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10727 SW TITAN LANE rr 0 V N V �3 �1 �3 C� i - 1.0 i 2.7 SW TITAN LANE ARM �:"ITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tlgard,Oregon 97223.31. (503)639.4171 CERTIFICATE W: -pmT1' 2-Vi --41 71 DAT'L •'L "It '" W 11JON I J.1 P"ARCE,L r. 1-0 1 NEW ePL OF WSE 00"Y Opp. or,.; P(OH I MILA-Ep SUI'.. )EP 11* -. 0. 13OX P32")I IGARD f,V 543 MILLER (WX G'!3f"91 1 164,11RD Ok I'hnrru +a f-,P4-- 7".543 �30 101'.4 -,y if the --kb0Yc, v f.,fev-�-iicvd bi-xi Idit);j im her-eby r,!1 f L'� OF ",,peCjaj.tV witi.-I �h I OccUpancy, i-)tld use ------- -1 CII ,-,)t' IN PLOU ECTION NOTICE city of Agard Bui.]dirg Department �. 1-:125 SW Bell Blvd. TLgard, Oregon x' 22 IneFkctLori Line (RBL-O-Pl►ttne)s 63' -4175 Bueinee1 [•hone. 639-4171 Inspectio.,i_ - ----. - — -- . Footing Plbg. Undrirelab Mech. Rough-in Appr/Sdwlk 7ound. Plbg. Top Out Gas Line FINAL: Vost/Beam Atrucit. San. Sewer Framing -Bldg. Poet/Bows Noah• Rair DrAn Insulation -plumb. Plbg. Undvitinor Mater Line Gyp. Bd. -Koch. -� T isle s AN J PK Date Requwatudt_r — Addresa:-__ZZ�LZ_ _ •'-t-J:.;.� - Permit 1 t" Z" Bu ild-er s�� ---- THE FOLLOWING CORRECTIONS ARE RFgU.Rav: ,7 Inspecto — I _ `_ -.- __-- Dates— — \ APPROVED DISAPPROVED _ _ APPROVED SUBJECT TO AROV" Call For Roinsp. INSPECTION NOTICE City of Tigard Building Uepartaent 13125 SM Ball �• Tigard, Oregon 97223 Linn Line (Rec-0-Ph )s 639-4175 Business Phone: 639-4171 Inspec Inspections___ Appr/Sdwlk � Meeh. Ro^yh-in Plbg• pderelab Footing Gas line FINALS Plt,c�. Top Out Found. San. sewer Framing -Bldg. Poet/Beam Struct. -Plumb, in Drain Ra tnsulats.on Poet/Beam Mech. -Mach. Gyp- Bd. YlbWater Line g. Underfloor Timet _- --AM PM Date R�,questeds_,�— A-1A tiJ Permit -- Address: Builders THE FOLI7WIN0 CORRECTION£ ARE REQUIRED: I neps•ct 3r s Dater _ VB APbRnVED ,` DISAPPROVED _— APPR.ri/ED Etld.ISCT TO ABO Call For Reinsp. �NSPBCi_;ION NOTICE {int city of Tigard Building a mon 47323 13125 SH Ball Blvd. Tigard, �17Inapect'Lcn Line (Rec-O-Phone s 636-41.15 Busineoe Phonet Inei,ection+__!- -. - - A r/Sdwlk Plbg• Um = ibala mech. Rouptt- n PP F��'1'ng FINAL, To Out Gas Line Found. Plbq• P FramLng -Bldg. poet/SeamBan. Sewer Struct. _Plumb. Poet/Beam Mach. Rain Drain Ineuiation h. plbg. Underfloor Water Line EYP. Bd. PN Tia►e: Data Roqueatode- -�'•'� • -. permit �s�.---- Addreeas Builder:---_ �- THE FOLIOWIIIIi COME CTION, ARE REQVIREDs -_ -� Uate:- l,nepector ---------- --- _.- DISAPPROVED APPROVED SUBJECT TO ABOVE AppAOVBD -` Cail For Reinep- INSPE�_TION NOTICE, City of Tigarll Buildi.nq Depariment. 13125 Be hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businene Phone. 639-4171 Inspection: Footing Flbg. Underelab Mech. Roi.gh-in Appr/Sdwlk Pound. Plbg. Top Oul: Gas Line PIN Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain lneulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:_ 5 T 3 Times �G TM _PM A..dress:_Z_ja ?ax ? �7tJ Permit of Builder: 22Zd, Lam. .2THE FOLLOWING CORRE^.TIONS AR6 REQUIRED: Inspector: _ > _–L _----,-- PPROVED DISAPPROVED _— APPROVED SUBJECT TO ABOVE Call For Reiner. R INSPEt.`TION NOTICE / City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line jRec-O-Phone): 639-4175 Businese Phone-z' Inspection:_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. P1� Gas Lina L FINAL: Post/beam Struct. San. Sewer Framing ISI -Bldg. Post/Beam Mech. Rain Drain It� Plbg. Underfloor Nater Line C'yp. Bd. -Mach. Date Requestedt _ Timee AM PM Address:./ �.c=e7h-� Permit #t r �� f Builder:__ ��_ ��� THE FOUA)WING CORRECTIONS ARE REQC::GD: l J - ' 6 7- OAK Inspectors ' 1�i�- Date. Z APPIOVED DISAPPROVED APPROVED SUBJECT TO ABOVE --- Call For Relnap. INSPECTION NOTICE , City of Tigard Building Department 13125 SM Ball Blvd. Tiqard, Oregon 97223 Inspection Line (Rer_-O-phone): 639-9175 Buainean Phone: 639-4171 Inspection-__ __— _.__._ - —� Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. plbg. Top Out Gan Lino FINAL, Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq- Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: Tina: N AM PH Address: Y Permit fs C Builder:L�L�tibJ� _ THE FOLLOWING 0ORRZCTION8 AQUIRED: Inspector:----- ----------�—�._----- Dates- --- nPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinep. Z1f-p-PECPION NrTICM City of Tigard Buil.di.eg Department )3125 SW Hall Blvd. Tigai 61 •�,'r Inspection Line (Rec-o-phone): 639-4175 Business a s RZ one: 639--4171 Inepecti-on: Footing Plbg. Underelab Fiec;:. Rough-i- n Appr/Sdwlk Found. Plbg, Tnp Out Gas Line FINAL- Poet/Beam Struct. San. Sewer C�-,F_-a'°L-�:�_Z -Bldg. Print/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: _Time: Ad:lrenn:�f PM Permit #: Rullder•, •-LJ THE FOLLOWING OORRECTIONS ARE tEQUIRED: ----`-- ------------- ------------ ------------- 5 2nepsotors _,___APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE .___Call For Reinsp. '�1 >� >•f +air sr ser �a wr �NSI'ZCTI0 L NOTICE city of Tigard Building Depaxt.Aent 13125 SW Hall Blvd. Tigard, Or.'gon Inspection Line (Rec-,o-Phone): 6?9-4175 Busi-IDBS Ph 6.3J-4171 1 nspect ion: Footing Plbg. Underalabh Rough- .n Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet-/Beam Struct. San. Sewer Framing -Bldg. Post/Beam M(-ch. Rain Urain Insulation --Plumb. Plbg. Underfloor water Lined Gyp. Bd. -Mach. Date Requestedt Thi — PM XZAddress:_ / ~] Permit �t Builder -- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspec3rt_ -- Dates . / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp, INSPECTION NOTICE City of Tigard Bnlldiog Depertme:.tt 13125 SII Bell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-C-Phone): 6391(/,-,4175 Busine!as Phones 63 -4171 Inspections` ` �� i ( I LC.-L� `'tet ' ,A Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found, P:bg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beans Moch Rain Drain Insulation -Plumb. 'l Plbg. Under f: or AterLlne Gyp. Bd. -Koch. /' Date Requested:_ I c-` Ti'Oet AN PM Address: �c�)Z LA.v._ L Permit �t Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Idspector s \ APPROVED -_ D!SAPPROVEn APPROVED SUBJECT TO hBJVP, _Call For Reinep. ■w ae� �M_ECTION NOTICE { City of Tigard Building Departs►l-nt 13125 SB Hall Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Rusinese Phone: 639-4171 Inspection: --- --- --._—__---- -- Footing Plbg. Underelab Mech. Rougi.•in Appr/Sdw?.k Found. Plbg. Top Out Cas Line FIN#Ls Post/Beam Struct. ean. eewar Framing -Bldg. Post/Ream Meeh. Rain Drain Insuiation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: _7lme: _ AM _ PM 2 . Addreaas 2, Permit is p builders -- TB= raLLOWINC CORRECTIONS ARE REQ RED: 419? e9e-7 Inspector;---`---'�•- — --�-- ---Y- Dake: ---- APPROVED nISAPPRO"/3D _ - APPROVED SUBJECT TO ABOVE tall Fur Reinep. MASTER PERMIT PERMIT #. . . . . . . : MST9 2-0286 CITYOFTWARD CITYOFTIGARD rAA�L COMMUNITY DEVELOPMENTIT o"00H DATE ISSUED: 12/03/92 13'26FWFWleW. p.O.Bux M. 97,Tjgs�.oregon CXMI PARCEL: 2S115AA-BE2 I SITE ADDRESS. . . : 10727 SW TITAN LN ZONING: SUBDIVISION. . . . : BERKLEY ESTATES BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :22 ------------------------------------- BUILDING --"-----BASEMENT. . . . . . . . l0 Sf REISSUE:MST92-0152 DWELLING UNITS" GARAGE. . . . . . . . . . 1400 sf CLASS OF WORK. :NEW BEDRMS:36 BATHS:2 REQUIRED SETBACKS------_--- TYPE OF USE. . . tSF FLOUR AREAS--------sf LEFT. . a6 ft RIGHT. :5 ft ft REAR. . 126 ft TYPE OF CONST. .5N FIRS'T'. . . . : 1568 OCCUPANCY GRP. ;R3 SECOND. . . :0 sf FRONT. :20 THIRD. . . . :0 sf STORIES. . . . . . . : 1 -- 1568 sf SMOKE DETECTORS- :Y HEIGHT. . . . . . . . 116 ft TOTAL- ---: PARKING SPACES. - : 1 FLOOR LOAD. . . . :40 Psf VALUE. . . . . 79328 Remarks: PATH I --- PLUABING ---------------------------------- BACKFLOW PREVNTRS. - CO SINKS. . . . . . . . . ., : 1 FLOOR DRAINS. . . . CO WATER HEATERS. . . 11 TRAPS. . . . . . . . . . . . . . :0 LAVATORIES. . . . . :3 CATCH BASINS. . . . . . . 90 -2 LAUNDRY TRAYS. . . :0 TUB/SHOWERS- . 10 GREASE TRAPS- - - - - : . . WATER CLOSET�. . :2 SEWER LINE (ft) - :0 OTHER FIXTURES- .0 DISHWASHERS. . . . : 1 WATER LINE (ft ) - : 100 GARBAGE DISP. . . 91 RAIN DRAIN (ft ) - 10 WASHING MACH. . . : 1 SF RAIN DRAINS. - : 1 FEES ---------------- MECHnNICAL ----------------type amount date rc-cpt FUEL TYPES------------ UNIT HTRS. . ,@ TIF 1460- 00 BCR 12/03/92 - /GAS/ VENTS . . . . . :0 373. 00 BCR 12/03/92 - MAX INPUTsO BTU VENT FANS. - :3 BPRT HOODS. . . . . . : 1 BPLL $ 40. 00 JLH 11/c4/92 92­`44i'ii1e FURN FURN ) -1001; WOODSTUVES- cO B5PC $ 18. 65 BCR 12/03/92 FLOOR FURN. . . . :0 CLU DRYERS. : I SEDC * 280- 00 BCR 12/03/92PARK $ 500- 00 BCR 12/03/92 BOIL/CMP ( 3HP:0 OTHER UNITS.- I 40. 50 SCR 12/03/92 GAS OUTLETSrl MPRT $ -----------MPLC $ 10. 13 BCR 12/03/92 - Owners I-R!CIC $ 2. 03 BCR 12/03/92 - JAY MILL-_R BUILDER INC PPRT $ 125. 00 BCR 12/03/92 - P. O. BOX p. O. BOX 23291 P5FIL $ 6. 25 BCR 12/03/92 - 'TIGARD OR 97281 Phone #1 684-7543 Contractor: JAY MILLER P0 BOX 23291 f*IGARD OR 97281 Phone 0: 684-.7543 [Reg #. . : 30109 $ 2855. 56 TOTAL ed subject to the regulations contained in the REQUIRED INSPECTIONS orlit is issued state of Ore. Specialty Lodes and ;11 ether Foot/found Insp Fireplace Insp T Insp Tigard Munic.1pal C30, accordance with approved Post/Beam StrUct Gas Line applicable laws. All work will be done in post/Beam Mechan Insulation Insp plans. This pervit will empire if work Is not started within lB@ plm/undslab Insp Llyp Board Insp days of issuance, or if work is suspended for our@ than 180 days. PLM/Underf loot- Rain drain InsP Insp Water e Mechanical -'/,Sdwlk Insp Permittee si-A"ati-tv er Line Insp Plumb Top Out Appr Framing Insp Mechanical Final Issued BY .' Call for inspection -- 639-4175 i / SEWER CONNECTION TIOARD F E. . . .CITYOF PERMIT #. . . . . . . : SWR 32-0:373 CITY OF TI6ARD COMMUNITY DEVELOPMENT DEPA4TM N� OR*QWD+ DATE ISSUED. 12/0:3/92 13126 BW FWI Blvd. P.O.Bur 23:07.T19",0-9-072"3(boa) 1 6 �, I - RE - SITE ADDRESS. , . : 10727 SW F'WRCFL: 2S] 15AA-PE:22 SUBLIVisio'J. . . ., : BERKL_EY ESTATES ZONINGS: BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . _..... _ __._._._..._.__.__._._._...._..___- ___._.._.__....__---_-__--_--_ TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNI"f5. . . : CLASS OF* WORK. . . :NE:W DWELL I IVIG UN I TS. . : 1 T Yf.*'E OF USE. . . . . :SF NO. OF BU T LD I NGS: 1 INSTALL TYPE. . . . :BIJSWR I MPERV SURFACE. . : : s f Remarks : PATH I I..lwn er: ______________.......___-..... _.__._._________ _ FEES J'A'v MILLER BUILDER INC: type amount by date reept r'. 0. DOX 23291 f'RI+1T $ 2].00. 00 BCR 12/03/92 - INSP $ 3b. 00 HCR 12/113/92 - T IGARD OR 97281 Phone #: 684-75,4C CONTRACTOR NOT ON FILE Phone #: ti 135. 00 TOTAL Reg #. . ---•- ..-. - REQUIRED INSPECTIONS ------- . This Applicant agrees to comply with all the rules and regulations Sewer^ I ns Ijec-t i on of the Unified Sewage Agency. the permit expires IN days from the date issued. The total amount paid will be forfeited if the ...... permit expires. The Agency does not guarantee the accuracy of the -- side sewer laterals. If the sewer is not located at the measurementr— given, the installer shall prospect 3 feet in all directions fromthe distance given. If not so located, the installer shall purchase ------ a "Tap and Side Sewer" Permit and the Agency will install a lateral. f'e r•in.i t t e e S i y r I.1 r e : 1 s s i_le(A By : _._....__.___..._._....._.._.._ _..__.—_.. Cell for inspect: ion 639•-4175 PERMIT PERMIT #. . . . . . . A4Z C* 716APD Cny& go DAIE ISSUVOI 1a/03/92 Comm bOMMUNrrY DEVELOPMENT DEPARTMENTTotlPARCEL I L 5AA- BLZ'2 gnp" p PAI ----------- ----------- -77777------- 5 D 11) 7.7-7mr-7—i L-.'-%1'1 10 . . .. . . . I t,.OT. . . . . . . . . . . . . . . . . I GARBAGE DISpOSALS. - It BAC;KFLOW PRFVNTRS. - 90 CLASS OF WORK. - 'NEW WASHING MA01- - - » . . . 11 . . . . 10 TYPE OF USr-­ :SIP TRAPS.- . • . . . . . .0 383 FLOOR pRAIN!". . . . . .. . 10 TCH RS, CA 'UPANCY GHP- S. . . . " . I I jcr WPTER HEPIF'R 117, SP RAIN DRAINS- - -1 C. s, 1RIFr.3. . . . . . . LAUNDRY TRAYS. . . rRFpsF- TRf1F`c,;- :0 F I x T U RES b-INK9. . . . . . . . . . . I OTHFR FIX"rURIFF . . . . . lo LAV ATOII ES- - - - - 13 SEWER LINE (ft) . . . . 10 TUB/St4PWERS. . . . : WATER LINE ( ft ) . . . . i 100 ,OSETS. • 42 WATER b, PAIN OPOIN (ft) . . . . DI,:-,l.jWAS0ERS. PATH IIF $ 1460. 00 BCR JAY MILLER BUILDER INC SPR1 373. 00 B" LiOX L-:3291 BPLC 46,1- 00 JLl 1 it/24/92 98­2.31�'111 18.65 HCH 12/03/92 TIGARD OR fli C R 1 /0',/9e' S9Dc ,_-so. 00 Phone 0% PARK 51210. 00 BCR 12/03/92 IvIPjHT U40. 50 t3CR 12/03/92 � . luml::iiny MPLL 10. 13 LIC H 1'/03/'3/ 0// M5PC c?. 03, BCR 1 0:3/'I'c� JA C,R 1 r[/0:s;' Names iny me PPRT p5pc BLR 0:3 2 goKt KEN WAITS C0NSTRU6T!'01t-_-_-__ I'it y ?,P,BOX 230925 P I TIGARO,OREGON 9726.140--- Reg 'TJONC; Oct to the I e 9 rtain dr-Alin InsVI � ljjq -I&A r-otjt/foL%j*jd Insv) Watev. Ltile I"S I- liations contgil-led in the lit-40ty'd 1-41-tt"c" pecst /Bpam r3tv*'Aut specialty Lode% Ar.d all. f4ppi,/Sdw I k Ins[) State,tate of (3t*e.. G will be dune P(Dst/"Alf I (.411 work p IVI a c ho n 1(7: F ioa P) mt.) ..able law plans. plill/undigle FJ in a,'nordance with 'k ppvoyec -lot ed Fll..M/Und 0 V i. o 0 V*, p f 1( j S In p I d i v)9 F i I expire I ' , i � Wry). e ch AT, k('--6 1 F ral Pei lft�t W3 141 14 or1-1 loll r(.)s ton 180 (JOYS of 'is0(A-Ti`chvv I um Out crawl s,.ispencied t;or more that) A Y S. Framtrig Ln9P I n s p GAS Lille 1119p I tj S krk o 1) 1 TI V'p Gyp pAnard ori'ZOd Fliumbin4 Cc);�irdkrt A V e 4 1. 75 fat, "I spect i oil Not 09 1 ICITY OF TICIApi) -• RFCEIN'f CIF F,FIYP4LNT Cl IECKPT NO. s9�,�4234,y 1 ` CA H AMOUNT' 0. 00 NAME:; t .;AY MILLF. R AIJIL.DER F'AYMF:NT DATE', s 12," 9c'. A1:DRE'S5 : PO BOX 23291 SI. B01:V 19 I ON ` 'CICaARIa, OR 9'72`81- fAMC1I..IN'T NAIL) OF F'n'YMFNT AMOUNT FAIT PURPOSE. OF pAYM4-N'!' _...._....__ .._.. ._........M _.._...,_, 37,3. 0�t T'L.l3MRINC; F='FRPb. ],i �40. 50 q'1'. BU I�...D PFR ` MECHANICAL PE r'E:WE.�2 I..IOA P100. 00 I I�L,AN CHECK wE 1Q�. 1 �. , 00 SEWER T.NSPE:C) 35. 00 !='ARK'S SDC Sl Opki DRAIN SDC, a sol. 00 REG I LFNT I AI._ T RAFF'I C F"�:ES 13,30. QiO� I MASS TRANSIT T I F FEES 1 1.0, 00 I I i P-2 S RKLFY E TATES' 107e7 SW TITAN l...ANE TO TnL AMOUNT PAID - - A9 i0. E+ i .w • PLNCK/RECT # 5 y / 13►?S SW lcall104- CIT) I� TIGARDTiptA Pngo.23397 pERMIT # COMMUNITY [DEVELOPMENT DEPARTMENT c�9-4171gon 23 (503)S39-4171 DATE ISSUED —. '' TAX MAP/LOT — JOB ADDRESS: �/_1.� ?R -�� LOT• .��� LAND USE: VALUATION. � SPECIAL NOTES OWNER REISSUE OF: n' y NAME: 1 - LAST REISSUE: ADDRESS7:77 � FLOOD PLAIN/ SENSITIVE LAND: ---- PHONE: APPROVALS REQUIRED CONTRACTOR PLANNING: --------------- NAME: _�'.�-_ — ENGINEERING: ------ ADDRESS: _ _-__---- -, FIRE DEPT: - ------ OTHER: ---- PHONE: ---- CONTR. BOARD : - EXP DATE: - ITEMS RE UIREO SUBCONTRACTORS: PLUMB: yet � ,,:�v LIST/SUBCONTRACTORS: �—_---- MECH: BUS TAX: __--- - CALCULATIONS: -- - -RRCH ENGINEER TRUSS DETAILS: - NAME: i OTHER: - ADDRESS: PHONE: _._-- PROPOSED BLDG. USE: COMMENTS;..--� 2414 Ap ANl SIGNATURE -�� Date Received: Received By: -��- PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees -- 10-431 00 Plumbing Permit Fees l j.� �'� _ �� .►,,, 10-431 Ol Mechanical Permit Fecs 10-230 01 State Building Tax (5%) BuildingG: Plumbing G•P i Mechanical 10-433 00 Plans Check fee Building Plumbing — Mechanical !✓ r 10-230 06 Fire l _ ✓J� ,� U 30-202 00 Sewer Connection v � lGU 30-444 00 Sewer Inspection --- .. •a 25--448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees ' 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /�,;;,� ✓ r i 25-448-05 Mass Transit TIF Fees _ 52-449 00 Parks System Dev Charge (PDC) y d 31-450 00 Storm Drainage Syst Dev Chrg 24-445-01 Water Quality (Fee in lieu of') 24-445-02 Water Quantity (Fee in lieu of) — TOTAL nm/3587P.WI'f i I �• R i • � 5 I : I CITY OF T I GARD RE ,E:I PT OF PAYMENT RFCF.I P"r NO. :c P—K':13400 j" Cl--4ECK OM013NT c 40. t 0 NAME' c MILLERS JAY CASf-I AMOUNT 0. 00 G:it)DRE.SS a r'AYwwrr HATE a I I!� SUBDIVISION x PURPOSE OF' PAYMENT AMOUNT PA i n PURPOSE Of Pf-;YME IVT AMOUNT PAI D PLAN CHECK FE 40. 00 ff I: LOT 22 BErRKLE?Y ESTATES t 0 7P7 SW TITAN LANE I-OTAI-. AMOUNT PAID i 40. (110 I 1 { i