11325 SW 90TH AVENUE 1.1325 SW 90TH AVENUE
r INSPECTION NOTICE �g�s-+ �
City of Tigard Building Department j
12420 S W. Main St. r� L_
Tigard,Oregon 97223
i
Phone: 639.4171
j Type of Inspection
Date Requested___ _ �0 - 2 S Time A.M.----P.M.
Address _ �,�.1''� �:�A-d Permit #
i �7)
Owner__,17i"j c._l�l ri'1 z C l_ _ Lot
Builder
The following Building Code deficiencies are required to he corrected:
"SLG �-"Gr-';;�1+..' C;,L,�•r � � �-T �--51..-'..t.�.t_r;, �. � .7 -y„
Presented to /,,,I Approved
Impactor Disapproved
Date
CALL FOR REINSPECTION
❑ YES CZNo
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-.417711
Type of Inspection --
Date Requested �• Time A.M. P.M.
Address Permit #
Owner_ _ __ __ Lot #
Builder ------------_.. _The following Building Code deficiencies are required to be corrected:
Presented to _. �- — �t�Approved
u
Inspector Disapproved
Date —
CALL FOR REINSPECTION
C Yes / NO
PERMIT TO CONFECT
City of Tigard
Permit NA , S42 DATE ! !�G' -
PERMIT IS GIVEN TO ,!r/T✓c?�iC' 'pU
TO CONNECT A Al
TO THE SYSTEM OF CITY OF TIGARD
ter•
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPEC'TICN OF CONNECTION HAS BEEN COMPLETED.
PEK:MIT FEE PAID $- -'_ CITY OF TIGARD
By-
_t el -
CONNECTION INSPECTED AND APPROVED
Date Superintendent v,w
Address 13 M?6 "e 1e.1 Permit No.
Name of Occupant ��f/r�0'rJ� ,LT fcl Permit charge • e u
Connection fee le
Paid by
Date connected..
TyFR of Building �C=Si/��.uG� Inspection fee °'c —
Service Rate Paid by _ ��-ie— Date.. Y
Contractor Assessment-----
Size
ssessment____Size of connection_ �-