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10250 SW NORTH DAKOTA STREET-1 APPROVED FOR CONSTRUCTION I TUALATIN �IALEE`= FI MARSHAL OFFICE CITY CSF T10.,A RD APPROVE© . . . . . . . . . . . . . . . . . . . 9 � f�,, COiVnI T ZONALLY APP';�OVED . . . . . . . PERMIT �i(J __ �Irt ADDR�.� AJ O J_rAs�_1VPQ k APPROVAL OF PL4NS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHT;,. B TITLE �� �+7�L ` :SEE LETTO . . . . . . I MC-I 1 r'►'' 1( rp 71 Ilp" `, r i 17Q -- J y'►1 C D x S u 4� t- �L7 C'� / �� Va 1 ', �� �j't,s l.''s'1- 2.A 10 OT �. -- �tLty�: .JGi�T I� 'IOC, • „� rrl.)tS ft, Te � la ss �Ivx I.� �Z r � �A� ��+ r Sol . ,� It i Ic rt�te`11N�►T 14 CG'L1A�N � N t�lC,j ttT -Tb s 1 1.•�]1'�.�''L ��� �\��G'�j,1 �1'� ' "`fir ka 1 t' nt.'r"� �f�R C.v�u�1 • i SCALE: VIM I APPROVED BY: /� BRAWN BY DATE : REVISED I c.;Z5-1 SU_l N(-*i."Tµ N)#ktc,aT+A- 1.�::�';::'r.�,;::� #::i Ial I'��(::11=Y°..l..I...I �•� ::���•�-' `•::i .�_ 2�3 .I ("F, .1 DRAWING NUMBER 11 X 17 MINTED ON NO. 1000" CLEA11MINT• � ,� � �_._- • _ �'4 � ., y ! •�^ ,. i.0 a A, �.� .` .' r. .z�.... �: .r1,T- ,r, �' ... •,.,.'.'._, -. ...' .;...,�,.wd..- __"i"-�a+.+-� �.-rm+ .,.;y,��;.r � _ _.�! ', .Yr';r�i �°s�._. ... _.� --r�...�n+.l....u-:.._.. . . _ -. -. .. "�Y."kms � �� � •j1 Irk 111 I � ill Ilr III 11 1 � 1 111 111 'I�'1 111 11 1 1 t.�I � II I� I�'1111 l i 1 I 1 1 1 I I I I I 1 T � I I I i 1 I 1 I I I I I I I I I 1 I r I r I I r i I � I r I I l I I I r r r r11 ._ . ,,,,�,�._ _.. � �-. � =-�'�"�'"" � � ...� f I 1 1 I � I S I i -�- 1 1 1 I i ill III I I i 1 1 1 III III 1 1 1 III 1 1 1 11 1 III ill 11 1 t l N NOTE : IF THIS MICROFILMED Z 3 4 5 7 8 9 1}0 11 12 DRAWING IS LESS CLEAR THAN THIS NOTICE TT IS DUE TO THF QUAL I'f Y OF THE ORIGINAL - DRAWING. OF 62 92 LZ 92 S2 bZ EZ ZZ IZ OZ 61 91 LI 91 GI bI fl ZI II 01 6 9 L 9 s b E Z 13001 " '" ►!Ililil11111111i1111111111111I�IIIIl11111 1111�1IIIIIIIIIiiIIIIII�l1I�I�I1111ri111��IIIIIIIIIIIIhIllhittltill 11111111111111111111111111161111111111111III�ilI1�IIIIII111�I1iL�1111111111111111111�111,1 !l1I111111�11111111111111111111)� 1111111 lIllU��Ill�Illl�ll�l�Iill r MAY 7 1992 - - 10250 SW NORTH DAKOTA STREET 1 b +1 0 x b n .0 4-1 I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ Framing/Coves —_ Date Requested! 4/24/89 Time xx — A.M.� P.M. Address 10250 SW North Dakota W -0H59 F ermit #._____ Owner_ Oswego Drywall Lot #_ Builder ' .. j�--" The following Building Code deficiencies are required to he corrected: 1,7 Presented to Approved Inspector _- Disapproved Date CALL FOR REINSPECTION F-1 YES (-] NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date RequestedrTime_. A.M. P.M. Address/G%�1�G`I �� LJG iPermit Owner Lot # Builder The following Buil6ng Code deficiencies are required to be corrected: Presented to .__ _ _. [ Approved Inspector - ❑ Disapproved nate - - -- L CALL FOR REINSPECTION 0 YES [] No .,wi�}. - ..: i ♦t y:.:....y,;hu�VYMw�.wwari?WWMLYay �, ®� CONSOLIDATED FAND RESCUE Fire Washington County Fire District No.1 City of Beaverton Fire Department Tualatin Fire District FIRE MARSHALS OFFICE (503) 526-)2469 POSTED: OCCUPANT S-revc CONTRACTOR BLDG. PERMIT 0 PROJECT NAME PLAN REVIEW it LOCATION —; r V./ JURISDICTION: 1= Be. 2= Du, 3= R.C. 4= Ti. 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLIOW-UP/REINSPECTION ATTEMPTED FINAL. C1 Framing El Separation Walls Sprinkler System Shaft FJ Fire Dampers (OverheadlUnderground) L__1 Alarm System El Hood Extag Systems � Conference Spray Booth Ceiling Cover Other Date: _ Inspector: -T telt # sr s t tiR f� f: t TUALATIN VALLEY FIRE AND RESCUE FIRE MARSHALS OFFICE 4755 S.W.Griffith Drive * P.O. Box 4755 v Beaverton,Oregon 97076 • (503)526-2239 April 19, 1989 Dave Buckner Oswego Drywall Installers P.O. Box 1623 Lake Oswego, Oregon 97035 RE: BSA Tenant Improvement 10251 S.W. North Dakota Street Dear Mr, Buckner: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of the Uniform Building Code (UBC) , Uniform Mechanical. Code (UMC) , and the Uniform Fire Code (UFC) , as amended by Washington County Fire District No. 1's Ordinance 86-1. Plans are conditionally approved subject to the following items: 1 . Exit Door Hardware: All doors shown on the drawings must be openable from the inside for immediate exit at all times without the use of a key, speciAl knowledge, or effort. UBC Sec. 3304 2. Exterior Exit. Door. : Hardware for the exterior doors and key operated deadlocks may be permitted where there is a sign posted on or over the door reading, "THIS DOOR MUST REMAIN UNLOCKED Dt'-RING BUSINESS HOURS" in letters not less than one-inch in height on a contrasting background. URC Sec. 3304 3. Firestopping: In all wood framed walls and partitions, firestopping consisting of ? -inch nominally-sized lumber or other approved materials must be installed at all floor and ceiling levels. Penetrations in this prescribed firestopping to accommodate wiring, plumbing, and other similar utility runs must be packed with noncombustible materials in an approved marnrer so as to prevent the passage of flame. UBC Ser.. 2516 4 . Automatic Sprinkler Plans: Plans referred to and examined by this office contain no provisions for the alteration or installation of automatic sprinkler. system. Not less than three sets of plans for the installation shall be submitted to this office for approval prior to installation. UBC 302(b) � � � tr• � 1• t ttr• � Dave Buckner April 19, 19139 Page 2 5. Approved Plans on Job Site: One set of approved plans bearing the stamps of the Tigard Building Department and this office must be maintained on the project site throughout all phases of construction and must be made available to �)uilding and fire inspectors for reference during required construction inspections. UBC Sec. 303 6. Inspections Required: Inspection and approval of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. UBC Sec, 305 7. Certificate of. Occupancy Required: Prior Co the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the City of Tigard Building Department. UBC Sec. 307 SPECIAL NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY KITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE:. APPROVAL OF SUBMITTED PLANS r.S NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-COMPLIANCE WITH ANY APPLICABLE RE GUi.ATIONS OF LOCAL. GOVERNMENT. I.f 1 can be of any further- assistance to you, please feel free to contact me at 526--2502, Sincerely, Gene Birc il.l Deputy Fire Marshal GB:kw cc: Tigard Building Department ✓ 11111111111FAILIIIIERALMIIIIII mim"Al CITY OF T'GA 11 IXENL.-, PEMM1T cr � Vor..".PKET NO . : BUS901359 RD yi0,;FLM IW C) COMMUNITY DEVELOPMENT DEPARTMENT (C 13125 S1W Hall Blvd..P.O.Box 23391.Tigard.Oregon 97223.(503)6394175 - 0411 . W1004-Wili Al'.)UPE:55 : 102,150 toW NOPT11-4 Inx MAI*,11.111 1. !ii '11. '.45 C;D t"MO 50u: V AL UA11:ON: 14 io , 0 SK I rs0(:,KSi PEAP : A00,11,10IN OWEL L. .1.1NJ:T5 P10,1-IT : TNDUS'l PT AL. NO . EMA)POCWS : WAL I CIUM'Vill' : VN NC.) EWIT'l-Ki : W !;I : )»: : W 1'1.41x'1 .0 VIE.N1 N L-PS 11 1. OAO N W TOTAL. Ar4EIA: NO . 5 1 1:41 E5 1.£3 I' : 1:4.)OF LAJNST1' cell»: PE."r? r.'NL) P 0 0 AVIE.0) NO l'-4ATED: U."A l!'i 1i:ML N'1"'? NO 0CA.;UV' . !iii PAR`? NO PA'1'1::'.D ; Nr? Y ri,.!;I 13ASE:M' 'T (34 I.-OAD - 0 L."A 1.4 A1;,:,. 4 El., WRI(I-pl? YF.71!► At APM? NO FLOW DF.''I'EX,I NO iiiiialiff*Ailh I'l i'0 I 1-11.A"K DY: Nl::JiAPl0;i T rt I.vo I.,:i.c)r i4.cI It I 1 1,:1 to r1 PIi;­.l.S!:il.JE. OF, NO . pl-rop. LAST PEJ51SUE 0 W Ca , 11180 . 50 N 10;150 Sw mul- I'll Dlaltutm. St (IN RE*VJA:.W V.lp .33 E R If :11.(J Rt I`CI OR 97PV3 1113p , F20 I) I L'. I AX ilt-l . 02 C 0 DAVIII) 1-4 N T OklYWAI 1. 1:Wi V AI 1. Ii.R":; R A o y 1. C 111:1 9,1031e1 P 14.;:1:)AT D < $13.1. 153 T 0 I­+I('.)NL ( ,503) 6.�Y- t'1169`1 R NO AL. $8 1 .5/".:'. I This permit is issued subject to the regulations contained in Title 14 PECLALF"T NO . of the TMC. State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances, and it is hereby 111 1 1'.PU 1'.) 1:N! T DN G agreed that the work will be done In accordance with the plans and c1r.AM specifications and in compliance with all applicable codes and i'(')M.I.NG ordinances The issuance of this permit does not waive restrictive A ll..A'11 I ON covenants Conti-actor and subcontractors shall have current city business tax permits.This permit will expire and become null and P 130AVI1:1 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 l I N 1. commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Issued By L.4- I till Li4Sl!t (IN 639-441. P.1i SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE eas CITY OF TIGA RD OREGON April 18, 1989 David R. Buckner Oswego Drywall Instaliers P. O. Box 1623 Lake Oswego, OR 97034 Project: B S A Office Addition, BP 890859 10250 SW North Dakota St. Dear Dave: Plans for this project were reviewed for conformity with applicable codes, and are approved, subject to clarification or inclusion of the following items. 1. Glass in relite adjacent to the Conference Room door shall be tempered safety glass. 2. Submit plans for extending the automatic fico sprinkler system to protect the new construction. If any changes or additions will be made to the plumbing or mechanical System, please submit plans showing the changes. Separate permits will be required for any such work. You may get the building permit for the project at your convenience. If you have any questions, or if we may be of assistance, please contact us at any time. Sincerely, )i! J a ' Plane Examiner I 13125 SW Hall 81vd.,R0.Box 23397,Tigard,Oregon 97223 (503)639-4171 - ■r is �r ar. n CITYOFTIFARD "tel !'LAN CHECK APPLICATION CRY OfTWA PD PLAN CHECK M C- COMMUNITY DEVELOPMENT DEPARTMENT PERMIT d y D S 9 _ utz5S.w.KABlvd,P.o.Box un7.Ty.�oRy«,vrm.(543)6"Al75 OHTE ISSUED JOB ADDRESS: / J =-o 4,;r'1•nir- T TAX MAP/LOT S SUB: _ _ LOT: _ _ LAND USE: J� -- VALUATION: ,8� OWNS=R SPECIAL NOTES NAME: r!_�, / ,� l ,�t� Yn��►7T REISSUE OF: — ADDRESS: 10R1ct+7R "�T LAST REISSUE: _ `iilaanr<< JR4 n� FLOOD PLAIN/ SENSITIVE LAND: PHONE: �- APPROVALS REQUIRED CONTRACTOR PLANNING: -- NAME: k.1 )121% 1A f,Li- 7k1STALL 4kIL2 ENGINEERING: ADDRESS: . I b23 __ FIRE DEPT 'LAVr- OTHER: PHONE: FASic ITEMS REQUIRED LIST/SUBCONTRACTORS:ARCH/ENGINEER BUS TAX: _ - NAME: CALCULATIONS: ADDRESS: TRUSS DETAILS: PARKING PLAN: _ LANDSCAPE PLAN: _ PHONE: OTHER: COMMENTS: VAI Z PERMIT # ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees •5n _ 10-431 00 Plumbing Permit Fees — _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building 'fax (5X) Building Plumbing Mech 10-433 00 Plans Check Fee �•�S Building Plumbing Mech 30-207 00 Sewer Connection 30-444 00 Sewer Inspection --_ _.- 51-448 00 Street System Dev Charge (SOC) 52-449 00 Parks System Dev Charge (POC) _ 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) - 10-230 09 TRFO 10-230 OG Washington County f ire ill (95X) X0 10-22.0 00 Amart/Wedgewood APPI_TCANT SIGNATURE - Pece ived By: Oate Received: cn/3587P/18P 1 Permit No. SP 88--2.09 CITY OF 'TIGARD SIGN PLRMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 10250 SW North Dakota ZONING: NAME OF BUSINESS: British Steel Alloys APPLICANT/AGENT: Norris Peterson COMPANY: Oregon Sign Corp. PHONE: 233-9971 The City of Tigard imposes an annual Business Tax which must be kept- current on all persons doing business in the City. Do you preser.':ly have a current Business Tax? yes PROPOSED SIGN: (Check as many as apply) PERMANENT ( X ) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL ( X ) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 5' x 12' EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft. ): 60 WALL AREA (Sq. Ft. ) : 2000 -� WALL FACE: North _ HEIGHT (ft) : -- _ PROJECTION FROM WALL: _ 2" ILLUMINATION: YES ( ) NO ( X ) TYPE: COPY: British Steel Allis (with company logo) — MATERIALS: sheet metal base, yator foam logo, vin—TZ_1etters EXISTING SIGNS: rione i —�— ADMINISTRATIVE EXCEPTION: APPROVED [ ] N/A [X] AREA [ ] HEIGHT [ ) HOW MUCH___% COMMENTS: PLANNING DEPARTMENT All sign permits must be accompanied by a scale drawing Permit Fee: $25.00 and plot plan. If work authorized under a sign permit Receipt No: 101935 has not been completed within ninety days after the Approved By: MJM issuance of the permit, the permit shall become null Date: 12121 88 and void. FLFCJRICAI. PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE PROPERTY REQUIRED: YES ( ) NO (XX) OR AN AGENT(-AUTHORIZE0 BY THE OWNER. BUILDING PERMITS REQUIRED: YES ( ) NO (XX) Applicant' s Sigrlature Address Telephone 1722P loo wp�) CIO 2" ,LL 4t'l L APPROVED 1­)"' O.1( 1 f, n i 1 La 0 l �1 W ----------- 1 � I r— % 0 • • SI'll llSMIN ('.TTY OFTJOARD RE'CEIPT OF-- PAYINIENT PEC No t7i 0 10 1 CHECK' AMOUNT 00 NORRIS PE'TERSON CASH AMOUNT M) 0 R,EGRIN I G N MPF . Pf-iYMLNT DATE PO BOX 4'25 2.7 VLOGI:.. NCI/ADPf:,i qS-—70'� FIJF; TLANJC), C)Pc 7-2 C'Im` -in SW NOR TH 14*::UTA AMOUNT PAID PL IF 'E OF PAY'MEITT IVILILIN'T PAM) 1 "I rT.-Es 2"J.00 HEFTe'y CHRISTMAS! I. TO VAL f-0101-IN T PO 11) 00 prrt nGe..1k)1(-L.Wxh.S 4254 BUILDING PERMIT APPLICATION TIGARD DATE - -.'19-- �Q'��-:,',�>1 [HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED i VILNER ONEE ' • � OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFIGAI IONS. LOT NO. JOBADDRESS 1 ' .'. )rt )rikutd OWNER �1'�+3L1�C�. �`'Cdl1 — ARCHITECT ENGINEER BUILDER ?1fldB ':;C>. ADDRESS DESIGNER _ _ STRUCTURE ❑ NEW ❑ REMODEL 0 ADDITION _0 REPAIR ❑ RENEWAL L7 FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE D COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENC- OCCUPANCY LAND USE ZONE BLDG.TYPE _ FIRE ZONE PLAN CHECK BY ,i, HEAT _ A — SEWER PERMIT M — -- — OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.SED90OMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. 1 HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total __ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS —'�— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM NG AND HEATING. i State Tax SDC- Total - PDCN *PLICANTLOR-A�r- T By --I II— -- F Recelpt No. ADDRESS Approved __ DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ?T--P3 �?` r� ¢� _�� Cuntrector Permit No. Rough-in Fixture — --- ----- Final --_i--- --_ HEATING --- -------— -- --_--- Contractor Permit No. Cas or Oil — ----- — - -----------_— Rough-in---- -- --_ _—_ ._--------.—.------- Final 1 -- -- ----- ----_____-- — - ---- SEWER — ------- ------- ---- DRIVEWAY Final — — Sturm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach _ BLDG. DEPT.FINAL TEMPORARY 11`rICATS OCCUPANCY Final J — CERTIFICATE OCC.UFANCt — � ' Landscaping Zoning Final � � � �► I■r � st t E BUILDING PERMIT APPLICATION TIGAHD DArEI .__� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON4y 3.8S"S/ OR AS SHOWN AND APFROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER,PHONE FUL'@ - A � Y � � 54. LOT NCJ. :•:r,t A kujok,�ci C C'r����• �JoI�AnD�Ess 1DZ.S o FSU �or'� l��al��. ARCHITECT ENGINEER BUILDER /•,/ � h t �C) • ADDRESS dnC �r�t°" IT Xe •B V•DESIGNER STRUCTURE ❑ NEW ❑ REMODEL A_DO_ITIO_N _ ❑_ REPAIR C1RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION (I RESIDENCE COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT RAGE ❑ STORAGE ❑ SLAB❑ FENCE _ _ ch GiiPANCY .LAND USE ZONE —_.BLDG.TYPE ��_FIRE ZONE_—PLAN CHECK BY HEAT _ �`N� � ,� r,, e � .r • �,!� �, Y 'O( � �LVI�V�(.jr{,.y�CL'K fd -- -- N; F P 13 . -- SEWER PERMIT M _ -- --- OCC.LOAD FLOOR LOAD_ _HEIGHT - N0.STORIES _ AREA NO.BEDROOMS VP.LUE�C} jLKI BUILDING DEPARTMENT BET BACKS FRONT^� " '(jq1 REAR _ LEFT SIDE RIGHT SIDE_ Pormit �.�r THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'.NO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE elan Check �- 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 Sub-total l A 3'a RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tex SOC— Total .�< C • ` ` _ —�_�_________�_—�_-_ __�_—_._._ PDCN APFUCANTOPAGENT By Receipt No. ADDRESS _ PHONE Approved Roc — S SEWER CONNECTION $ //Ai rlt.r"�ea1QS IR fit " SEWER INSPECTION $ SEWER SURCHARGE _. r 'V l (0Tr '. � ��,. • :I .c • 4Se�s t';-r1„6 �i� F� P�n ep or T Ln�rrtmont ' .� �— -,17 - -- ---------- 017�Soii -Sic:�mCarp.. '6.BOX 42527 ' POPTIANn.0' j 4644S 17th �' P P 97242 , -1�01 SCAII of