas Line FINAL:
Poet/Beam Struct. ewer Framing -Bldg.
i
Pos Bgpm Mech. Rain Dra Ina.,lation Plumb.
d .- y Water L}.ne Gyp. Bd. -Mach.
ate Mequaated:, L�.�l/ _Time: AM —PM
Address:_ /L �w f J Permit f:_yl
Builder: —
THE FOLLOWING CORRR ONS ARE REQUIRED:
i
(
N
A
Insper_tor:
APPROVED _— DISAPPROVRD APPROM) SUBJECT TO ABOVE
Call For Rainep.
INSPECTION !gTLC-S
City of Tigard Building Depart—t
13125 SN Hall Blvd. Tigard, Jre9on 197223�ZL
Inspr*cti.on Line (Rec-O-Phone): 639-4175 SueLness Phone: 639-4171
Inspection:
Foot.'.:►q Plbg. Underslab Mech. Rough-in Appr/Sdwlk
r Plb Top out Gas Line FINAL:
ound. 1 9-
Poet/Beam Struct. San. Sewer
Framing -Bldg.
Post/Ream Mech.
Rain Drain Insulation -Plumb.
-Mech.
Plbq. Underfloor J NaGyp. Bd.Water Line �.,
_AM ,._PM
Date Requested:
It
Address:
[Builder:_ �1
—d-v FOLLOWING COAR L'TIONS ARF. REQUIRED: --
J
f
Date:
Inspector:_
APPROVED DISAPPROVED APPPOVED SUBJECT TO ABOVE
Call For Relnep.
i
-----.--.- -- MASTER PERMIT
MST91 �1.i�?1 0
TIS'
1/92
� CITYFM Ciff TWA PERM
MENT nr�-ri` Ic„uED:
COMMUPIITV DO TOW, OEPA t�
a,2�sswwrts�aP.o.eao�M97,l�.or.v�^ r_-ARCEI_: 2511�CB �,c71 F3
NING: R-7
S7, (aDuRE55. . . • 14976 SW I�.EI`ITON UR -__ _._
alTl OAKS 3 : 136 ___
SUBI?i V 15i0N. . . . . ASHFORD OT. . . . . . . . . . . • • _. ______----_ _ , . . Sf
BLGf: . . . . ” ':__ --- .. _._._ -- BUILDING PASC.lhENT• • : . . . . . :418 sf
DWELLING (JIJI"f:�: '1. GARAGE.• • • . _._.__.
,-_ "A`(HS:3 ,SETBACKS--"-
REI1'�SIJE : BEDRMa•4 -_.__ REQUIRED-ED ft RIGHT. : 13 ft
GLOSS C,F WORK. :NEW FLOOR AREAS -- s f LE c T• • :�, fi l;
US . . :5F :899 FPONT. : ?V� ft REAR. . :;�7
TY{'F. OF FIRC;'(. . . • :871 �sf ___._
EYP'` OI CONST , :aN ,FCOtJD. . • REOU I RED•-___.___- :Y
Y GRP. �P3 ;0 st
OCCU(-'ANC THIRD- • • 17'70 aMOI''.E pCTf-_'CTC1R: .
5T(3RIFB. . • • • ' " ,-5 Ft !"UTE+I_ _- 38944 F'ARKINC, 5F'ACE5. . �� -- _
r R LORI). . . . :40 Psf ________- _-
LL1.a :0
Remar^ks : __- ---___._.__._.__ P'L.UMBING BACKFLOW P'RkVNTF!S. : :0
. 1 (-L OOR DRC+1.N5. • - - .0l TRAP'S. . . . . • • . . . . . :�Z'
;;,It,►1'.5. . . . . . . . " . WATER FIEATERS• • CATCH BArIN5. . • . . . :0
TORIES. • . • • .4 TRAYS- • • S TRAPS.
LAVA -, LAUAJDRl' (ft> " :0 GREASE ;iTi
r I_ItUE FIXTURES,.
TUB/,HOWFR5. . . • aE61ER CJl'H(-R
WATER CLOSETS. • �� WATER '-,_IhIE (ft :' . : 100
D15HWA`;HERS. . • • RAIN DRAIN (1 - . a� - FEES -__.____-----__._
o(ARBAGE. DISP'. . • SF- RAIN DRAINS. . _.____- - r.,ecpt
- clat�?
WASHING MACH. • . : 1 _.._.._.__.____._._...__.__. tYPe amount by
ML-CHAN I CAL - Vi l/1-7/92 -
_ UNIT HTRS• . :0 TIF" 12,80. 00 JI.H 01/17/9
FUEL TYPES- VENTS • • • • taP'R7 400. oo JL. 1���89
� FAhda. . :4 DLC '� '60. 0f1� JLH 1: /c::�/91
/GAS/ / / VFNT -
PTLI ; 1 . X1171 JI_.I-1
01 / 17/92 _
MAX INPUT : " 1 HOODS. • • • . . BF;P'C f -
F URN ( 100K W(jr)r)riTCJVE`a. 55D(: '80. 00 it-.H 01/1`7/92
• ;1J JLH X11/17/92
CLO DRYERS. 1. . �� -
Uf2N ) =100K s�, P,ARV, $ 9. 00 JLH 01/ 17/92
FLOOR FURN. . . OTHER UNIT5:0 MPRT $
ix0IL./CMG ( 3Hp°0 CTAS OUTLET S: 1 --_ _ MP'1-C 4 _ 15 JL-H 01/ 17/9=
_._ 1 . q5 JLH 01 /17/92
___ ___._____._ ( pI�T 4 1 40. 00 J1-11
(]caner
Mk-:l-V IN WAYM :.F2E P JFIC $ 7. 00 JLH 0l 1 17/9
V.O pf7X ;'311G4
r 1 r_,ARL) OR 97 ;='3
0T1e #: 639'-6742 ___-'•_
C o n t r ac WtlYM 1 FIE" .-. _-
11ELV IN
[.(:1 p1,,))( 231164
1 1 CARD OR 97223
{ lions #: 6;�"-6742 3037. 70 TOTAL
Feu e „ : 359`76 __._..__.._ RE oU I RED I NSPECT I ONS -
+he Fireplace InSL'
ect to the regulatiol); contandeall other Foot /f0"" Insp Gas Line Insp
This peralt is issued sub) ity roved Post/Beam 5tr'-kct
post /peam Mpchazn InsoIStian nspF>
iigard Municipal p11�M State of
beedoneeinaaccordance with app GYP Boat-d 1
�pplirable laws. pIm/1.tT),jslab InSp
e an 160 Clays. P'LM/l.lnrJer-floor, Rain sir ine Insp
u�a s. This perait will e 0
i e if work is not star d within
or if wor4. is cusp ed for MpclraTiical InSp Water- Line Insp
days of issuance, Appr-/5dwl.k Ins(.
P'Iumb Top Out Mechaanic.:al Final
{''er^mittee 5iTln8t ` Fr amit"q
Insp
I<::1;1_iecd BY � ect i cin - 62,9-41 .,
Gall for^ insG►
— -- - -- GF:WER CONNECTION
A� G-E Rr41 T
N
C' OFT'� MY ilA1RDP'ERMI'T #. . . . . . . . SWR91-023c'
� .
COMMUNRY DEVELOPMENT DEPARTMENT MOM I
nA'rE i"_,S3lJFU: 01121/9
13125 SW wi&A P.O.Bam 23397,TOM,0"M
FAFi^•E:l...: 2S 1 12CB--AO 1 8
ITi ADDRESS. . . : 14976 SW KENTON DR ZONINU� R-7
SUBDIVISION. . . . : ASHFORD OAKS 3
BLOC: .. . . . . _' LO_._.. __-138.________.______________._.._______.__ .._
TENANT NAME. . . . . : FIXTURE UNIT'S. . .
USA NCI. . . . . . . . . . : DWELL I NG UN I TS. . : 1
-LP S OF WORK. . . :NEW
NO. OF BUILD 1 NGS: 1
TYF't.- OF USE. . . . . :SF I MF'E=RV SURFACE.. . : : s
TNF TAI._L ;vpE• . . . :BUSWR
pzmarks:
owner: ____.____ ________...._---.-___.____
FEES _____........
type amn�snt by date rer ,�t
i+lL•'I_BOX WAYMI231 164k PRMT $ 1900. 00 JLH 01/17/92'
F'0 BOX c;?1 164
IfJSF' $ 35. 00 .TI_H 01/ 17/9;=: -
TIGARD OR 9'i,='23
F'hrone #: (�39-E,74,--
GOh1T RACTOR NOT ON FILE
$ i 9,,.T5. Q10 TOTAL..
1'hvne #:
, : REQUIRED INSF'EC:TIONS -- ---_
This Applicant agrees to comply wit;' all the rules and regulations fewer inspection - �of the the Unified Sewage Agency. The permit empires 180 days from ___ _.._.__.___..--_-----_-• - -
the date issued. The total amount paid will be forfeited if the
permit empires. The Agency does not guarantee the accuracy of the _ _____ --- ---- -- --�
side sewer laterals. If the =ewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance I'll", If not so located, the instal shall purchase
a "Tap and Side Sewer" Permit and th cy w' i stall a lateral. _�-----
/
F,p r,m i t t e e
I s s i_r a d B y c
Call for inspection - 639--4175
1
_;7i-67
PLUMBING PERMIT
-- CITYOFTIGARD My no PERMIT #. . . . . . , MST91-0210
COWUNITY DEVELOPMENT DEPARTMENT an ic DATE ISSUE'): 01/21/92
13125 SW Hop Skd P.O.Sea 23397,TlWd,OreW 97 (509)&0-4176
I�_ RUUHL5b. : 114111C, .iW KLNIUN VH
SUBDIVISION. . . . z ASHFOf`tE) OAKS 3 ZONING: R-7
BLOCK. . . . . . . . . . i LOT. . . . . . . . . « . . . : 138
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . 11
TYPE OF USE. . . iSF WASHING MACH. . . . ... . 11 , BACKFLOW PREVNTRS. 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 10 TRAPS. . . . . . . . . „ . . . t 11-1
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . It CATCH BASINS. . . . . . .. :0
FIXTURES_____......._._.__._._ LAUNDRY TPAVS. . . . . . :0 SF Rr4IN DRAINS. . . . . : I
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . a4 OTHER F ! URES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . -O
WATER CLOSETS— :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . - 1 RAIN DRAIN (ft ) . . . . 10
R e m at-k S r
OWNER: ------------- FEES--
MEL.VIN WAYMIR5 TIF $ 1380. 00 JLH 01/17/92
PO BOX 2,11 f64 BPR-r s 400. 00 JLH 01/17/92
Spi-cl, * 26 LA. 00 JLH 12/23/91 221089
1 'GARD OR. 97224 015PIC $ 20. 00 JLH 01/17/92 -
0hone #s 639-674E f3SDc $ 280. 00 JL.H 01/17/92 -
PARK $ 500. 00 JLH 01/1.7/9,2 -
PIUMbing MPRT $ 39. 00 JL.H 01/ 17/92 -
MPL.D $ 9. 75 JLH 01/t7,/92 -
NA me m5pc $ t. 95 JLH 01 17/92 -
Ad d r e s% v PPRT $ 140. 00 JL.H 01 1 7/9c.' -
City : d. St at 01 P N P C $ 7. 00 JLH 01/17/92 -
Reg #:
REQUIRED INSPECTIONS
j 1-his hermit is issued subject to the t-eq- -
.Alations contained in the Tigard MmnJcipal Foot/ Fol.ind Insp Rzkin drain Insp
Code, State of Civ,e. Specialty Codes and P,ost/Peam Gtruct Water, Line InSp
other- applicable laws. All wnt,k will be done Post/Beam Mechan Appr 'sdw1k Insp
in accordance with appi,oved plans. Thif PlM-/,AndslAb Inst-,) Mechanical Flivinl
per mit will expire if work it.; not, started FILM/Underfloor Plumb Final
within 180 days of issuance, ov- if work is mecharlic....11 Insp Puilding Ficial
su-,peTided for more fhAn 180 days. Plt.imb Tcvp Out Fv-osion Control
Framing Insp Crawl Drain
Fiv-e Iace 11!3sp
Gas line TTvqjj
Inst.tImition Insp
Board Insp
Plumbing ContFactor 'Si gnat W-P
Call for inspection 639-4175
Contractor
"Y
fs �ri
aw e G1 TY OF T I GARD — RECI~I P7 OF PAYMENT.. �� ENT itE"CE IF'T NO. o 9P-2Pr 1 A9
j CHECK AMOUNT 0 -472f!!. 70
NAME WAYM't RE, MEL CASH AMOUNT 0. 00
j A1)I)RFSS F:,HYMEN-l. LATE s 01 /;i'1 P
SUBDIVISION
I f
i
i
PURPOSE OF PAYMFN"f AMOUNT SAID PURPOSE: OF PAYMENT AMOUN"" F"SAID
i
BU I L D I NO PERM 400, 00 G't...UMA I NU (.)Eklvl 140. 00
ME.CHANIC:AL. FSE: 35. 00 ST. BUILD TIER 2.8. q5
PLAN CJWCK FE 19. 75 SEWER USA 1900. 00
tiE:WE;h INsi:-EC''T 35. 00 FEE'SIDENTIAL TRAF'F IC.' FEES 1180. 00
PARKS SDC 500. 00 9 TORM DRAIN G)DC, 2Ao. 00
M14SS TRnNSIT TIF FEFS 100. 00
5
I
LOT 138 ILMFClhl.1 (:IAKa 3
14976 OW KEN ON DFS
TOTAL.. AMOUNT PA I D - w -) 4722. 70
I
;�w 1
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C I'T Y OF (I SAND RECEIPT OF PAYMENT RF"C.E 1'PT NO. 191—a21089
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