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14066 SW NORTHVIEW DRIVE ..,...w, ,� � '�.:��.,/..wn.,.�r...,,,..�,...-...«,..�^....«�..n,,..�,„.w..�+....ww��w*•��rnq 4 ��.�w.w.r.*n�.._.. ..eM>•.+....�. ,.,,.. .. {.•6i V s. ,1 r i tl I ji 5'. rf r • • • • •• r ! r i i r ,a w r4r, r /�.�r.NMIM 1 *Wsnrr„ .r>•,. _.... -. •, ,: ..KMS `rM11i'MNfna•r.h ;`i. .n.«__.. w... GCERTIFICATE OF TIGA R OCCUPANCY CITY SF PERMIT #. . . . . . . : MST95—Dw5l DATE ISSUED: 10/��/9COMMUNITY DEVELOPMENT btOAMI rp j 13125 EW Nall Blvd.Tigard,Oregon 97223.8199 (503)1139-4171 ' PSIR✓G L: 8S 104BA-0;37140 j I «i I TES AVDRESS. . . a 14 166 SW NORTHV I EW DR SUBDIVISION. . . . a CASTLE HILL 02 ZONING;tR-12 Dp i BLOCK. . . . . . . . . . # LOT. . . . . . . . . . . . . :070 CI.rlafa�Clrx+1�(7RK. tNfWW��__._. ...__—..___......__—_..._._.____ TYPE:, OF USE. . . :SF I 1 '=UPANCY GRP. :R3 UCCUPAWCY LOADa230 4 TENANT NAME. . . ; 0 • Remiwk!, : PATH ICiwner a - _. _,........_ .__ .. ..__._.__.._._.__. ___._...__... JP CONSTRUCTION 10275 SW GULL 441- 1 I Fi :AitERt(.:"•N OR 97007 Phone Mkt !I.'4-•3:?915 J P CONSTRUCTION 10 27`°; SW GULL GL. PEAVE RTON OR 97007 i I'•'hune #t 524--5796 Reg M. . t '5967 Thin C:ert ).ficate c:ertifiws that the above refer,enr'ed building or portion thereof has been Inspected for compliance with theTigard Building Code 1 for the gr nup and ciivisintr rIf �.�p;�ncy and use fa), which the 0bove referenced permit was isso-tNd, rznd occupancy is tips-eby gratitecl. .. BUILDING INSPECTOR BUIILDINGi pf~FIC AL ._•__.,•_ _,._. 1 I POST IN CONSPICUOUS PLACL r, I I . •I 1 1 i i I - 5• � .• as p 7 t' f d4,1 ,V I • � f 1 ,. t r..rxA j ey 4 { t a r t zsia 1PAa �� ` CITY OF TIGARU BUILDING INSPECTION NO'•'ICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ttitk".!Gw�r�a j fi r. n^r. Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk j Founcition Plbg. Underslab Mach. Rough-in Fireplace I . $YY' � +t�R, ti• i Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL: { Post/Beam Mach. San. Sewer Gas Line dg. ✓�� r, Jw� � Plb Underfloor Rain Drain Framing P um I g. g Ir I h, I Alarm Water Line Insulation ac ' UndedIr. Insul. Shear Wall Gyp. Bd. Eled. I 4 Date Requested: X16) 4, Time: AM PM Address: yL � / `/ �-�'lJ�- �l (/("t�-•�t,J ' Builder:_J �—C �,�, Peimit#: 1.5- 0. THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 • , ' ,i��, y,,t+lift ,, , C Y �rq�f� §+�(� tip Xz' u• ¢`•,. ,Je7�yfl;�tr 4"��3. Inspector: ePPf�OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Gill For Reinsp. . ,.; —'---•-_�___._..�...•--..�._._...W__.--__.... ......_._....�___..-,.......�...---.—.�...-..�.—...,...._ a'i Ali t � xt,��"� { -� '�i r° y{ JX�{�4 t G t £� �� { ; U � t �C ir,Y•t 1 ti t;. I'f JtJ ji 9 A i 1 ,1 ilk" �p tt'e 4 Ems' J.t SIV r t; CITY OF"TIGARD BUILDING INSPECTION NOTICE � Inspection Line (RO-Phone): 639-4175 Business P.I�one: f39 41 1 I lrJ 9P ec- j Inspection:______ jFooting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk iFoundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Pearn Mech, San. Sewer Gas Line Bldg. riog. Underfloor Rain Drain Framing Plumb. ��4¢,;Q —.—'" i Alarm Water Line Insulation -�dl3G1L Gyp. Bd. -Elect. Shear Wall I�nderflr. Insul. _ ' Date Requested: Time: AM PM 1 l � Address: Lp UZ Permit #: Builder (7, THE FOLLOWING CORRECTIONS ARE REQUIRED: 4 L i �1� — Q In�apector: Date: APPROVED ­�kSAPPROVED _APPRO\ED SUBJECT TO ABOVE ti • Call For Reinsp. low l�' r r 1 • l 1 tri t r t,, �i dCR �..V FA 1 I� n '�' r'q �� •k,,I ( p tA�1 * N r °{ CITY OPTIGARD BUILDING INSPECTION NOTICE t` Inspection Lino (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: in AppNSdwlk Footing Susp. Ceiling Sprink. Rough s ' Foundation Plbg: Underslab Mech. Rough in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation Mech. r Underflr. Insul. Shear Wall Gyp. Bd. -Elect. I Date Requested:_ Time: AM _PM • Address: Builder: + Permit#: � THE FOLLOWING CORRECTIONS ARE REQUIRED: z f2 Uv--✓ i , 1 yy l( 1L h 4R Inspector: "�--'- Date: _APPROVED r- QISAPPROVED _APPROVED SUBJECT TO ABOVE illLall For Reinsp. 1r 1 1 • Y� 4} ter, l 3. 1 A�°� 1 y.2 L. 1; r r ''" ' � � - .'.;.. .. ............. ..............-..i.• .. .. ,.. ...r...,..,..w...nM:wVeMl+ '. � s,1. A e/ '� t�+4r�Y CITY OF TIGARD BUILDING INSPECTION NOTICE I Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslah Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line �. I Plbg. Underfloor Rain Drain Framing f- ru / Alarm Water Line Insulation — I Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Cr , l� lel - Date Requested: � `� Time: AM PM x Address:_ l ! U -�7 Builder: / P '© t,.5-z— Permit #:9,5 U 51 THE FOLLOWING CORRECTIONS ARE REQUIRED: 44 i I c Inspector/9;1'2_17" Date: ✓� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. W � t +� 3� ,BZW r i _. - � R �4• E ! .� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec O Phone):639-4175 Business Phone. 639-4171 Inspection: --- G' `, ,�< ,�,� " k Footing Susp. Ceii"Ig Sprink. Rough-in Appr,Sdw',K I Foundation Plbg. Underslab Mech. Rough-inFireplace Post/Beam Struct, Plli Top OutElec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing IumE. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Ali' ISI �� Time: `AM PM Address: Builder: C_l 5 Z _ Permit #: [ S THE FOLLOWING CORRECTIONS ARE REQUIRED: A. C 121� S� r , i 1 li: 1 ` Y 7 ` l Datg� Y 4APPROVED eDISAPPROVED APPROVED SUBJECT TO ABOVE r�Call For Reinsp. 41 4 w p a r 5� y 4 ,7p"'.4'i'"+6IV; ��w , 1+ r � prt w 1 Y?' 11r yn ' r 1�, i -.it • 01 �,4 • � p,��t�;}"�y" t o4a 14 Y7 7 �� t. Y 9 �i •t, 1 r • ,!�'. ., ,�, rs`��� ,, ,, ±�,,., ;;F�,, ,4 + ,,orf� , ,� :^�, •, �9,n :u., ,Y�, �. CITY OF TIGARD BUILDING INSPECTION NOTICE ,, `{ ! Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 + Inspection: y Sprink. Rough-in Appr/Sdwlk Footing Susp. Ceiling ' Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Bram Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Unde,tloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Undertlr. Insul, Shear Wall Gyp. Bd. Date Requested: GI _Time: AM PM �(� Address: l L'(�� �c' /'U�-- L� (,4_4 -w _ , Builder:Z lC j' 4 �� 7 L(5- 7-Permit #: THE FOLLOWING CORRY CTIONS ARE REQUIREDCc(S _o � i � s • � I 1 ` Inspector. c�(- t Date: APPROVED `DISAPPROVED PPROVED SUBJECT TO ABOVE i Call For Reinsp. A 1 a t �r'�l ryti 111` t4 y ai! Ri�'r�ilyu y� R���6�t��:" 4 d �Syf rrt, •�y�`�,pl a, ,. PI � ! tjt'�`r4����� i'}� �r 5�J� j 14i r +..1 �• � tl,t�l r •��i�il S ht ��7 Y r SldJi A ` 1 r �1 PF r �',13 i• ,Y 7�( ti, S i {v�� :� , 4 ;ry } +'� r { rSii 4','o 9;i1 },fi r Y 1 pp,� 4p','o fa +x �•. .I, N r76�S r h ! 9' { r id a ,. p 1 ,Ie, e i;� x aS r v •r� ht.d,^i, �h ¢,..,." � r-{9, 1 :1.. CITY OF TIGARD BUILDING INSPECTION NOTICE ` t Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 , Inspection:_ +, z a., Footing Susp. Ceiling Sprink. Roug+ inppr/Sdw�k, Foundation r Ibg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation Meth. ~ Underflr. Insul. Shear Wall Gyp. Bd. lect. ps � Date Requested: / ^0 ` — Time: Q�At PM Address: `7 �P r i 1�& — kQA Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: I ns ector. 1�1� Q- Date: O- APPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE I . _Call For Reinsp. why i. A A t Yqt�,5i t� 4 ti i , CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ t.• "' ! ..,fir', Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: y Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. + Underflr. Insul. Shear WII Gyp. B( �.4 -Elect. Date Requested: ��.LZ l Time:/ ' AM PM Address: 17 �P Iy U`'L \' Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: !,. X44'. ♦, ! P �� -•-�•-- Date: Ins +d° Inspector:— F C7_LX1?PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE ,Call For Reinsp. G� I ,t I ' r 1 1 1 414E ! 4�5�hrk1{dr��"'�t, y 1 i F t I�ir 1�p x r� t 0 d�lr r 4 1 IV- CITY OF TIGARD BUILDING INSPECTION NOTICE �t a iet#.I�eInspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: g SPrink. Rough-in Appr/Sdwlk Susp. CeiliFooting „ Plb Underslab Mech. Hough-in Fireplace Foundation g Post/Seam Struct. Plbg. Top Out Elec. Rough-in FINAL: , Post/Beam Mech. San. Sewer Gas Line Bldg. °, p�xt • , ramin �i�_) -Plumb. (Plbg. Underfloor Rain Drain Water Line nsulation / Mech. Alarm Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Time: AM PM M Date Requested: Address: _ S Permit #: S Builder: --- 1 ` /TH. FOLLOWING CORRECTIONS ARE REQUIRED: r r 1 Date: Inspector: APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 1 VO 1 r E;}�1 , ilMrf�}� �rl� .. �� 1t�q 141•I��iW �1. 3414t Ce 7 1 +F rye' t .tir� 1 4Yi i i� C} �sf�f4�>, �F i.• + i T'#s T ..f{1 l syr L. l•" r ' NOTICE I CITY OF TIGARD BUILDING INSPECTION ®r, Inspection Line (Rec-O-P one): 639.4175 Busi ess Phone: 639-4171 nspection: rl Footing Susi. Ceiling Sprir-,,.Rough-in t4(/Appr/Sdwlk Foundation Plbg. Underslab � = Fireplace Post/Beam Struct. Plbg. Top Out Q�g Elec. Rough-in �!�q FINAL: Post/Beam Mech. San. Sewer Gas _ine EI j0 -Bldg. Plbg. Underfloor Rain Drain Dramin -Plumb. Alarm Water Line Insulation -Meeh. I Underflr. Insul. Shear Wall 1116 / Gyp. Bd. -Elect. Date Requested: O / sc— Time: AM PM Address: I I _�' Builder: Permit#: 9 "'•; THE FOLLOWING CORRECTIONS ARE REQUIRED: R`liw. j61 Inspector: Date:��� _APPROVED )LDISAPPROVED PPROVED SUBJECT TO ABOVE XCall For Reinsp. CS) � s \FI:V CITY OF TIOARD BUILDING INSPECTION NOTICE .,> Inspection Line Rec-O•Phone : 639-4175 Business Phone: 639-4111 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk P. Foundation Plbg. Underslab Mach. Rough-in Fireplace rc--t/Beam Struct. Plbg. Top Out Iec. ough-in FINAL: Pc-,t/Bram Mach. Sari. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul, Shear Wal Gyp. Bd. -Elect. Date Requested: �r7 5 _Time: AM PM / fowl N Address: Builder: Lc/ %' 7'=T"l Permit #: L=-7</q , ` y3-)3 THE FOLLOWING CORRECTIONS ARE REQUIRED: r _Inspector Date: X,APPrj0'VED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. ftLo Community Development ELECTRICi.L PERMIT APPLICATION 13125 SW Hall Blvd. Planck/Rec. # _ E= L�' S i Tigard, OR 97223 C C p 3 3 Permit # Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued b -J CITY OF TIGARD TDD No. (503) 684-2772 Y Inspection (503) 639-4175 1. ,lob Address: 4. Complete Fee Schedule Be: Number of Inspections per permit allowed Name of Development �, r ��_ I� (�? Service included: Items Cost(ea) Sum f Address\�l(� �� � , City/StatelZip ( 1 4a. Residential-per unit I — t000 n or less $11000 r Eaadditional 500 aq it or Name (or name of business)_ rn siness)_, portion thereof r' s25� t ttoa Limfled Energy $25 00 —� 2 i Commercial❑ Residential ICI Each Manufd Home or Modular j Dwelling Service or Feeder $6800 2a. Contractor Installation only: 4b.Services or Feeders 2 E. L lyl arl�n,altar'ilion,or relocation 16000 2 i C I i,t ' _ Pe or less 2 Electrical Contractor ) 201 amps to 400 amps $8000 2 Address " � 401 amps l0 600 am pe $12000 _ 2 City c i � State _ Zip - sot amps to,U00 amps j180 00 - 2 Nor 1000 amps or voBs _ _ $340 00 Phone No. �� :ier;onned only $5000 Contractor's i.icense No. Contractor's Board Reg. No, 4c.Temporary Services or Feeders ? Installation,alteration,of relocation 2 ! 4 200 amps or less $50 00 Signature of Supr. Elec'n� $7500 — 2 e < ` 201 ernes l0 400 amps License Ne.Ltr'�'�. _ P S�o e No. -' 401 snipe 10 600 amps $+Oo Uo Over 600 amps to+000 volts 2b. For owner Installations: see.b.abO1e 4d. Branch Circuits Print Owner's Name New alteration or eelension per panel t __` r)the lee for branch circuits wffh 2 Address purchase of service or Mader Ma. city_ State-- Zip---, Each branch circuit _ $500 Phone No. b)The lee for branch circuits without 2 purchase of jervic,or leader Me 2 The installation is being made an property I own whichis f rst branr'h esti,,, 5,s Oo not intended for sale, lease or rent. Each addlionai branch cucuil f5 C 1 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 $4000 2 Each pump or irrigation circle 3. Plan Review section (if required): Each sign or outline lighting — $4000 2 Signal cucuA(s)or a limited energy please check appropriate item and enter fee in section 58. penal.aheration or extension $00000 4 or mo a residential units in one structure Minor Lalarle(10) Service and feeder 225 amps or mote 41.Each additional inspec•ion over System aver 600 volts nominal the allowable in any of tha above Classified area or structure containing special occupancy per inapection $35 On as described in N E.C. Chapter 5 par hors s5500 In Plant $55 UO Submit 2 seer of plans with application where any of the above apply. Not required for lemporary construction services. 5, Fees: J(f,o Se. Enter total of above fees $ _T.....7r ,. NOTICE 5%Surcharge(05 X total fees) $ Subtotal $ a PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF Plan Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subfotvi $ A PERIOD OF 160 DAYS AT,ANY TIME AFTER WORK IS COMMENCED i est Account Ill $ / 0e) Balance Due--�— � $ -117--W T- 111-111111—d"W7. RRF"qmw" ANN. Ali in�L is � iI •:mom+}• AMi'�C"��'�'Ma`. �awtW ,�j�,w+ 1r � J f, f { i :7 "1 j i i i G r TY OF l-I SARD _ RECEIPT OF PAYMENT RECEIPT NO. .y5- 2.E,9,='34 CHECK AMOUNT s f.68. 00 NAME t L. G)CHLOTTMANN C:LEC.'TRIC CASH AMOUNT s 0. 00 i•iiillhtFBTa a 5680 SE PUESI–O AVF PAYMENT HATE a 0f1✓f 1/9`3 HILLt^BORO OR SUBDIVISION s i.i "�:i1F=�CiSF: OF PAYME"NI AMOUNT PAILI PURPOSE OF PAYMENT AMOUNT PIAIL) L ;�..;TRICAL PERMIT 160. Q►0T. kUII..0 PFR jl M II II � I t 14066 FS NOPTHI) 1 r LC95-0,3 TOTAL I1MfIUNT F'Fa l'I.1 - --> I.6A. 00 I 1 CITY OF TIGARD BUILDIIJG INSPECTION NOTICE Inspection Line (Rec-O-Phonc): 6351-4175 Business Phone: 639-4171 Inspection: — Footing Susp. Ceiling Sprink. Rough-in Appr/SdN Ik Foundation Plbg. Underslab Mech. Rough-in Fireplar,e Post/Beam Struct. Plbg. Top Out ;.ecRough-,,Y"� FINAL: Post/Eleam Mech. San. Sewd, Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. • Underflr. Insul. �8ifear`rWal Gyp. Bd. -Elect. ' Date Requested: /C_ tel'S Time: AM PM Address:_ O Builder: Permit #: �� 'S THE FOLLOWING CORRECTIONS ARE REQUIRED: 17 v-J - �" Inspector. �/L �-^'_'_ Datta l� i at " APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE s _ — y yl �k Call For Reinsp. r?, i 4; Y ✓' w11R1R' ;� ' -} f CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 1 Inspection: Footing Susp. Ceiling Sprink. Rough-in Apar/Sdwlk i Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. 1';RI4gj6 -gut Elec. Rough in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm ater ✓ Insulation -Mech. 0 Underflr. Insul. Shear Vyall Gyp. Bd. Elect. a r Date Requested: ' ( �� Time: AM PM Address:_—�� ',;?'• Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: f fit i ! I C►`i�/ s - -- .r qtr : _ t fiti iF(Y i. C/ '',�.`'� Inspector: Dated Y ' r r, 41; OVER _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. i a tj �� �t��� 'E �p�, r fir � ;�� ',ll1t,�' n •, q !ti y � 'Jif �. i Y >• � r��� �'�rkpp j. 4}4i, +d§.- LET . .1�{ f4' l Y. �• 41 �' 5 ' ':' ,A y r r .. f .. �. t. .............. � / P a CITY OF TIGARD BUILDING INSPECTION NOTICE IIII// u Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: g • Footing Susp. Ceiling Sprink. Rough-in App r/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. P'bg. Top Out Elec. Rough-in FINAL: It I Post/Beam Mech. Gas Line -Bldg. Plbg. Underfloor Framing -Plumb. - ( Alarm ater Lin Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. • ed: I C1 Time: _AM - � Data Request � -- Address: / �1(• lv — Builder: Permit #: l S THE FOLLOWING CORRECTIONS ARE REQUIRED: ; I spector� T�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. r , OWN i C� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough in Fireplace J�ast/Beam StrucL;` Plbg. Top Out Elec. Rough-in FINAL: 7 7 st/BBea" m MR-e_cl J San. Sewer Gas Line -Bldg, 3 y (Plbg. Underfloor) Rain Drain Framing -Plumb. 3 L Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM PM Address: 61 Builder._ Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: /�i7��i r R Inspector: Date: Rt" V A�a4{ � �,�! _APPROVED SAf' ^OVE,D _APPROVED SUBJECT TO ABOVE _Call For Reinsp. :y CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation /Plbg. UnderslaLMech, Rough-in Fireplace Post/Beam Struct / Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. • Underflr. Insul. S, ear Wall Gyp. Bd. -Elect. Date Requested: .--)' --I Time: AM _yPM Address: V Builder: Permit #: `1 — LJZ S I THE FOLLOWING CORRECTIONS ARE REQUIRED: Insp ctor: Dater 1 OVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE �� n _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE , ; Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-•1171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Pihy. I inderslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: I Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg Underlhoor. Rain Drain Framing -Plumb. Insulation -Meth. Alarm Water Line Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: A, % � Time: AM PM Address: ��C) Builder: Permit #: � THE FOLLOWING CORRECTIONS ARE REQUIRED: f ,�II ,V I a TII�s I 14'7 l�f l!•i et j!t} IL S O ' f ,J Date: Inspector �� f APPROVED DISAPPROVED e�ROVED SUBJECT TO ABOVE Call For Reinsp. I t't♦,��fhk�ada r � r ! I I i I�•F•( 1 f 1 ♦♦' I I i4 n N A}Y H�11 , , I A f 4 � ��``•�`p�"�,P i'- IS141l1 I�'` I i � ��,���.ti r I,i F� �,'�1,G,,l ir'1 ! l�!' linry� fa � a � IY i�! .. i ,1r. ;,_ d t�j0l7 _.t Ic'��,p1 ., w I .S,' 1•:^� .,, ,! ,*i ,d;'. , CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: EoundatioD tin Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. C�-Elect. Date Requested: �' �z.��rl� _Time: I -Am PM + Address: (L, Builder: L'S' c1 Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: l i Ins ctor:_ ` Date: 7PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp, d c i I MW H a i y. .,..,. ,,,..•vrp„ p;,n,,oi,M�R,,,,,,q�,.r��' ,., ,, ,�,+,:k,.. . ,•rM.-. t- w.Y"4Yip'17^�0��'" F'LUMBIiNG PERMIT CITY SOF TIGARD PCRMIT SUED : 75 ��"':j1 DATEDATE ISSUED:: �606/27/95/9+:=, COMMUNITY DEVELOPMENT DEPARTMENT 131258W Hall Blvd.Tigard,Oregon 97223.8109 (603)839.4171 PARCEL: C C 10 4 B A 0.3 7 Ali 0 MTh. R1)!)FL'�C,, . . . 140'•2, .-;w NORTMViEW Dr. SUBDIVISION. . . . : CAS Ll I LL #)2 Z ON I NG: R•-12- PD 5LOCK. . . . . . . . . . . �"r. . . . . . . . . . . . . :070 CLASS of WORV,- - :IqEw DISPOSALS. . : i TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVI'JTRS. . : I ` 'l OCCUPANCY GRP. R3 FLOOR DRAINS. . . . . . . :0 TRAPG. . . . . . . . . . . . . . :k7 STORIES. . . . . . . . :2 WATER HEATERS). . . . . . : 1 CATCH BASINS. . . . . . . :0 IXTLJRE -­- LAIJklDRY TRAYS). . . . . . :0 SF RAIN DRAINS. . . . . t SINKS. . . . . . . . . . . 1 GREAF,E TRAPS. . . . . . . :0 i_AVf1TORIES. . . . . : 4 OTHER FtXTURE2. . . . . :0 � TUB/SHOWERS. . . . : SEWER LINE ( ft ) . . . . :0 WATER CLOSE:.TS. . :3 WATT R L 1 H ( f t . 1 I[IQ1 DiEiFIWASHERS. . . . : 1 RAIN DRAIN ( ft ) . . . . :0 Remarks : PATH I OWNER: JP CONS'TR'JCT I ON SWM $ 180. 00 SW 06127/135 1Q�-75 SW (GULL PL SWM i 100. 00 5W Q16/c2:7/95 - SPRT $ 5LO, 5Q) SW @6/27/95 - i..1.:P'iVL10ON OR 97007 BPILC $ 338. 33 JD 06/16/95 95-266903 I',ilUno #: 5""4--329`i BSPC: $ ::C'. 0;.3 1,314 06/. 7/93 -' .1 PARK $ : 00. 00 SW 06/27/95 - I Pll..;mbirlg Cootra�utUr• : -_,.__.__.__.___.____- MP RT 1, 4,3. 50 SW 06/27/95 - J MPLC $ 10. 88 SW 06/27/95 - 1 NI-ame : / �} n _ _ 1y13 �C $ �. 10 5 06/27/95 �!!7J�_..C� .. Address :.___q �_ �+ _ 38TH $ 225. 0' SW 06/27/95 - C i. 1, � _ _ Stat e : rN F'5PC 11 11. 25 5W 06/27/95 - ip'._.._.°1.']..O.t.3 �'h0llF.?#t^ _ _ _ _ _ EROS $ 64. 00 SW 06/27/95 - r Additional f R e 5 n u t: shown here. REOUIRED IIVSPE;CTIONS --- _. _ this: permit is iss-.ied SiQbject to the reg ..dations contained in the Tigard Iylunicipal Footinn Insp Insulation Insp [.;ode, Gtate of Ore. Specialty Codes and all Foundation In15p Gyp Board Insp ot.hpr applicable laws. All work will be done Post/Beam Strutt Rain drain Insp in acc_orc. a-n a with approved plans. This Post/1)e:am Mec_lian Water Line Insp ;_permit will expire if work is riot started Crawl Drain Water Service In within 1.80 days of lri =�.4aTl(_E?, Or if work is Plm/undslab Insp Appr/Gdwlk Insp suspended for more than ].80 days. PLM/Underfloor Mechanical Final Mechanical Insp Plumb Final i Plumb Top Out Building Final Framing Insp Erosion Control Fireplace Insp Gays Line Insp F:-Iuthorixed Plumbing Contractor Signature ---� -- - •.___ Call for inspection - 639-4175 Contractor Notes: l t •�' .�"'"A'.�•iT.N;q�frlRCp..r�p,P•.• 41K"...1 .M'1 a T'^�..m F'.!-,�';$'7�..h" . ...4�k"�.G?..w'.,Lr..... •.- .•.......... #,re.. .+... •r.... ..1 "'IIa�'��,`h hijjy' 11 � t yy 4. P'IASTE R r-,E::RM IT �S1' C17Y OF TIGARD P'CRMIT . . . . MST95 02 i DAT F ISSUED.-. 06/.217/95 COMMUNITY DEVELOPMENT DEPARTMENT 13126 8W Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 PARCEL: 2S 104LiA-•0370171 �i7`thi SITE ADDRESS. . , 14066 SW NORTI-IVIS--W D SUBDIVISION. . . . : CASTL_.I_ HILL 1#2' ZONING: R-1.= ='D :+LOGE:. . . . . . . . . . . LOT. . . . . . . . . . . . . :070 BUILDING REISSUE: DWELLING UNITS: 1 BASEIrIENT. . . . . . . . :0 CLASS OF WORK. :NEW DEDRMS::' PATHS:3 GARAGE. . . . . . . . . . :48CA f TYPE OF USE. . . :SF FLOOR AREAS---_ _-._.___._ REQUIRED ETBACKS- --.__-__.___ -FYP'E OF CONST. :SN F1 RS7. . . . .825 of LEFT. . :5 ft RIGHT. :5 ft ' OCCLJP•ANC:Y GRP'. :R3 SECOND. . . : 1 1,:3') s f FRONT. .-`�0 ft REAR. . :56 Ft ' S•TOR I ES. . . . . . . :2 F I1\1BS lylEN-i:0 s f REOU I RED------------------- I-11z- --________-_.---_I.11=I GHT. . . . . . . . .30 ft TOTAL-__.__-.._- _: 1964 s; F SMOKE DrTECTORS. :Y FLOOR LOAD. . . . :40 psf VAL UE. . . . . 134802 PARKING SP'ACES. . : 1 i<emYar Fcs : P'ATI I I __-- F'L_UMR I NG 3 S�JIVE'5. . . . . . . . . . : I FLOOR DRAIN . . . . :0 BACKFLOW F'REVNTRF3. . - I LAVATORIES. . . . . .4 14PTER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0 :3 LAUNDRY ,TRAYS. . . :0 CATCH BASING. . . . . . . :1Z1 WATER CLOSETS. . :3 SEWER, LINE (ft ) . :0 GREASE TRAP,C. . . . . . . :0 01S31-IWAI HERS. . . . : 1 WATER LINE (ft i . : 100 OTHER FI XTURh j. . . . . :0 F,:aRDAGE DISP. . . - 1 RAIN DRAIN (ft ) . :0 WAb;'I NG MACH. . . : 1 SF RAIN DRAINS-c1 MC:CF-IANICAL ._____-----.____...______.__.._________._ FEES ____-_---_.-_-__- FUEL TYrFS_____._...____-_._. UNIT E•ITRS. . :O type amo1_:nt fay date rec.l-'1 LrAS/ / / VE:NTC; . . . . . 30 SWM $ 180. 00 SW 06/27/95 - MAX INP'UT:0 BTU VL-'.NT FANS. . 14 SWM It. 1.00. 00 SW 06/27/95 - TURN ( 100K . . : 1 HOODS. . . . . . .. 1 SP'RT T 5 :17.1. 50 13W 06/27/95 FURE•I ) -104% . .. :o WOODSTOVES. :0 PF11-C_' 338. 33 JD 0u/16/9 a 95 -L6t_11303 1:7LOUR FURN. . . . :0 CLO DRYERS. : 1 85PC 6 26. 03 SW 06/27/95 - BOIL/CMP ( ;31IP:0 OTHER UNITS. I PARK $ '500. 00 SW 06/27/95 GAS OUTLCT5: 1 MP'RT $ 43. 50 SW 06/27/95 - Owner : _.___._.__....___.__..__.___.___.___•_...._._ ___.._.__ MP'LC $ 10. Std 5W 1116/27/95 - JP CONSTRUCTION M5r1C $ 2. 18 SW 06/27/95 10275 SW GULL PL_ .?,PTH $ 4»J. 00 5W 06/227/95 - P'5P'C b 11. 25 SW 06/27/95 - 3EwAVERTON OR 97007 EROS $ 64•. 010 SW 06/27/95 Phone #i: 524-•3295 ERPC $ 20. 801 SW 06/27/95 - Contr'actor, _....._______..___.___.___._---__.______.._.__ERF'C E 20. 80 ^'.4 06/27/93 - J P' CONSTRUCTION 1.1191275 S w I-'L.. t 1 PEAV1"RTON OR 971-710 7 Ren 1 $ 2063. 27 TOTAL This permit is issued subject to tre regulations contained in the - - - -- REQUIRED INEPECTIONS ---- - 1 Tigard Municipal Code, C'tate of Ore. specialty Codes and all other Footing Insp Plumb Top Out applicable laws, All work will be done in accordance with approved FoLlndartion Insp Fv,aming .nap ,1 plans. This permit will expire if work is not started within 180 Post/Peam Strutt Fireplace Insp days of issuance, or if work is sospen d fo o, thel a Post/Peam Mechan Gets Line Insp Crawl Dr^ain Insulation InsE: I crmitt;ee >.Lranatl_1r e: P'lm/undslab Insp Gyp SuAi-d Insp P'LM/Under^floor Rain dt-ain Insp s1.ted Ely ; _l Meuhanic:al Insp Water- Line In sE, Cali for, inspection - 639-4175 _. .. ..-..r,..,_. ...._. ..._... .... .. ... -rte .. _ ., ........._ AOL —4h AL <4.:..7. .i ... .. �t � "tht/P��.,,>�+yyc ,mow. '�t7lpykr'r,yr+ •}A*tAP1IMM1lIo` "� 'df '�'+ w4@;'°{l)'I�t'' t' �ry y al' b I I UN TY F F. . ... . CI OF T I A�� F'E(�tMi 7 #. . • �:;WR95--025c_ � COMMUNITY DEVELOPMENT DtPARYA tNT DATE i S 5uED: 06/27/9 13125 SW Hall Blvd.Tigard,Oregon 97223.5199 (503)839-4171 PARCEL: 2S 104DA--1"/.137012 51 TE ADDRE''GS. . . 14066 GW NORT1IV IL_W DR SUBDIVISION. . . . . CASTLE W'LL #02 ZONING: R- 1g:� PD 1 BLOC;K. . . . . . . . . . . LOT. . . . . . . . . . . . . ..070 TENANT NAME'. . . . . : USA IVO. . . . . . . . . . . FIXTURE UNITS. . . . i'LASS3 OF WOPK. . . :NE'W DWI71-L.I NG UNIT• : 1 TYPE OF USE'. . . . . :Sr NO. OF BU I LD I NGS: 1 IN STALL TYPE. . . . :DUSWR IMPIERV 15UwACi=. . : : S Rema -ks : PATH I I Owner. ___.___._....__._._.___...._..__.___._._.___.___ ________.__.___._._.._._.___._ FEE:; JP CONSTRUCTION type -mar_rrrt by date recpt 10275 SW GULL PL E,RMT s 2-200. 00 SW 06/27/95 — IN P-, 1, .:17. 00 SW 06/27/95 E)CAVERTON OR 137007 F'hnne #: 524--3295 Conti^actor,. _.____________._.._______________._ CONTRACTOR NOT ON Fil_C `0235. 00 TOTAL ...... REGIU I RED INSPECTIONS ----- j This Applicant agrees to coeplr with all the rules and regulations Saevjer Irrsppc_,tion T of the Unified Sewage Age,cy. The permit expires 188 days from t`re date issued. The total amount paid will be forfeited if the permit expires, The Agen4y does not guarantee the accuracy of the side sewer laterals. 1f the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from t`re distance given, If not so lacated staller 91rall purchase a "Tap and Fide ;ewer" Permit and t Agency it a 'a teral. 1' a r.,m i t:t e e S,i y n:_r L -1 r e : Call for inspection 639-"4.175 P 2 I , 4r .Z ) Y, Residential Building Permit Application a` � City of Tigard 13125 SW Hali Blvd. y Tigard, OR 97223 (503) 639-4171 // / / v�� 1 3 �,V Not i L� V y'y� 1 ��/ � 1�� l Y.1f/ J 1 Jobsite Address: //l r./ � � �� Ii �I # ��'- Lot# 7C� Office Use Only /tubdivislon: is, e _ _ Planck/Rec# `-C i ValuationL- ��^^ Permit # I'I'1_Sf C�' -�>:�.:� (:j') Corner Lot? Y > Flag Lot? Y C) Reissue of "Map & TL# G a q CA -01-71-0 i Po Owner: L ktU i o Approvals Required Address: l U'2`7 5 S'LJ 61U H Planning 9?007 E igineering Phone: Other 1 �wcih Gr lf�lL�l[P1 I .-I/contractor: _Scy�+�c a ��✓' Items Required Address: _ Subcontractors Truss Details ( Phone: _ Other I Contractor's License # (attach copy of current Oregon license) �l/6�nT ,5 ST�� 5' Contact Name & Phone: jotir /ti���F{ SaN-3:�`�S- t'�fwC f 1�� -A-Lc" 1 5 ' Subcontractors: l n Arch ltect/Engineer: t� k ���e�tI Plumbing: l_-���6 ( r �►�` Address: ? S'� Q�k 5 f�Yc f j Mechanical: (attach copy of current OR Contractor's License) Phone: `f u W bob JOB CRIPTION: I �1 p(ilicant Signatur4& Phone number Received by: '�� Date Received. ti;av�� tl Vr::Y.r.M3?W!FIMYMHFTM��6lMM"IMV.'W'Nnr.tMMwrum r.a:•ur.':wr......w.,rnF+.�.ne.:.a..,... ,.ww...aar'ar..,......... ....J•....+.. ........_. ... .. ......w....r+«.rme•-_._. '■ Permit# Account Description Amount Amt. Pd. Bal. Dui /y1 9S v- Bldg. Permit (BUILD) .5.) 57t, � ` G•�t� Plumb. Permit (PLUMB) Mech. Permit (MECH) °3,S State Tax (TAX) ` ` 1 q& 1 Bldg: -4 0 / Plumb: 4/' Mech: Plan Check (PLANCK) Bldg: t Plumb: Mech: � - _:)Z Sewer Connection (SWUSA) c � Sewer Inspection (SWINSP) 1 7 Parks Dev Charge (PKSDC) Residential TIF (TIF R) �_ vol C In-,l Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) _ Erosion Cntrl Permit (ERPRMT) __ ! Erosion Planck/USA (ERPLAN) d-U � Erosion Planck/COT (EROSN) I TOTALS: iw, :. •�'iir�' 'ii•�\�\\21..Ilrr. ti ..\� Ilse r `Ci\et'lira rp ii ..\� �illr.ro�. ii�.\\\.r 'iirrr.rr•. ii.��•i��'- S %• i . I r• i ,{'=rtt;:, :b,:::r r•i 'i=t:tt:t ''•4:::; rr•. i � l..tdt:.�'::b::;��r;i `�\4::ttA7:. 's6::::!ir•I ti\i,i••���:• y•i�:`�rr;i i`\\lata:;• •;:I:::�rrr C.�ill. rS!r,i �j.,i� =r i;,• .Z=��S'• r,.. •\, r�.;. ,�. \ •. �.. rr .. ..a:;\e,;,,;•,,%%is;. •;_���,<;,•n'%;%4s; •;+� ,;;,;�;,.,;,;:, ' ;;,d��F?ir;;;;,trrr;;.'., ,t�2;;r ,z;; L•I,;, :�... 1 credit No: •j'' l7ate /ssu ed: i 1 TRAFFIC IMPACT FEE fr,: CREDIT VOUCHER In accordance with the Traffic Impact Fee Ordinance, Matrix Development Corporation tr, p is entitled to in Traffic impact Fee Credits that ^_I,be applied to TIF charges on lot(s) 68-131 oft"e Castle hill No. 2 Develcpment. The use or TIF credits :z;•;t are subject to the rules and limitations of the TIF Ordinance. WARNING: This voucher must be presented at the time of issuance of the Building Permit, or if defarral was granted issuance of an Occupancy Permit. I rrr:j:rj1 1 MA T FIX DEVELOPMENT CORPORATION hereby assigns all its right, title and interest in and to that tain Traffic impact Fee Credit to be granted ;,.•,'�' upon the Issuance of 2 building permit for Lot CAS_ carlain E h'1LL NO. 2 subdivision, Washington County, Oregon, ,v the orar of. I,s ass,c,-,r,ent ct T rz;'�c Impact Fee Cr atilt is rude and given M s t •' day c/ 79 ---�— �' r MA T RIX OEV=LOPMEi'T CORr CtiATION an Oregon Cor,,oretion Ey, TWe o,Position y I, '! { 1L1:.,'..i• ."iil:i',r,vie'i.\��• .'�;i�r:%Y I,',;;ie'•�i�, :�;i{•'r.,,/,:,. , •1 i,, •;i r1,.I2:ei ��;. ; .:i �}S i�:' ' ;.;:•Z\. ;!!::�?�'• ••:?j=.;•', '$�'r,S'q:,• •?.tFSii. ;� •Sf��•SS' , ,\Zi;:•,• ,•••.,5;.,' ,•t\Z;!• •� •. r. iii%,' :•,,t;;;.••;:. }/r ::' '•:t.`.':j�a�, a�i� •i%ice;', •''.`.`.'Z��41' '=iSi°:':�s ';e\t��� •�,i%i:• ••;C.�''''� 'iSSririS%, ?t,•.i�:i=, I,j: i.'::';% �eti'i�i'• ':%:_?% : Z\��.,• ,A 11 \•\.�� •1111. \\\ I.I ���!. /III,. �� • • �/I.. �\�• •�I. Apnw.,•.mem-ns++ar o.o.sr.•..+:w...w.r= :.... I I _ MaIA�. 10 ISI S I " -Mb oo•O� S'L6 .110 + or o Ih ✓ r � ,S 0 � I 1 1 I I 1 I 1 cot � t f41 �Y, , tr s ,• w� � :,i t ��'� . CITY OF T I GARD — RECEIPT OF VInYME NT RECEIPT NO. :95-267237 CHECK AMOUNT a 4048. '27 5j J. C'. C ON`5TRUCTTON CASH AMOUNT o 0. 00 t t ;'41.VRF.� 'o PAYMENT BATE a 06/27/99 SUBDIVISION a PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID � 8l1I1.1 INCSPERM y520. 515 PLUMB 1 N6 PERM 2250. 00 MECHANICAL PE 43. 50 5T. BUILD PER 39. 46 a Pl_AN CHECK FE 99. 21 G) WER USA 2200 00 t SEWER INSPECT :3`,.'i. 122)0 PARKS 6DC; :00. 410 HP—O QUALITY FACILITY F E E: 1 N0. ON 1420 QUANTITY FACILITY FEF 100. 00 + 1 EROSION CONTROL.. PERMITFFF 6",. 00 EROSION CONTROL PLAN CK 210. CIO ( � EROSION CON T ROl- 20. 60 i MST95•—laic `.'lI l , 1 TOTAL AMOUNT PAIL) 4048. 27 I ' CI 1 OF 'f i 1,44:L' RE CF I r',T OF r'('', Wr-,N'r RE:.:C;EIP'T• NO. CHECK AMIT.JN 1' 00 f t uai. a J. P. CASH AMOUNT a 0. 00 PDOR( i r,oyivirNT mu n oC+/16 1)`' 1111x:'75 r)14 I:ULI.. Pt. t"',139l i V T r-.,1 ON s 1a F-AVE PT0N (tP 97007 - 1 'LJRr`OSV OF PAYMENT OMOLIN'f 1''(1111 F'L1fwF'flrE t^lf'Y IaYFME N7 F1P1f1tINl�.F'FFSi? { G �...r1N F:.F•Ft�C:K r•E-• 1 IR 1 �ak'1F.1 ':;'A 'NORTHV I F W D14 1 40t.-F. HILA. # L.f.f T 70 y O rAl_ F114('11.11s11, PAID _� 05011 ,