15651 SW 76TH AVENUE � I
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i:\recurds\microtim\targets\buiiding.doc
CITY®F TIOR RD
Cff YOF504 RD
COMMUNITY DEVELOPMENT DEPARTMENT Owl
13125 SW Hell Blvd. P.O.Box 23397,Tigaml,Orwgon 97223(603)639-4176 71/1
-1-1.11YISINU PERMIT
PF-'.RIYIIT' it. . . . . . .
J lss-UED:
—ITE ADDRESS. . . : 15511 SW "76TH AVE PARCEL: 2S11C*-.'CA—RWlZ11
SUBDIVISION-- R["140ISSONCE WOODIS IT ZONIN(is: R -4. 5 PO
BLUCK. . . . . . . . . . LOI.. . . . . . . . . . .. . . 145
CLASS OF WORK, -ADE) GARBAGE DISPOSALS. MOBI LF' HOME SPACES.
1'YPE UF- U!.')E. . . . :SF WASHING lyfFICIA. . . . . . . . Bf')CKFLO(.,l PREV11,1TRS. . : 1
UL LIGANCY GRP— ' R3 FUJOR DRAINS. . . . . . . : 'r RAPS. . . . . . . . . . . . . . ..
S1 0 R I Itr S). . . . . . . . WATER HKOTER'm. . . . . . . CATCH BAE JINS. . . . . . . .
1-01-iNDRY TROYS. . . . . . .. Sr RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . UR I NALS. . . . . . . . . . . . .. OPEF)SE T'RAP9. . . . . . . ..
LAVA'T OR I F-S. . . - . : 01'HER FIXI'URES. . . . .
TUI /SHOWERS. . . . - SEWER LINE: ( Ft ) - - . -
WATER CLOSETS. WATER LINE ('Ft ) . . . .
DP:.iHWAGFlERS. PATN DRr)TN ( U) . . . .
Remarks :
Owner: FEES
1-1,0,41 H113Lj1l\1l4U1HON type aina"111t; by clate l, ec:pl,
i.bb.1 I SW 761"4 P R lvl T $ 15. 00 JH 08/14/9F*
5PCT 11 0. 75 -JH 08/14/'421
FIti r)ri e if
MOODY ENI�: RPRII*.:,-!'
20454 SPRINGW01'r E R RI)
4 r4'TRIC: aC1F1 OR ---------
Phorie it: $ 1`J. 75 r0TnL
RFQUIRF.-D I NSPECT I ru,.lt-,
This pervit is issued subject to the regulations contained in the Top—ni-it Ins
Tigare 1$jnirwal Code. St;te cf Ore. Specialty Codec and all other Final Irispertiori
applicable laws, All work will be done in accordance with
approved plans. This cersit will expire if work is not started
within Joe days of issuance, or if wn-k is ik�topridvo for sort
than 180 days.
i,,p t,m i t; e v 9 i ui�a 1..kr e
Call f-ur, irisviectaxon
INSPECTION N077CE
City of Tig.%rd Bui_dinct Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection LinyRec-O-Pl�bne): 639-4175 Business Phone: 3 - 171
Inspection:
Footing Dlbg. U6derslab Mech. Rough-in Aper/Sdwlk
Found. Plbg. Top Out Gas Tine FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldq.
Poet/Beam Mech. RPi.i Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date nequested:_ -` _Time: ,_AM r
Address: fz
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREPs
Inspector _- Date
APPROVED DISAPPROVED APPROV9D BUBMICT TO AW%V
Call For Reinnp.
CITY OF TlGARD — RECF1P1' OF PAYMENT RECEIPT NO. :92- x'30' '73
CIAE=CK AMOUNT e 15. 75
Ni<h►E MOODY ENTE RPP I SES . ` CA91•4 AMOUNT tA. 00
ADDRE::SS PAYMENT DOTE. s 08/14!9:'
SUBDIVISION e
PURPOSE OF PAYMENT A11001,4 f ESA I D PURPOSE OF PAYMENT AMOUNT' F'A I A
PLUMBINO PERM 15. INPCR IA. 75
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i 531 1 SW 76'CE-i A,.'E
T r)TAL. PMOUNT PAID t 05. 75