13111 SW ROCKINGHAM DRIVE •01
Ik --AN 8 FOOT WIDE PUBLIC UTILITY EASEMENT
C7 <D ,00 SHALL EXIST ALONG ALL STREET FRONTAGE.
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SCALE DRAWING LOT 27, AMESBURY HEIGHTS
S.E. 1/4 SEC.4,T.2S.,R.1 W., W.M. SYW, NVEJ-OPMEPT Tok.
. MAf. 8 — 0r?.0 13- 4. 5 tj*4LOR
CITY OF 11GARD
N 503
WASHINGTON COUNTY, OREGON
MARCH 16, 1999 Centerline Concepts Inc .
DRAWN BY: PDS CHECKED BY: WGDIII
SCALE 1 "=20' ACCOUNT 150-3454 640 82nd Drive Gladstone, Oregon 97027
M: \MLI\L27AMESH 503 650-0188 fax 503 650-0189
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IMAGE IS NOT AS CLEAR AS THIS NOTICE, 7
IT IS DUE TO THE:• QUALITY OF THE No.36 it,. • o,N„.
ORIGINAL DOCUMENT E 6Z SZ LZ 9Z 5Z � Z EZ ZZ YZ O '1111111"1
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13111 SW ROCKINGHAM DR. -
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUIP
Received _ __— _ Date R quested AM PM BUP _--_
Location ----_ .� _suite MEC
Contact Person Ph(—) 7' �' �r`'_ PLM
Contractor ____ —_ __ Ph( ) SWR —
BUILDING Tenant/Owner -_ ELC -_-
Footing ELC
Foundation Access: „n
Ftg Drain / y 1 (-/ ELR
Crawl Drain - ---
Slab Inspection Notes: SIT -
Post&Beam ----- __
Shear Anchors T
Ext Sheath/Shear
Int Sheath/Shear
Framing _-
Insulation
Drywall Nailing -
Firewalll� ' !:3 o
Fire Sprinkler - —
Fire Alarm
Susp'd Ceiling -'-- — — ---
Root -
Other: --
PART FAIL - —'
t;P1WLTJMBING
Post&Beam —
Under Slab --- -- --- --- — -----
Rough-In
Water Service --------__.----.---.___._._- _._-- -
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain - - -------- -- -
Shower pan
Other: - -_ ---- - - -- -
't=ina ,----------
PART FAIL --
---
MECHANICAL
Post& Beam
Rough-In ----- - - --- -- —
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service —
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$__— -__. required before next inspection. Pay at City Hall, 13125 SW Holl Blvd.
PASS PART FAIL
SITE - [j Please call for reinspection RE -_- �_- [� Unable to inspect-no access
Fire Supply LineADA ,
Approach/Sidewalk Date L��( L �' Inspector Ext
Other:
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour �Q
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP ----
Received Date Requested__ _ <� 1 AM -_ - PM _ BUP
Location ad"A_ Suite MEC
Contact PersonR 5?
Ph(—) � PLM
Contractor ._ — _ Ph(--) SWR
BUILDING Tenant/Owner ELC
Footing ELC _
Foundation Access:
Ftg Drain ��, (r ELR
Crawl Drain '
Slab Inspection Notes: SIT -
Post&Beam
Shear Anchors
Ext Sheath/Shear --
Int Sheath/Shear
Framing - --
Insulation
Drywall Nailing ---
Firewall
Fire Sprinkler _ - -
Fire Alarm
Susp'd Coiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab -W. - - ---- ---- —
Rough-In
Water Service - - --
Sanitary Sewer
Rain Drains
Catch Basin i Manhole ,
Storm Drain
Shower Pan v
Other:__... - - — -_ �_ � b --
Final
PASS RT FAIL
&Beam
Rough-in -----
Gas Line
S e Dernpers -- --�=-- -"
in
S FAIL
ecTRICe i
ln
UG/Slab
Low Voltage -
,FiceAlarm
PART FAIL � Reinspection fee of required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd.
SIT
E r] Please call for reinspection RE�.� - Unable to inspect-no access
Fire Su y Line
i
S. Date 1, . -- Inspectoi DO NOT REMOVE this Inspection record from the Job site.
PART AlL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received - -�D�at�e Requested- ___�,��-__ _ AM PM__ _ BUP
Location �2 11�� _ n6hrt�_Suite--__ MEC - c�
Contact Person _--_--- Ph (----) g 9 7 2-2- PLM
Contractor Ph ( __._— ) SWR -.
BUILDING Tenant/Owner ELC
Footing- - ELC
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam ------- _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - -------_-__ --__
Firewall
Fire Sprinkler - - — -
Fire Alarm
Susp'd Ceiling
Roof
Other:_
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab -- - —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: - _
S PART FAIL
CHANICA_L__ _
Post&Beam
Rough-In --
Gas Line
Smoke Dampers -
Final
PASS PART FAIL - -- --- -----" ---
ELECTRICAL- -p- -_
Service
------------------------------
Rough-In
UG/Slab
Low Voltage -- --------- -- -- ------
Fire Alarm
Final F] Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd,
PASS PART_FAIL
SITE__ J F] Please call for reinspection RE:-- - Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date__ AJ, Inspector _ -��Ext---
Other:
Find DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD
13125 S.W. HALL_ BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JIM'S PLUMBING
PO BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit #: MST1999-00211
Date Issued: 1010411999
Parcel: 2S104DB-02700
Site Address: 13111 SW ROCKINGHAM DR
Subdivision: AMESBURY HEIGHTS
Block: Lot: 027
Jurisdiction: TIG
Zoning: R-4.5
Remarks: PATH I: New single family dwelling w/attached garage.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start ol 'he work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
SYLVAN DEVELOPMENT INC JIM'S PLUMBING
6955 SW JUNIPER PO BOX 7160
DEAVE^TON, OR 9708 ALOHA, OP. Q7007
Phone #: Phone #: 649-4034
Reg #: I it 71860
PI M 34-186r)b
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X �
Signatu► e of Authorized Plumber
I yuu have any questions, please call (503) 639-4171, ext. # 310
_ MASTER PERMIT
CITY OF TIGARD PERMIT#: MST1999-00211
DEVELOPMENT SERVICES DATE ISSUED: 10/4/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13111 SW ROCKINGHAM DR PARCEL: 2S104DB-02700
SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5
BLOCK: LOT:027 JURISDICTION: T'G
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1.330 at BASEMENT: of LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,251 %1 GARAGE: 612 at FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 0 of RIGHT 14
VALUE: $154,047.24
OCCUPANCY GRP: R3 90RM: 3 BATH: 3 TOTAL: 2,59100 of REAR 45
PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. I CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR-. I GREASE TRAPS:
MECHANICAL OTHER FIXTURES.
FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER 1
MS FURN>•100K: UNIT HEATERS: HOODS. I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: 1 VENTS: WOODSTOVES. GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: tat W/0 SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT.
MANU HMISVCIFDR: 601 • 1000 amp: 601+8mpa•1000v: MINOR LABEL:
10004 amplvolt:
PLAN REVIEW SECTION
Reconnect onlv:
>•4 RES UNITS: SVC/FDR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO E STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,495.34
SYLVAN L`EVELOPMENT INC SYLVAN DEVELOPMENT INC This permit is subject to the regulations contained In the
6955 SW JUNIPER 6955 SW JUNIPER TEN Tigard Municipal Code,State of OR. Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 97008 all other applicable laws. All work will be done
accordance with approved plans. This permit will expire K
work is not started within 180 days of Issuance,or If the
work is suspended for more than 180 days. ATTENTION:
Phone: 641.2811 Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rap a: LIC 00103754 forth In OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Footing Insp Mechanical Insp Shear Wa!I Insp Water Line Insp Electrical Final
Grading Inspection Foundation Insp Plumb Top Out Low Voltage Appr/Sdwlk Insp Mechanical Final
Footing Insp Foundation Insp Electrical Service Gas Line Insp Misc.Inspection Plumb Final
Footing Insp Wtr Proofing Bsm't Wa Electrical Rough In Insulation Insp Misc.Inspection Final Inspectio
Footing Footing/Foundation Dr; Framing Insp Rain drain Insp Misc.Inspectlo Bullng Fin
i
Issued : �. n,, YC� Permittee Signature
Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day
cl1 rlGARD Residential Building Permit Application Plan Check#
13125 bvv HALL BLVD. New Construction Raey_ T
Dattee Recd
TIGARD, OR 97223 Single Family Detached Date to 12.E.��-
V 503-639-4171 Date to DST
F 503-6$4-7297Permit#M3��99-
Print or Type Ca`led � ,1Q
Incomplete or illegible applications will not be accepted ; .P
ooV;zG
Nam of Project -- -- --- Name . C
Job e i Ol Mallin ress
Architect g
Address Site Address- I e in M �� 5�
( S-W Cit St Ie ZI Phone
Name �- >�L(�N� �'�j[
`� �U/ti� l7(=1 �I� iJC- -- Name
Owner Mailing dd is •(, •', u
yvi" Pr Engineer Mailing Addr
C /State Zir� Phone (� D
_ CIToN OR 'I DD� 6 /-a 1( r5l�'-Sltc'
are zip Phone
General Name rt � a�
Contractor '914/") , U�EPT �-�1(__-. Describe work New)9, Addition Alteration O Repair O
Maili A d ess to be done:
Prior to permit •W. S �' e/ -TTi Additional Description of Work:
issuance,a copy /State ZI Phone /
of all licenses l-)0aVvT0rJ OR
are required it Oregon Const.Cont.Board Exp.Date PROJECT /,.p —7t
expired in COT Lic# /� -� I / I'1 1 c-c VALUATION $ i.' !� 1
database —1 4� d
Mechanical Name r NEW CONSTRUCT N ONLY: _
Sub- T 0/� � ��
I Sq Ft. House. ff
Ft. Garage- `
Contractor Mailing Address i 1, .
Indicate the restricted energy installation by the electrical
Prior to permit subcontractor in the following areas
issuance,a copy city/state Zip Phone Restricted Audio/Stereo
of all licenses — Energy System Alarms
are required if Oregon Const.Cont.Board Exp.Date
expired in COT Lic* Installations Vacuum Irrigation
database System S siy em
Plumbi Ig Name (check all that Other:
Sub- T/-- ' --- Number of Units In Building Unit Number Designation
Controctor Paring Address
Has the Subdivision Plat recorded' NIA 1—YES NO
Prior to permit Clfy/State Zip Phone
issuance,a copy
of all licenses are Oregon Const.Cont Board Exp. Dale
required If Lic.#
expired in COT - I hearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp. Date information given is correct,that I am the owner or authorized agent
r. 1J I �- of the owner, and that plans submitled are in compliance with
Name Oregon State laws. _
Signature of Owner/Agent Die
Electrical 7-4
Mailing Address
Sub- Contact Person Name
P,pne
Contractor /41- ti � L AI I
City/State Zip Phone
Prior to permit
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont Loard Exp Date Plat#: / 10p'CIIpl b G _ `,
required if Lic# U
expired in COT 4cks: Zone:
database Electrical Lic.# Exp Date
Electrical Supervisor Lia# Exp. Date ngiqeating Approval. Planning Approval: TIF:
e �
i ldstsVorms\Vd-new doc 11/20/98
M
CITY OF TIGARD
OREGON
INTENT TO HAUL EXCAVATION
(LOTS STEEPER THAN 20%)
(print name), nereby certify that ALL excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand
that failure to remove the excavation material will resu;t in the requirement to remove
the material or obtain a grading permit by submitting grading plans prepared by a
licensed engineer accompanied by a geo-technical report regarding the placement of
the excavation material as fill.
1 further understand that my footing inspection will be denied if that inspection
reveals that excavated material has not been hauled, and that work will be
stopped and no further inspections conducted until the City has received and
approved a plan and report from a geo-technical engineer regarding placement of
the fill material.
Signature Date
Permit #: _
,lob Address:�--- -
Subdivision: Lot:
haul doc(DST)7198
13?25 SW Hall Blvd. T Bard, OR 97223 (503)639-4171 TDD (503)684 --
SEE 35MM
ROLL # 20
FUR
OVE- RSI D
DOCUMENT
/ \ CBUILDING PERMIT
CITY OF TlGARD
PERMIT#: BUP2000-00086
DEVELOPMENT SERVICES DATE ISSUED: 6/7/00
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S104DB-02700
SITE ADDRESS: 13111 SW ROCKINGHAM DR
SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5
BLOCK: LOT: 027 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: OTR FIRST:' sf N: S:� E: W.
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 U() sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT'?: MEZZ?: REQD SETBACKS REQUIRED __
FLOOR LOAD: psf LEFT: ft RGHT: ft —FIR SPKL: SMOK DET
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,200.00
Remarks: 7'high retammy wall. Wall must riot encroach into public storm drainage easement.
Owner: Contractor:
ALAN NAYLOR MOUNTAIN STONE CONSTRUCTION LL
131 1 1 SW ROCKINGHAM 8805 SVS/GARDEN HOME RD
I IGARD, OR 97223 PORTI AND, OR 97223
Phone: Phone: 503-246-3077
Reg #: LIC 124854
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PLCK BON 3/17/00 $56.55 0000753 Foundation Insp
Final Inspection
PRMT DEB 6/7/00 $87.00 0002766
5PCT DEB 6/'i/00 $6.96 0002766 ORIGNAL PRM3 DEB 6/7/00 $87.00 0002766
Total $237.51
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are sel forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions.to OUNC by
calling (503) 246-1987.
Pe nnitee
Signature:
Issued By: � --
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF T!GARD Commercial Building Permit Application Plan Check* 3-3GC
13125 SW HALL BLVD. New Construction and Additions Recd By �—
TIGARD OR 97223 Date Recd
' Date to P.E. 7-77,- 7t^r)
(503) 639-4171 Date to DrrS��T r i
Print or Type Permit Lrl�b -rCr1Z(10
Incomplete or illegible applications will not be accepted Related SWR*_
Called i
Name of Development/Project
Job .
Existing Bui ding ❑ New Building 0
Address Street Address Suite
/0 t ( / ; /r) �_".7 Building
Bldg 0 City/State Zip Data
?ti�`� j✓ Existing Use of Building or Property:
Name I
Property �.�*// �!r �ryr �--_
Owner Mailing Address Suite Proposed Use of Building or Property:
City/State Zip Phone No. Of Stories:
toy
Occupant Name ^,her Sq. Ft. Of Project:
Name /,.
Occupancy Class(es)
Contractor It � /.;
Prior to permit Mailing Address Suite Type(s)of Construction
issuance,a copyeA
r n 'e
of all licenses rfioc
are required If Cit /State Zip Phone Will this project have a Fire Suppression System?
expired In C O T
Yes No
database
Oregon onst.Cont.Board Llc* Exp.Datg, Americans with Disabilities Act(ADA)
l�y 1 d- Valuation X 25% = $ Participation --�
Complete Accessibili Form
Name Project $
Architect Valuation
Mailing Address Suite ;5,-2-
Plans
ZPlans Required. See Matrix for number of sets to submit
City/State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application,that the information
given is correct,that I am the owner or authorized agent of the owner,and
Maui g Address Suite that plans submitted are in compliance with Oregon State Laws
Signature of Owner/Agent Date
City/State Zip Phone `Zc.)-' L t� �-/�►��
C)/ " Co tact Person Name Phone
Indicate type of worki New,6 Addition O Demolition O
Accessory Structure O Foundation Only O Alteration O
Repair o other.d/t FOR OFFICE USE ONLY
Description of work: Map/Tl_N Land Use:
,/ 4
P" t �. �7 a l / N4C,f4- lNotes--- - I
Parks: Estimated 0 of Employees �F=Tp,,J c'. �,
TIF:
If tho above figure is not supplied at the time of application,the city will I ��
ciculate the fee based upon the number o�arkinil spaces J
Note: Ai
Site Work Permit Application must precede or accompany Building
6� /S�r�G
Permit Application ' ✓+ n
i\dsts\forms\comnew doc 1OiB/99 1< v�
06.
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
.
Plan Review is dependent upon submittal of BOTH plans ANb ra CbMPLE-TEU,
. pplication. For an electrical 'submittal, the application must contain the
ignature of the supervising electrician before plan review will be conducted
lAfter plan review approval, Plans Examiner will contact the applicant to request:
ditional plan sets for distribution purposes. (Copy iuf Contractor, City,
' (Iashington County, Tualatin Valley Fire &
Total I- of�
TYPE OF SUBMI I-T-AL Plans KEY:
Submitted
—S-(Private) �- _ S = Site Work
B (New or Add) 1 B = Building
F (New or krid or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
d & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt - Alternation to Existing
(New , Add) Building
*B or B & M (Alt)
�E & M & p {Alt)............. .. ........... � .
.P & MI& P & E(Alt}
NOTES:
tfiade"d areas deslgnate AiT i6brriittals
dstsVonns4malrxcom doc 10/ OW
- - 1_0011ENGA LIMITE17
Structural Engineering
4621 S.W. Corbett
\ Portland,Oregon 97201
Phone 503.214.6788
\ Fax 503.224.5544
FAX TRANSMITTAL
(Please call 224-6788 If all pages are not received)
TO: � ,�1.�— - - ----- - - - DATE: - , ,�1 •'r --- - -
ATTN: -R[L1. —� i _� ,Z.`LZ�_� FROM: _D_ CI�-l.erlQ .Qb-�•— ---
PROJECT: 19,1 �a n��► _______ NO. OF PAGES TO FOLLOW: _ —
URGENT, PLEASE HAND DELIVER COPY TO FOLLOW IN MAIL
COMMENTS:
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WOIJENCiA LIMITED
5trrrtrral F.'ngineering
4621 S.W Co&crt
P,mirrd,Cltapon� 9710.Phone 5C3 224.F7AQ Job No
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