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16075 UPPER BOONES FERRY ROAD-1 1 CITY OFTIGARD No . 4153 12755 S.W. ASH P.O.DOX 23397 Date / TIGARD. OR 97223 Name Address Lot _ Block/Map Subdivision/Address i Permit 's Bldg. Plumb — Cash Check i Sewer Other Other Rec. By _ Acct. No. Description Amount 10-432 Building Permit Fees 10-431-600 Plurnbing Permit Fees 10-431-601 Mechanical Permit Fees 10-230501 State Bldg. Tax _ 10-433 ---- Plans-, Check Fee 10-435 Other Licenses & Permits__ , �V 30.443 Sewer Connection 30.444 —Sewer InspecKion'v —_--- - — - - - 24-448 Street Syst. Dev. Charge 25.449-610 Parks I Syst. Dev. Charge_ _ 25-449.620 Parks II Syst. Dev. Charge 31-450 T Storm Drainage Syst. Dev. Charge 10-430_ Business Tax — ! 10.434 -�-_ -Alarm Permit - �---• _ i -- ---�_ Y- 10-227 —__- Bail 10-455- Fines - Trafficl_Mis_d/Parking 10-230- CPTA Traffic/Misd/Vic. Asst. 10.456 Indigent Defense - 30-446-401 Sewer Service/USA 30-446.402 Sewer Service/City �- 31-447 Storm Drainage 40-475 Bancroft Prin. P rnt. _ 40-471 ` Bancroft Int. Pymt, - 10-451 _ Other Charges for Services TOTAL ` 1 - � f ( i t l 1 1 ( I I I l 1 1 1 l l l l l l l l l l l l i l l l i i l f i i l l l l i l i i l i ( i i i � l i • i � i ! t i i i i i i i l l i l l i l i l i l l i l i � t� l l i l i i i i l i l i i i i i i i ..��,�,��M�� .�.M ____----___ - - - - .�._- . . . � il . ,�� i .ii 7 0 10 11 12 NOTE .. IF THIS MICROFILMED - W ING IS LESS CLEAR THAN _— THIS NOTICE . IT IS DUE TO fi�{ THE QUALITY OF THE ORIGINAL DRAWING. Illi 1111 IIII (��� ���� IIII ���� 1111 ���� ���� ���� ���� ���� ���� Illi IIII ���� IIII (��� ���� IlII IIII II I IIII IIIl��� ►.lII ���� IIII 11 11 P 11fl im 1111 II111 11 11 11 IIh illl A } ,l �. . 40 U90 4' 7 rte; M',_ .-..- -_ .J - .... -� .f���. .�.J....Y ,R .,, .... . «- I�M`1.Y. t. � `_ _" n � • -M ti..-�.� .r .-...:...r_. .. �- - 9�_�+.�(ra4_ ....'1 C.'�'}C .... .....-. -, ... REVISIONS BY I � i i i i I \ Fri ,c,ro\ 99 -10 P►'sI1A!_. 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