12647 SW 133RD AVENUE ADDRESS.
;t(4o*7 SW 133CAve�hwE
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CITY OF TIGARD CERTIFICATE: OF
COMMUNITY DEVELOPMENT DEPARTMENT OC'CUP'ANCY
13125 SW Hall Blvd.Tigard,Oregon 9!223.9199 (503)639.4171 PERMIT #. . . . . . . : MST's 1._.0+:.
669 L►1 1 1 DATE I SSUED e 1
, 'e '13
PARCEL: 2G 104AL: 03900
`,ITE: ADDRESS. . . : 1264 7 5W 1 133RD AVE .
LIUBDIVISION. . . . I MORNING HILL. 8 7.C)NINGeR-25
BL.00K. . . . . . . . . . I LOT. . . . . . . . . . . . . 11.83
f'LASG OF WORK. I NEr:W
TYPE: OF USES. . . :SF"
OCCUPANCY GRP. :R:3
OrCUP='ANCY L,DAD.—222 4
TENANTNAME. . . I
Po mar k s u
Owners
PINNACLE F40MES
127:.315 SW GLACIER LILY CIRCLE:'
TIGARD OR 97223
Phone #s 644-4017
Contracture
PINNACLL HOMES
12735 SW GLACIER ILY CIRCLE:
1"JUARD OR 97223
Phone #e 524--4711
Reg #. . I 16177
Occupancy of }he atbove referenced Ul111dintl is hereby yivell, and r,,rtifieec I
the compliance wi*h the 53tate Of (3r•egon Specialty Codes for, the gromP,
ar!c:+AW,anr.y, and use under which the i-iferenced permit was ,. «.sued.
FIRE DEPARTMENT t:li 1 NGPEC TOR
DUIL.DIN(� C1F ILIAL.
PM37 IN CONSPICUOUS PLACE
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OFTWARD IDLUMG
OREBIN
COMMUNITY DEVELOPMENT DEPARTMENT GON7 . . . . . . . : IYIST91-0289
13126 SW HWI Blvd. P.O.Box 23397,Tlgwd,Oregon 97223(503)839-4175 C-
UP77—TSSUED: 01/22/93
SITE ADDRESS. . . . 12647 SW 133RD AVE PARCEL: 2SI04AC-1*416?
SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25
BLOCI... . . . . . . . . . i LOT. . . . . . . . . . . . . .. 183
--------------------------------7-----------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . ." I
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 91 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . tO TRAPS. . . . . . . . . . . . . . ..0
STORIES. . . . . . . . ..2 WATER HEAFERS. . . . . . .. I CATCH BASINS. . . . . . . :0
FIXTURES--_-___.._._.__.._.._ LAUNDRY TRAYS. . . . . . ..0 SP RAIN DRAINS. . . . . 41
S I NKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 30
LAVATORIES. . . . . .L1. OTHER FIXTURES. . . . . :lb
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSET'S. . -. 3 WATER LINE (ft ) . . . . - 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks :
OWNER: ------------------------------ -------------------FEES--------------
PI14NACLE HOMES TIF $ 1380. 00 JH 01/22/93
12735 SW GLACIER LILY CIRCLE BPR7 $ 400. 00 JH 01/22/9t6
BPLC $ 40. 00 JLH 12/31/91
TIGARD OR 97223 B5PC $ 20. 00 JH 01/22/93
Phone #: 64.4-4017 SSDC $ 280. 00 JH 01/22/93
PARK $ 500. 00 JH 01/22/93
Plumbing Contractor:--._.-.-_.._......____.__._-_-_ MPRT $ 39. 00 J1.1 01/22/93
MPLC $ 9. 75 JH 01/22/93
Namr , M5PC $ 1. 95 JH 01/22/93
PPRT $ 140. 00 JH 01/22/93
Addr s!"
City : _ ___State :_._.._._ P5PC $ 7. 40 JH 01/22/93
Zip -Ph U 11 e
Reg #:
REQUIRED INSPELTION19.
1'his permit- is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam lylechan Appr-/Sdwlk Insp
in accordance with approved plans. 'rhis Plm/undslab Insp Mechanical Finai
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for mor� than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
PireplaQe Insp
Jas Line Insp
Insulation Insp
Gyp Board Insp
Au orized Plumbing Contractor Signature
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Call for, inspection - 639-4175
Contractor Nates:
CITYOF TIFARD
.
CITyOFlWARD
COMMUNITY DEVELOPMENT DEP01110
ARTMENT MASTER PERMIT
MON
13126 SW 4WI Blvd. P.O.Box 2W97,TIgnM,Omgm 0/223(W3) PERMIT #. . . . . . . : MST91-0289
639...4171 DATE ISSUED: 01/22/93
bl ('L ADDRESS. . . .- 12647 SW 133RD AVE PARCEL: 2SI04AG—MH183
SURD V ISION. MORNING HILL 8 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 183
---------------------------—------- BUILDING
REISSUE:MST91-0284 DWELLING UNITS: l BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. .-NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :418 sf
TYPE OF USE. . . sSF FLOOR AREAS----------- REQUIRED SETBACKS__—_---___
TYPE
ETBACKS----------
TYPE OF CONST. :5N FIRST. . . . -,895 Sf LEFT. . :5 ft RIGHT. :28 ft
OCCUPANCY GRP. .R3 SE(JND. . . :871 5f FRONT. *.20 ft REAR. . %52 ft
STORIES. . . . . . . :2 TH I RD. . . . -0 S REQUI
HEIGHT. . . . . . . . :22 ft TOTAL------; 1766 sf SMOKE DETECTORS. ;Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 88760 PARKING SPACES. . .-O
Remarks: I
---------------------------------- PLUMBING --------------------------------------
SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :o
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLUSETS. . .-3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . .. _, ,
GARBAGE DISP. . . : 1 RAIN DRAIN (-ft) . cO
WASHING MACH. . . . 1 SF ROIN DRAINS. . : 1
---------------- MECHANICAL. _---------------------------------- FEES
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1380. 00 JH 01/22/93
MAX INPUT:O BTU VENT FAI*4S. . :4 BPRT $ 400. 00 JH 01/22/93
FURN ( 100K . . .- I HOODS. . . . . . : 1 FPLC $ 40. 00 JLH 12/31/91
FURN )=100K . . :0 WOODSTUVES. :O B5PC * 20. 00 JH 01/22/93
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 01/22/93
BUIL/CMP < 3HP:O OTHER UNITS.0 PARK 1, 500. 00 JH 01/22/93
GAS C)UTLETS: 1 MPRT $ 39. 00 JH 01/22/93
Owner * 9. *75 JH 01/22/93
PINNACLE HOMES M5PC $ 1. 95 JH 01/22/93
12735 SW GLACIER LILY CIRCLE PPRT $ 140. 00 JH 01/22/93
P5PC $ 7. 00 JH 01/22/93
TIGARD OR 97:23
Phone #: 644-401*7
Contractors ---------------------------------
PINNACLE HOMES
12735 SW GLACIER LILY CIRCLE
LL
TIGARD OR 97223
Phone #s 524-4711
Ln Reg #. . 1 16177 --------------------------------------------
$ 2817. 70 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fouiid Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 181 Post/Beam Machan Insulation Insp
days of issuance, or if work is suspended for more than 180 days. Plm/uridslab Insp Gyp Board Insp
fiL�LM/Un d e r f I o a r Rain drain Insp
F)ermittee Signature &J L3 Merhanical. Insp Water- Line Insp
Plumb Top Out Appr/Sdwlk Insp
1 'i5ued Sys Framing Insp
Mechanical Final
Call for inspection 639-4175
_INSPECTION NOTICE
�~ City of Tigard Building Departamnt
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection. Line (Rec-O-Phone): 639-4175 Buul.neas Phone: 639-4171
Inspections
Footing Plbg. ftnderslab Mach. Rough-in rppr/Sdwlk
Found. Plbg. Top Out Gas Line ti FINALs�
Poet/Beam 3truct. Sao. Sever Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor / Water Line Gyp. Bd. 496c i.
Date Requested: 1l� — Times M 5� PK
Address: r(t(' ,y�.�� Permit f t /l
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Builder: ' Ilr/�Q� r. �.. Ccs f b4'1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:___'
APPRMDPROVED APPROVED SUBJECT TO ABOVE
Call For R::insp.
NSPEION NOTICE
City of Tigard Building Depart-aent
13125 891 Ball Blvd. Tigard, Oregon 97223
Inspection Lin* (Rec--G-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Foot',*Ag Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lin* �._FINALt�
Post/Beam Struct. San. Sewer Framing
-Bldg.�
Post/Beam Mech. Rain Drain Insulation Plumb.
Plbq. Underfloor Water
� Lin* Gyp. Bd. -Nech.
Date Requesterd-: /y-`y V C � _Ti It AM �j(y PH
Addreen: (� 1 �0 I�Cll,y�y _ PlxmLt #ell 62_ + 1
Bull der t_V-i�nk_-,6qje
THE FOLLOWING CORRECTIONS ARE RRQUIRED:
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Inspectort /J Dates-1d- /g~/
APPYAM ` DIBAPPROVED APPROVED RUBJECT TO ABOVE
Call For Reinsp.
NSPECTION NOTICE I
City of Tigard Building Department
13125 9 Ball Blvd. Tigard Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi:.ess Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/8d k~
Found. Plbg. Top Out Gas Line FINAI•:
Post/Beam Struct. San. Sewer Framing -Bldg.
Posit/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Cyp. Rd. -Hoch.
Date Requestedt 2 TLo A 7 P
Address: Permit Is
Builder:
THE FOLUYWINO CORRECTIONS ARE REQUIRED:
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APPROVZD DIBAPPROM APPROVED SUP-TRCCTTO ABOVE
Call For Reinsp.
INSPECTION NOTICE ��'�.✓�R
City of Tigard Building Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rac-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FIPIAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Hoch- Rain Drain insulation -Plumb.
Plbg. Underfloor "star Lino . ld., -Mech.
Date Requestedt/ Timet 4-AM,, PN
Address: ��-s (P `7 //�` lA -NEmit ♦t=�r�v
Builder:. 14 LIL::;�
THE POLLCMING CORRECTIONS ARE REQVIAEDt
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�ArPROVEO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinep.
INfPECTION NOTICE
City of Ti(ard Buildiiq Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line, (Rec-O-Phones 539-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Much. Rough-in Appr/Sdwlk
Found. Plbq. Toy Out 0 "a Line FINAL:
Post/Beam structs sans 8wrar J`---
alainq -Bldg.
Post/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. Koch .
Date Requested:, 1-31 Time: AI► E�PM
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Address 1,2 ' Permit fs
Builder: 0z ;e(`�!
THE FOLLOWING CORRECTIONS ARE REQUIRED: r
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APPROVlD DISAPPROVED r APPROVED SUBJECT M ABOVE
--Call For Reinep.
jNS?6CTIONNCYTT
City of Tigard Bui.ldittg DaPartmont
13125 OW Hall "Tod- Tigard, Oregon 97223
Inspect.i.on LLne (Rec-o-P'none)s 639-4175 Busineaq Picone: 639-4171
Inspections ----
Footing Plbg. Onderalab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out _Oas L:Ln� FINAL:
Post/Beam "trurt. San. P-ewer. ` Framin� -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. underfloor Water :.Lne gyp. Ed. -Meeh.
Dat® Requested: Timet AN �PM
Address s / / /�, _ - Permit #I
Builder:
THE FOLLOWING; CORRECTIONS ARE REQOIRM
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Inspectorrt
_APPROWDI DIBAPPR(1VRD APPROVED SU&TRCT TO ABOVE
_ Call For Peinsp.
INSPECTION NOTICE7 '
City or Tigard Buildis>rg DepnrteeQt
13125 AIN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ `
Footing plbq. Underalab Mech. Rough-in Appr/Sdwlk
7 l
Found. / [ plba. If",OU Gas Line FINALS
Post/Beam Struct. San. Sower/J Framing -Bldg.
Yost/Beam Mech. Rain brain Insulat"_on -Plumb.
Pibg. Underfloor Mater Line Gyp. Bd. -Mech. `x/
Data Requested: 6 / -��� Time= AM ✓ "' in,
Address:` ��6 --Z 133 r �` — Permit I s ':
Builder:_
TBR FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUNJIICT TO ABOVE
G7� ---Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Department �,A-
13125 SRI Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-oo/-Phone)s 639-4175 Bunineas Phone: 639-4171
Inapections
Footing Plbg. Underalab Mech. Rouch-in Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINAL:
Poet/Beam 8truct San. Sewer Framing -Bldg.
Post/Beam !tech. Rain Drain Insulation -Plumb.
. Underfloor i water Line Gyp. Bd. -Mech.
Date Rmpeote/d_`7 s_ r �� 1 Time: _ Gid —Am PM
Addroes: ((2_(j Permit
Builders
THE FOLCAWINC OORRECTIONS ARE REQUIRM
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APPROVED DIBA ROVED APPROVED SUBJECT To ABO'+E
Ca11 For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Cit Ball Blvd. Tigard, Oregon 9722
inspection Line (Rec-O-Phone): 6.39-4175 Business Phone: 639-4171
Inspection:_,_ �/i�'L.
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fuund. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San, Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line/ Gyp. Bd. -Mech.
Date Aequeeted: 7 Timet AM/ PM
Addresses �Q /iT 22 7 Y� Permit #s. ' L
Builder:
THE FOLLOWING ODRRECTIONS ARE REQU`IR�ED:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTICU NOTICE /a
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struet. Sett. Sews_=� Framing -Bldq.
Poet/Beam Mech. aksin Drain i Insulation -Plumb.
Plbg. Underfloor ter Line Gyp. Bd. -Mech.
Date Requeeted: �7 Times _AM PM
Address: r� Permit LI 2 4
B-:ilder:_� ���
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date
APPROVED DISAPPROM APPR("MD SUBJECT To ABOVE
Call !br llainep.
INSPECTIO! NOTICE ,
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4375 Business Phone: 639-4171
Inspections
oot� Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq, Underfloor Wator/Line Gyp. Bd. -Mech.
)ate Requested: �/ 7 /!� 12 Time: - -AM PM
Address- mac' Permit
Builder:---
THE FOLLOWING LORRECCIONS ARE REQUIREDs
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APPROVED DISAPPROVED APPROVltD SUBJECT 410 ABOVE
Call For Reinsp.
CITV 0- TWAND RRC IFIPT OF PAYME"N't' RECElt-IT NO. z
CHECK AMOUNT s 491 70
Ni)I 11--' s 17,.T+1NA(',1..C- HOMES CASH AMOUNT 00
PAYMENT DATL s 01/x:.:/91
SUBDIV15ION
PURPOISI--- OF PAYMFWT AMOUNT PATI) PURPOSF Or PAYMENT AMOUNT PHID
stj I ER
1 137 400. 00 PLUMBING PrRM 140. 00
R
hit 1-.11ANICAL PE 39. 00 �:J. BUILD PER c'-'S. 9 5
CHEO( FT' 9. 75 f7-3R,'Wk--'R USA 100. 011
WE R INbPL(J 35. 00 PARVI., 7DL: 500. 11flo
I c Wol DRAIN 5DC2,80. (�.Io RESIDENrIsiL. TRAFFIC FF le- ). 0i.)
01(1,119 TMANS 11 ltF F,:'L,Eb 100. QW1
uj
LOT 18.3 MORNING HILL A
1�','647 "-)W 13Pf`
I (JAL. AMOUNT PIC41D 491x'. 70
CITYOFTIFARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT onew PERMIT
F-�E RIr1I l #. . . ..
. . . : SWR92-•0089
19125 SW FWI Blvd. P.O.Bax 23347,Tipvd,Orpon 47223(603)639-4175
-- - — 63(j--4171 DATE ISSUED: 1211/22/93
:)ITE: ADDRES S. . . : 12647 bW 133RD AVE PARCPL: 25104AC-NH161_:
':AJBDIVISION. . . . : MORNINU HILL 8 ZONING: H-2:5
BLOCK LOT.. . . . . . . . . . . . . : 1
1 I_NANT NAI LZ_- . . . .
U5A NO. . . . . . . . . . : FIXTURE UNITS. . . :
Cl..ASS OF' WORK. . . :NEW DWELL-I NL; UNI [S. . : 1
T YF='E OF USE. . . . . :SF NO. OF BU 1 LD I IV( S: 1
INSTALL_ 1 YF`E. . . . :BU5WR I l*lPLRV SURFACE. . :
Remarks :
bwr,er c ___.______._._______.___-_---__.______-__..___---------- --_.__ FEES
[-:'16INACLE HOMES type amol_rnt by date recpt
12735 SW GLACIER LILY CIRCLE PRIh1T $ 2100. 00 JH 01/22/935 -
I N5P $ 35. 00 J H -
IGI-IRD OR 97223
Hrrrne #: 644--4017
I.,ontractor:
I..ON TRACTOR NO'T ON F=ILE
Hiciile #: $ 2135. 00 TOTAL
Frey #. . .
-•-••----- REUU I RE D I NSPEC'T I ONa
This Applicant agrees to comply with all the rules and regulations Sewer InsFaection
of the Ihrified Sewage Agency. The permit expires 180 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 measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "lap and Side Sewer" Permit and the Agencv will install a laieral.
i-'cer mittee c,iyna/t1.rre : 41•6aj, --�V._?
Issi.ted By -
y Call for-, inspect inn - 639-4175
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