16580 SW QUEEN MARY AVENUE PqFl
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165£30 SW Queen Anne
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kINSPECTION NOTICE
City of Tigard Bu_ding Oepwment
I 12420 S.W. 1.'.ain St.
Tigard,Oregon 97223
Phone: 639-4171
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•iv Type of Inspection \_—_ _
Date Requested__V - � Time—f7 A.M. P.M.
Address _ = - _Fire __J"ermit # 3,241
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Owne, _.��- _�_... �� G Lot #
BuAer 0 ,ut __-- --
The following Building Code deficiencies are required to be corrected:
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Presented to
Inspector Y_ L Disapproved
Date
CALL FOR RF,INSPECTION
0 YES ❑ NO