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14655 SW 84TH COURT f D D R E S S■ ! �1 5r, dlcooi _ . ►..__,. N a N J H. Q7 LD (il J isVecordS\microfInAtargctsYmilding.doc NSPECTION NOTICE City of Tigard Building Departaenl. 13125 SW Bail Slv Tignrd, Oregon 9',113 Inspection Line (Rec-O--Phone': 639-4175 Bunineas Phones 639-4111 Inspection: Footing nlbg. Underalab !tech. Rough-+.n Appr/Sdwlk Found. Plbq. Top out Gas Line FINALt Post;Beam Struct. San. Sewer Framing -Bldg. :oat/Boam !Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Pater Line Gy2. Rd. Neth. Date Reguastedt��" Time: AM PK Addreaa: iY LfL Perm itBuilders 1,, 7 Tom FOLIAMING —"CTTIIf!!1'S ARE RSQUIREDs Inspectors. Dates APFRdVSD DTSAPPROVED APPROVED St1BJECT To ABove _Call For Reinap. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.TI91A,Onoon 97223.8199 (503)339.4171 I I Ally C7 W , L CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. e93-243591 CHECK AMOUNT a 26, 25 NAME = ZENGER CASH AMOUNT t 0. 00 ADDRESS a PAYMENT DATE 08/25/91 SUBDIVISION a d PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID MECHANICAL PE 25. 00 ST. BUILD V PER 1. 25 TOTAL b 1� J Cu C� LL1 J TO'T'AL AMOUNT PAID — •- — —> 2Ti. $5 --� Pernvit No: f 1? i 3 Addr,-,ss: �� C h �r Issued by:yiZDate: L-_ —FCR OFFICE 11ot ONLY STA r EM ENT: INFORMATION NOTICE TO PROPERTY OWNERS ,BOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issueu.This state- ment is required for residential building, electrica,, me-,hanical, and plumbirg permits. Licensed Architert and Engineer applicants, T�xempt from registration under ORS 701.010(7), need c,,ot submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: 1 . I I own, reside in, or will reside in the completed structure. 2. ! J 1 understand that I must register as a construction ccntrzct,, ii the structure is sold or offered for sale before or upon completion. 3. A.I _- I My genes al contractor is _ _ _ --- - Contractor registration number I will instruct my general contractor that all subcontractors who work on the strums ture must be registered with the Construution Contractors r3oard. OR 3. B.E� I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Con;truc- tfon Contractors Board. If I change my mind and do hire a general contractor. i will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of %n the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Own,:rs about Construction Responsibilities on the reverse side of this form. J �p A }, � Q�.' I SId atu a of Permit A plict Date CONSTRICTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT I