11150 SW NOVARE PLACE 11150 SW NOVARE PLACE
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CITY OF TIGA RDmoLIMPING PERMIT
PERMIT NO. : PL8921.50
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O.IOON
COMMUNITY DEVELOPMENT DEPARTMENT \ TF ISSUED: 10/17/89
131251W Holl Blvd f'OBox...1.147Tigard,Oregon 97223.(503)639-417@ \ P IM.F'MT.NO. 892150
JOB ADDRESS: 11150 SW NOVARE PL_
TAX MAP/LOT SUP: LT: HK.:
I.-AND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ADDITION WATER CLOSET TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR 1
CONSI.TYPE: LAVORATORY TRAP PRIMFF'
OCCUP.-GRA'. : TUB SHOWER GREASE TRAPS
DISHWPSHER
GARBAGE DISPOSAL
NO.STORIFS: WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK, SEWER (FT)
WATER HEATER STORM/RAIN (F'T
OTHER
F'E�'MARKS:
II Lawn sprinkler bekflow device
FEES:
V Stacy Janet PERMIT $15.00
w 11150 SW Novare P1
R Tiqard OR 97223 FIXTURES
PHONE (503) 624--0258 STATE TAX $. '
OTHER
C
O I:EROQUIST EUGENE
7 CANYON PLUMPING AND HEATING
R 4905 SW LAUREL WOOD DR
C Portland Or 97225
T PHONE (503) 292-9229
p REGISTRATILN NO. 4219 TOTALe $15.75
RECEIPT NO. -7,
This permit is issued subject to the regulat.ons contained in f ltle 14
of the TMC, State of Oregon Specialty Codes,toning regulations REOUIRED INSPECTIONS
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done In accordance with the plans and FINAL
specifications and in compliance with all applicable codes and
nrctlnances The issuance of this permit does riot waive restrictive
-ovenants Contractor and subcontractors shall have cm rent city
Irnsiness tax permits. This permit will expire and become null Ord
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 ties
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
0
f'r rrn7SIgnawu'
Issued By ICA''L-FOR 101SPECrriVR 639 X14& --- _
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DF'SCRIBED ABOVE
eeeeeeet�lt�
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June 19, 1985 CITYOFTIFARD
WASHINGTON COUNTY,ORMON
U.S. National. Bank of Oregon
ATTN: John Wagner
Rels/Orego PL-3 Maduff �`
P.O. Box 4412 0
Portland, Oregon 97208
RE: Possible Code Violation ..
Dear Sir(s) :
The City of Tig,,rd has received a complaint that an apparent violation of
Section 7.40.020 - Noxious Vegetation exists on property under your control
at 11150 SW Novare Ct. in Tigard. Please be advised that it is
your responsibility ,Co maintain this property free of this violation. Your
cooperation in taking immediate action to prevent a violation of the municipal !?
code is appreciated.
For your information, the applicable code provision reads as follows:
7.40.020 Noxious Vegetation. The owner, person in possession or agent of
the owner of any lot, : -act, or parcel of land, improved or unimproved,
shall, during the monthq of May, June, July, August and September of each
year, cut and remove, and keep cut and removed therefrom and from tt•e half
of the street or streets abutting the property, all weeds, thistles,
burdock, ferns and other noxious vegetation, and all grass more than ten
inches in height, and all dead bushes, dead trees, stumps and any other
thing likely to cause fire.
Nothing herein contained shall be considered to apply to gushes, trees,
bhrubbery acid/or other vegetation grown for food, fuel or ornament or for
th,i production of food, fuel or ornament, providing that the health and
safety of the public be not thereby endangered by the maintenance of such
growth or vegetation.
Your attention to this matter is greatly appreciated. Failure to comply with
the code provision could result in issuance of a citation.
Sincerely,
William A. Mwis han
Director,
Community Development
(WAM:br/0460P)
12755 S.W. ASN P.O. BOX 23397 TIGARD,OREGON 97223 PH:639-4171 ��
C1 I Y 0{ T IGARI)
Code Enforcement Actio Request
Complainant:
Address:
Phone No. : i, 2,b-!22/_ Date Received__ �c7
Complaint:
_ Business ia _ Open Storage of Junk
_ Noxious Veyatation Noise
_ 14azard _ Dog (Animal)
Sign filling (Sensitive Lands)
Other
Explanation: 1--aAA
--
---
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Location- I�11c.� ��( P C4-.) 1 �L o
Z.
Tax Map: � _ L
Tax Lot:
Ac t i o n:
ti
64
Code Officer: -- --
( 1068P)
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INSPECTION NOTICE_
i
City of Tigard Building Department
f 12420 S.W. Main St.
j Tigard,Oregon 97223
Phone: K9.4171
Type of Inspes-tion — —
Date Requested--/ d /--/ — A.M._.C�_..P.M. --
Address , r` / J ) �C�� —J[ / it Permit #4�
Owner ZL�� � — Lot # !.
Bnlider_
The following Building Code deficiencies are requirer' co be correctece:
.2 s:al t
Presented to — _ (] Approved
Inspector _ Disapproved
Date z'��a.
CALL FOR REINSPECTION
Q YES ❑ NO
rev 14WW IW aw arME ats 2 AW 0 MW
CITY OF TIGARD Plumbing Permit
Building Department 3 7 ►
Residential El Commercial E] No.
New Installation Replace Addition [_� Alteration V
Licensed .10 Date
Plumber '-�Z _��i•GZti �� r',as.., Owner a r
Address �. �r .t: -..a--• -� ._�
-;_�. � + Job Address
Phone i�2�,/ Applicant
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
_ ITEM_ NO. FEE- TOTAL EM� - IT — �—
_ NO._ FEE _ TOTAL
r:F
Fixtures-Traps 7.50 Seweirst 100 ft. --
Dishwasher � � __,� 30.00_ _
- 7.50 Each Addit.100 ft. 15.00
Garbage Disposal 750 Ejector Pump __ -�
Water Heater ___ 7.5�
7.50 Water:First 100 ft. -
Backflow Preventer -------- 20.00
e_ _ 7.50 _ Each Addit.200 ft. _
15.00_
Storm&Rain Drairc First 100 ft. 30.00_
Each Addit.200 ft.._A 15.00 -_—_
Other cify):
Mobile Home Space 25.00
( --- ---�
Rain Drain-Single Fam_Dwelling - 15.00
PERMIT FEE - - �- Comments: _. ,' ,L /1> - ,f •�Ea�,
STATE % IssuedHecei
l
TOTAL. q c. 111, Applicant
For Plumbing In:,pection Phone 639-4171 s
ws xw ■r � ■r a ar er
BUILDING PERMIT APPLICATION TIGARD DATE_ "11 19 ,e �1-_ 4928
1'HE UNDERSIGNED HEREBY AP"LIES FOR A °ERMIT MR THE WORK HEREIN INDICATED BUILDER PHONE �4.9_7=
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.,_ 42
OWNER 3 U.g y jP't131. JOB ADDRESS - 1 iau ';W ':vvare Place
�iRYRTCUri ARCHIT=CT
�� ENGINEER
BNI�:DEFI `,i-sliumr LQi-UjtruGGio:l ADDRESS t;2N Sa 162nd DESIGNER `
STRUCTURE ❑ NEW_.__ RE OD L ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE: Cl-C6A11h ❑ EDUCATIOIGAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[! FENCE--
OCCUPANCY _ LAND USE ZONE ___BLDG.TYPE FIRE ZONE PLAN CHECK BY __ HEAT
_�. - onflaaf Plriait Nn. dastLLl��t�L_£icii�Il_hnuAgq.
, for any ueher infar, at ion LunS+ on PArt A"01 A120.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HFIGHT N0,STORIES AREA NO.BEDROOMS 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, AiID 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, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUEZ CONTRACTORS Ta HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax f) ,`
SDC
Tote! :?31)•25
—�-- — PDCM APPLICANT OR AGENT
BY (' I
Receipt No.
Approved _ _01114 ADDRESS PHONE
..1 M w
DATE INSP.I T/PE :NSPECTION REMARKS ^` - -! -- PLUMBING DATE
--7 �.-.- -- --- -- Contracts —
_ Permit-� y -[ ihG!f/
---- -- - Rough-rtt �1-7
Fi re 3�
F r
- --- -.�- HEATING
---- - - � Contractor
Rouph•m
Final
SEWER
�I Final
DR.VEWAY
Final
S-urm Drsinagn
(Rain Drain)Final
Sidevvelk
-- - Cwb&Street Final
— - -_ — ACProecfi
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTir"KATE OCCUPANCY Final
Land caping
n Zoning Final
i
41
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CITY OF TIG A RD
June 22, 1984 WASHINGTON COUNTY,OREGON
Malcon Eslinger, Receiver
8280 SW 162nd Place
Beaverton, Oregon 97007
RE: Possible Nuisance Violation — Noxious Vegetation
Dear Sir(s) :
The City of Tigard has received a comp aint that an apparent violation of
Section 7.40.020, Noxious Vegetation exists on property under your control
at 1.1150 SW Novare Place in Tigard. Please be advised that it is
your rear sability to maintain this property to avoid any likelihood of
fire. Your cooperation in taking immediate action to prevent a violation of
the municipal code is appreciated.
For your information, the applicable code provision reads as follows:
7.40.020 Noxious Vegetation. The owner, person in possession or agent- of
the owner of any iot, tract, or parcel of land, improved or unimproved,
shall, during the months of May, June, July, August and September of each
year, cut and remove, and keep cut and removed therefrom and from the half
of the street or streets abutting the property, all weeds, thistles,
burdock, fetus and other noxious vegetation, and all grass more than ten
inches in h -icit, and all dead bushes, dead trees, stumps and any other
thing likely r:o cause fire.
Nothing herein contained shall be consider!d to apply to bushes, trees,
shrubbery and/or other vegetation grown for food, fuel or ornament or for
the production of food, fuel or ornament, providing that the health and
safety of the public be not thereby endangered by the naintenb..ce of such
growth or vegetation. (Ord. 72-21 Art. 9 S2, 1972.).
Your attention to this matter is greatly appreciated. Failure to comply with
the code provision could result in issuance of a citation.
Sincerely,
William A. Monahan
Directo: of Planning and Development
12755 S.W. ASH P.O. BOX 23397 TIGARD, OREGON 97223 PH:539-4171 ------. -----
("ITY 0I TH;A1;1)
t.odv Fnlorcemc-nt Action Itcrquc--.l
Complaiiiatir
_ l
Address: —_11�LSi _L�.trs.l__
Date
Phone No. :— Received:
Complaint:
isus Tax Open Storage of Junk
`Noxious Veg. Noise
Hazard �--Dog (Animal.)
Sign Filling (Sesitive Laills)
_Other
Explanation:
t 1A L.Q
Of
Locat i n: _
' c!' _
Tax Map: lid Tax Lot:
Action:
10,V
Code O 1 I I t I :
as asLW-K4.R m W .ir a w M
INSPECTION NOTICE
City of Tigard Building Departrnent
1242.0 S.W. Maid St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested
Address ' y� �� Nai.�tZrQ -- Permit
Owner Lot -
Builder
The following Building Code deficiencies are required to br :. .acted:
Jj
_e-:;* lam' L� �( �'^� nL A
sentPd to ] Approved
Inspector _ ( } approved
1
i Date
CALL FOR SPECTION
YES ❑ NO
f
I
ICITY OF TIGARD Plumbing Permit ��
Building Department NO.
Residential �] Commercial [.� /�
New Installation ❑ Replace C] Addition E-1 Alteral on [] Date_14za4 7
ILicem-ed Shoemaker's Plumbing Macal P--. ,lopment
Plumber _— M-_ Owner _—
Address �,Q. x 250 Estacada, Oregon-� �ItS� w��� 'ce
Job Address 5TH-1to-e,n`e
Phone _____ 630-7728 — — Applicant _.__ Shoemaker's
_CITY BUSINESS LICENSE REOUIRFU FOR ALL CONTRACTORS AND SUB CONTRACTORS
I -- ITEM NO. FEE_ OTAL -ITEM NOq. FFEEEE_ TOTAL
Fixtures Traps p 7.50 7 5,UU Sewer:First 1 10 ft. 130 00
Dishwasher 7.50 EachAddit 100ft. _ 15.00—_ �T�41— — - --
Garbage Disposal 7.50 Ejector Pump T50
Water Heater 1 7.50 7. 50 Water:First 100 It. _ _ �l 2000. 20.00
Backflow Preventer 7.50 Each Addit.200 ft. _ _ 15.00
Storm&Rain Drain:First 100h.
—_ Etc ,Addit.200 ft_ 15.00
I _ _ Mobiie Home Space _ 25.00
Other(Specify): Rain Drain-Single Fam.Dwelling -- 15`00
I PERMIT FEE 110,00 Comments ----- ___ ------ -- - -.--•---- -- --
STATE 4% 4.40 Issued By:
Receipt No. Applicant
TOTAL _LL4_,40 - Signature
For Plumbing Inspection Phone 639-4171
t
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NOR
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BUILDIHG PERMIT APPLICATION TIGARD DATE.._..__ 1. — 19 4 "•'
THE I)NbEPSIC;NEn HEREBY APPLIES FOR A PERM II FOR 1 HF'PJORK HEREIN INDICATED BIJILDEH PHONC
OR AS SHOWN ANU APPROVED IN THE AGCOMPANYING PLANS AND SPECIFICATIONS. OWNED PHONE
LOT NO.
OWNER "" X iw-velXorY 140B ADDRESS .111.' " ''°'J t;oynro 'clr3ce -
ARCHITECT
ENGINEER
BUILDER _itl! C _ ADDRESS 1050,., .'1V0,P_VL'DESiGNER
STRUCTURE D NEW ❑ REMODEL L ADDITION_ ❑ REPAIR ❑ RENEWAL _❑ FIRE UAMAGE ❑_DEMOLITION
❑ RESIDENCE [.] COMM a EDUCATIONAL ❑ GOV'T F_j RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ --!-__LAND USE ZONE _i_ BLUG.TYPE _ �> ' _FIREZONEPLANCHECKSY t}�" t HEAT__
ti�plt?1.1'Ing w/yt* SC} r. , T' .7 1'Flt:li
-01,2n ALO
SEWER PERMIT#— A 1` t n -- t�AZ'19�7E° r r,
OCC.LOAD FLOOR LOAD HEIGHT 1 NO.STORIES ? AREA 3-3r)2 Nn.BEDROOMS VALUEv_
BUILDING DEPAH T%".ENT SET BACKS FRONT - — REAR 7': LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE C(Gr)ES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check •32 WOPIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
---'WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANLE OF THIS PEHMIT DOES NOT WAIVE
Subtotal_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REOUIRcD FOR SEWER,PLUMBING AND HEATING.
� . '�'
SDC- .11)0,00
Total
PDC# 1. 10 s _1 APPLICANTOR AGFNt
BY
r Receipt No.
Approved § - -- -
_ _ _ _ ----PHONE
I
I
al4 s aI1P s Itit� It. s
DATE INSF. TYPE INSPELTION REMARKS PLUMBING DA�7TE `t
Contractor `� '/
eAiok_q
Permit No.
L L7
/ r -- < Rough-in !'
2 r
Fixture
-� � � .rum - Final -
6— HEATING J�(Gthl
/ --i-- -- -- ContractorIH Q 36/,3 Z 3 3 4
If
Gas or Oil
Rough-in r Y
- - - Final - --_--
— ---v..-..--- ---- -- SEWER
-- - -- -- --- _ _ Final _S/,9-,9� .ZLS✓_ - _ -
DRIVEWAY
-- -------..-.. Final -------
-- c;orm Drainage 0,,--
(Rain
,,(Rain Drain)Final
&Street F'nal -- _
---- - _.-__-..- --- ----- Approach - ----
BLDG. DEPT. F! !AL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
(Landscaping
Zoning Final
BUILDING PERMIT APPLICATION T IGAa:) DATE._r 1g 4001
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN ,NDICATED BUILDER PH0NE6-j/-7fji
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED PHONE
C:'1`:ER -CAI IWek •361*. JOBADDRESS I II f'Q j1V t9OVII.r& p cr<CIP, LOT NCI.4.t
ARCHITECT
tt��`` (� ENGINEER
BUILDER PjQtwl� ADDRESS�Oy.aO SSV IGS ,�pQ, BlUt"• DESIGNER
STRUCTURE NEW ❑ REMODEL Cl ADDITION ❑ REPAIR ❑ RENEWAL Cl F'RE DAMAGE ❑ DEMOLITI+
RESIDENCE C COMA 0 EDUCATIONAL ❑ GOWT Cl RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE C STORACE ❑ SLASf! FEN
CLCUPANCY R-g LAND USE ZONE -&IiL—BLDG.TYPE ,b FIRE ZONE_ PLAN CHECK BY _HEAT
001
I
SEWER PERMIT _ GIs s%o3
OCC.LOAD FLOOR LOAD �Q HEIGHT 17 NO.STORIES Z AREA 33 6A NO.BEDROOMS VALUE_ r
BUILDING DEPARTMENT SET BACKS FRONT aZ Q _ REARLEFT SIDE � �-
__ _ _ RIGHT SIDE
P•+rmit GD.sn THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z0Pl:1
_
Plan Check 2�t� y IIEGULATIONS AND ALL APPLICABLE CODES AND ORDINI.NCES, AND IT IS HERc'3Y AGREED THAT Ti
�G WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COTAPLIAN
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI
RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSItiE
F �+ UCENSE SEPARATE PERMITS R=_DUIRED FOR SEWER,PLUMBING AND HEATING.
S:,ta Tax 18.yL
Total rf � SDC— �
I PDG# A PUCANTORAGENT —4
By
Receipt No.
ApproveA ADDRESS
- 'NONE
iDC — s �pQ
it �� __ �'1 rp .�3M1i• lel[7
;EWER CONNECTION 77jr- 1
;EWER; INSPECTION 3b
ine-
;EWFP SURCHARGE S CCCR�$' . ICS, '�
/ 310
3 i 0 �c>�i1 w 1• N}
'nml't nfl�'.Ci �1WK 12.31-0I (flip" 61, JOAN VIWI'+od A4. �(
PSN �'8 Olt
Ad C^j'DU-Vj.-r.LOP/A LLA.) ' Imo. I.. . IQs�t
A�W- --A-Coci
0stfst Fiecr; ((a-4(36.q +Ys-v)
/S-15X 244- lot
J02-
LA : 4L z0f
to•16x S'- '8 rq
84. ID SY2 It
274• @ �3.�•�' G� 43'P
f3s*&i+w4 t It'- x U-8 4oL
t�• 4 x s'-4 In-
1Ii- 4x #e-* 7�
SM too, 3!x'1
or-* x,2a-g 172
A 31
Iq.50 •jqjeq._._
3 *8
x`5.2
%tos 'Qoo
P.O.a= 237
CITY OF TIGARD PLUMBING IIn SW Ha.0 Blvd-
Appoicants s ts must holdOregon
owOregon Registration to conducl a plumbing ��E RMIT I'T' T�az ww
b"nprop" rxx hiring outside help. 639--4175
TTaA
arne d Develop
Marne
Permit 1 No.<!�
dr+esa Deaalptlon JobORS 814.21-010 OUAN. PRICE AMT.
Address x Lot Map.No.
Bk)Ck Subdivision FIXTURES
Sink 7.50
.None(or name of
blakn_ge) Lavatory - 7.50
Tub or TulNSfgwer r;ornb. 7.50
eea
ShowerOroy --- _7.50
Owner S,de ZIP - Water C2o380 r 7.50 _
�- [ f. Dlalrwashm -- 7.50
Phone Gadmqo Disposal --- -- 7.50
'no / WaWlft Ma`tunne - -- 7.50
Floor Drain 7.50
rep nse Pltore WOW Hasler y 7.50
Occupant ply zp La Room Tray � -, 7.50
Urines 7.50
00w Fixtures(Spedlyl 7.50
AOMM 7.50
7.50
Contractot 75we rep 7.50
MISCELLANEOUS
city am Tax . Sewer 1611017 30.00
�
_ Seaa lddtO 'No. e _ 15.00 _
t - water Service 1st too' 20.00
I hereby ad mowledge the 1 haw read this apocadM that the kftWAUan water Swvica as.AddN2M' 15.00
ptwn 1*oorrecl,1W I am rVolered wNh Vw Stall BuNder's Bowd.and aho Storm tt Rain[train 1st.107 30.00 -
haw a 8181*Pk�+nbktp loan"ow Me nx-*"given ars Coma.that ON
pkrrrrbktp work wN be done in soconbnoe earth sppecabie piovb our d Ore• Sbrtn A arin Drain Add*.t 00' 15.00 -
pon Revised SftlUW Chn(bn 447 and 003 ane eppk"rtotf- and*tat
no hep will be enpbyed unless loerreed urrdW ORS W&(1 exempt horn Mob%Horne Speoe 25.00
Maio rogwralk%0~on reasons Wo". Back flow Prevention ---
HOMEOWNEM-I hereby ow*900 I em the owner of*4 property de- orrrtDsvloe or A*4N) Alon Oev" 7.50
eCrt nb0v8,MwMdtI-Nort1proposebak
meaoA,*#tpinaWaft kx _ -_ -
nty own uue a1*tris property Is not belrq aoretrucled fora" au
.Wase or rant. Co Ti ep eu Waste eded to e haxu",r. 7.50
Calch Basin - 7.50
kelp.of Exist.Plu nbkuq--- _ 40.00 Per Fk.
!Pedally Requested kepeCllons 40.00 Per W. -
AMr.d Pkm.** onln -On Edo B"o• 15.00 min.
AUT1/0RIZEr SIGNATURE -- pat, New Bldg.or BuNd.Addttlon - 25.00 rtln. -
Daecribe work rte"p addition altmilon Q repair p c aij 15.00 --
4 reskientiall7- nw-resldentiai
E.xhtktp use of -
bA*v or properly -- --_--------- is V.WTOTAL
PjqMW U"
of
__ b 1MA101fA110! ;S
NOT" _._ - TOM
TMe pm l beo0ane null and troll r work oroonatruoWn arA m"zod io red Com -- -- - --
I **On 1Stldayaaw Ree"UD" 0f ask M WApadW a abandoned kx
a Po CO 180 days el natty antra Mar work M oorrrn8nced.
vociAL 00NOfT10NB -
Date Issued