11265 SW 94TH AVENUE it
11265 5:: (-14TH AVENUE
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INSPECTION NOTICE
City of Tigard Budding Depz tment
P O. 6,-.,x 23397
'Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 44
Date Request Time A.M. P.M.
Address ✓ Permit # 1/ 7
Owner���_
Lot
Builder
The fol'owing Building Code deficiencies are required to be corrected:
Presented to --_ "Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl YES FJ NO
KNUM-1=In 914-
CITY OF TIGARD MECHANICAL PERMITP�;� 7z -
T*b 111A VAOMnleal COds GrIf galla AW
City of Tigard 1) Permit Fee -o -0- 10.00
13126 S W Hall Blvd.
P.O._Box 23397
a,�O a7 2) supplemental Permit 3.00
-T "r� —
639-4175 Fumace to 100,000 BTU
- 1) Ind.ducts&vents 8.00
Furnace 100,000 BTU +
Incl.ducts d vents 7.50
Narrn oit)*velgxr*n1 Floor Furnace
3) Incl.vent 6.00
Jobs 4) Suspended heater,wall hoator 600
Address
or floor mounted heater
Tax t.of Map No 5) Vent not Ind,In 300
Lot Block subdivision appliance permit — - -`
-- Nome I
or nems of businna- 6) Repair of heating,refr ig , 600
!, f f� I,t-c-? "C cooling,absorption unit
MalWV Addreu Pfrorw 7) Boiior or comp to 3 HP 6.00
Owner �,� absorp.unit to 100,000 BTU
212 -city/aWe ZIP 6) Boiler or comp to 3 HP. 15 HP 11.00
absorp.unit to 500,000 BTU _ _
Boiler or oomp 15-30 HP 1 x.00
absorp.unit lb-1 million
10) Boiler or comp to 30-50 HP 22.50
absorp.unit t -1.75 million
ContractorCRY/ f t ZIP __- 1 i 9oiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
sure Regkfratbn No l-- --^City Wre Ta.4) - ;_. Air handling unit to v
12 50
10,000 CFM
I hereby a knowledge OW I haw read Nib appOcOon 1hRi nee kdOnnaaon pivwn 4 13) Air handling unit 7.50
c•.arrecl,0W.am aw owrw or&**rued agaM of f'w owner,awr plena aubrr~we_ 10,000 CFM + ----- -_-- --- --
aornpaarxw wan taws,uwf I am replMsrw wfar Mw Bwe Buadars Board,ewf filo Non portable 410
number given w eenf oorr (If aawmp from fYtls reglabatkV pease give reason below) 14) evaporate cooler
15) VeM fan connected 300
b s blrlQle duct
18 Ventllatkm system not 450
kldxted In appliance pwmll
Hood served by
.� 1 mecheirexftaust 60
lioal
gwawi wrw aso Def 18) tic t 750
Dasrabe WAL7 addition ❑ altsnt on p. repaoir [� -- __-- - - _--to be done rseklentfa.I J— non-rwidential F1 -_ 1 g) Cptvnsrclal or Industrial 30 00
Exls`Ing use of — __!Y�Irveherstor
t LAWng or property-- 20) Other I.s.,woodstove,water 450
header,solar,ck#m roars,_•tc.
Prf�►oaed u',�s of
bulMif:`q(v propWy - . .—_ 21) Cie pipkp one to W ouft% tt.00
1we of AaM•- oil D rwflural a" LPG ( I o x trto O
22) More then 4-per OutNt
THIS PE11MIT 8FO MAES NULL AND VOID IF WORK OR CON -- - ------- -
011Ri WTION IME) IA NOT OC)MMIENCED WITHIN 180 4%fa tlARP�i —
DAMk0(1111 1F AMON OR WORK I$ SUSPENDED On PLAN RfIWRW M CW WS`VOUL
CAYS AT ANY TWE AFTER —
Date Issued -byt
l:t
► e e WIN
�� IR �► i 9
INSPECT!ON NOTICE G ��
City of Tigard Building Department
12.420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
l
' GIiQ�d
Type of Inspection v�
Date Requested /___ Y ~" Time A.M. .—P.M.
Address ( 1 /`�-=— t ' Permit #e
� Owner
' _ �4 Lot #
I
Builder - -- —
I{ The following Building Code defir ien,.ies are required to be corrected:
Presented to �.,r— ---- Approved
--
Inspector A F1Disapnravad
4 Date
CALL FOR REINSPECTION 1
O YES Z NO
Mechanical Permit � � e 3479
Cit of Tigard M N
I� .
City
D,ry IN ATE:
I �--� 1 _
New Installation Replace ❑ v Relocation Addition ❑ Alteration ❑
HEATINGOWNER
CONTRACTOR
ADDRESS �� —�
,IOB ADDRESS_����_—
PHONE- APPLICANT —_ --- ----- —
Heat Input Rating(BTU per Hour) _ Vent Size �] Flue Size ---
FUEL OIL❑ GAS ❑ ELECT ❑ OTHER
ITEM NO. FEE
ITEM NO. FEE —
For Issuanceof Permit SEE BELOW Each Air Handling Unit or Dunt System 7.50_
8.00 Cornmerciai Hood S stem _7.50
New-up to & incl. 100,000 BTU -----Ea� p 50
.
4
New 100000 BUT's & over 7.50 _Other Equipment - Each -
4.50 1 Tri Inspection 4.50
Woodburning Stove _
Wall Floor- Suspended 8.00 Air Condition Compressor up to&incl.-1 H.P. (i.00
Vent S stem aspen 4.50 _ Air Condition Compressor .3.1 to 15.H.P.incl. _ _ 11.00
Repair Heat Cooling 8'00 — -— - �—
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB—CONTRACTORS! !
PERMIT ISA�T
Comments:
FEES _ ---- / -- — � ------- ----
SU TQTAy�y� r
% STIssued By_ ---- V/ F
X596 PIAN _ ntTOTALREC. # _ _ _— Signature -f App ce
v
f. CITY OF TIGA M
" t• WASHINGTON COUNTY,OREGON
`Jr PATE: 4-27-83
OWNER: Harold Davis PERMIT#: 2765
ADDRESS: 11265 SW 94th Avenue, Tigard, Oregon 97223
.r
On Deci-mber 1, 1982 a,permi.t was issued for the installation of
y ; a,.wood'E,tove au your residence. As of this date records do not;'indicate
onAnspection of such installation, as required by Tigard Munich t).7d•rr
Code„
Please inform this depattment .is to the status of your project. s ii time
?' can b2 net for ars i.r1bpCCt=.or, of your unit.
Sir_cerely,
Brad Roast
Building Inspector
BR:pjr
19 A
&/O C oN r/� T
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_- -- - - 12755 G.W. ASN P.O. BOX 23397 TIGARD,OREGON 9 '223 PH:639-4171 —
BUILDING PERMIT APPLICATION TIGARD DATE_ 'lecmaaber 3 _ 19 4256
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE AO'COMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 6A4-0579
OVN.NER Harold 133vis JOBADDRESS 11265 F,.TT. 14rb Ave. LOT NO. _
ARCHITECT
ENGINEER
BUIL LER ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL 51 ADDITION ❑ REPAIR ❑ AENEV`IAL ❑ FIRE DAMAGE ❑ DEMOLITION
a RESIDENCE ❑ COMM 7 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLASE) FENCE
OCCUPANCY "�73—LAND USE ZONE "-5 _BLDG.TYPE a FIRE ZONE--PLAN CHECK BY�� HEAD___
Construct ''asorlxy Cbirrtey for venting wood stove
-- -- All par cods --
SEVIER PERMIT k
UCC.LOAD FLOOR LOADHEIGHT NO.STORIES AREA NO.13EDRO_OMS _VALUE 400-,W
BUILDING DEPARTMENT SETBACKS FRONT _ REAR LEFT SIDE PIGHT SIDE
Permit _ _ I`a. is THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT 1'HE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA14CE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 15.08 RESTRICTIVE COVENANTS. CONTRACTOR ANU SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARA;E PERMITS REQUIRED ron SEWER,PLUMBING AND HEATING.
State Tax •60
SDC—
Total 15.60Jay ' ' -�• _
PDC# APPLICANT OR AGENT
Approved
BCReceipt No./.�. �` ADD A� PHONE
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
R ough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Firint
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Sidewalk
Curb&Street Fine
rApprooch
SLOG. DEPT.FINAL ---W--mPORARY OCCUPANCY Final
—
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
r)U!LU!Ivh r[.rllvll ! I IUI'a �); • �, • _ �_ _; _
THE UiNQLRSIGNED HERE11Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED P'JII_OCRPHONE
OR AS SHOWN AND APf COVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEFI.rorts��r5'�- c�S�
LOT NO
JOB ADDRESS /�,.G(1 -`,G« / r/�=i.^ ..– --
---- ARCHITECT
ENGINEER
H, jI'_QC.'2 GC�d�/��_ ADO_REryry`i��.:,.. .�.._._.���ryry—_ DESIGNER
TFIL':TLIrZE [, INE'M Flt%10CEL ID ADDi TION _ ❑REPAIR_- `JRE�4E';!AL ❑FIRE DAMAGE 00E.-A-01-IT).
C ZESIL'E"ICC CCONa.I ❑EDUCATIONAL ❑GOV'T ❑FIELIGIQUSLIPATIO L]CARPORT CIGARAGF ❑ST0i4AGE0SL.A8 ❑FEN
_LAND USE ZON'c._GS —.)—BLDG.TYPE—_ FIF;E ZONE.-t PLAN CHECK SY __
r" 7- i NJ
7
SELIER PERMIT L —
Yy'C_!�J=(7 F1Q9a t•OnD FIF�LHT NU.STORIES % AREA NO.BEDR00N.15--_ VL>LUE Y,'
51,111-CIN1 DEPAR rN1ENT SE r BACKS FRONT _— REAR- LEFT SIDE, RIGHT SIDE
Y
Ver^'It � �,
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIC'NS CONTAINED IN T!+E BUILDING CODE. ZONI
I 'r;an Check i- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEhZgY A.GF.EED THAT T
I -- - — ViOrI (WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGhiPI_IA.NCF Y1
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT NA
r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUP.RENT CITY BUSIN
Tax LICENSE. SEPA►IATE pcRh11TS REQUIRED FCR SEWER. PLUMBING AND HEATING.
�
Total SDC��-. '�
P D C#
r�� APPLICANT OR AGENT
j A�provErJ— 1 — Recelpl Nu
1 _ nnRF55 Pr+ONE
SDC -
PUC - $
SEWER COQ ECTION $
SEWER INSOECTION $
SEWER SURCHARGE $
Comments :
`' t
�Lc•E' Ci1/Fn
r) �
,� C1n�Mrcy
J s tee
riL
.3 —
APPROVED F^,7 C-NYSTRUC'e ICN
GMY r1,= 1 R'_', Ei1-
i w_�
Imo' W RD n O ® t t! r
i
City of Tigard Mechanical Permit
New Installation U Replace ❑ Relocation❑ Addition ❑ Alteration ❑ DATE: -----
HFATING
CONTRACTOR OWNER
JOB ADDRESS ___— ---------
PHCNE — —.�_ _.—_ APPLICANT_' ---- -- —
Heat Input Rating(BTU per Hour) _—. Vin ize-- Flue Size --
FUEL OIL❑ C .S ❑ ELECT `-OT ER — ---- — ---
-�- - ITEM N0. FEE
YE ' N FEE; _
For issuance. of Permit— _ — ?jri EL y ch Air Handling Unit or Duct System7.50 _
New-up to & incl. 100,000 BTU __-� 6.00 "ornmercial Hood System —� — _7.60—
Ne 100 000 BUl"s & ove _ _7.5_0_ Other Equipment ient - Each _ 4.50
Woodburnin S� tove i 4.50 1 Tri�spection _ _— 4.50—
Wall Floor Suspended — 6.00 Air Condition Compressor up to&incl.3 H.P. __ 6.00_
Vent 5ysten w/Fan _—_ 4.50_ Air Condition Compressor:3.1 to 15.H.P.incl. _ 11.00—
Repair•Haat Coolinc—_—_ .._ 6.00
_ CITY BUSINESS LICENSE RCQUIRED BY ALL ANTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: ------
FEES^ — ------------ — —
SUB•TOTAL
_ % STATE Issued By
25%PLAN CHECK —
TOTAL REC. # ----- ---- —------
- Signature of Applicant
4 � r �. '` �! f -'.ir/yti•\\,,.. t t +i it t� ryr"'t�:•,? 't t + �.,.0 �kq„�r ryt t a � ��
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y,,�tt ,=`�1�� ;�.� ,�y a 1.,t.!•��{�� �///���"� �rl�!'y'•,�.•{_,�,� 1!{�� r //�l,,t► �� "� �7`'' tt� t1t� dr; ' ��I
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j, r � � � �� i�A',,. .•?�Y 't'�Y ,+kms,. `;
•{rRNA,�"��M
BUILDING PERMIT APPLY-ATION TIGARD DAVE 39,94
THF UNDERSIC-NLD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDEN PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICAlIONS. OWNSRPHONE
LOT NO.
C)',NNF,R T'ZLICGrl co�intr., JOBADLORESS 1,1265 SO 94th
ARCHITECT
ENGINEER
BUILDER SaMe ADDRESS -!435 Sti CCmunercial DESIGNER
STRUCTURE E) NEVV Ll REMODEL 0 ADDITION 0 REPAIR G RENEWAL ---[J FIRE DAMAGE r-1 DEMOLITION
C RESIDENCE El Comm El EDUCATIONAL GOV T 7 RELIGIOUS 0 PATIO D CARPORT Ll GARAGE 0 STORAGE Cl SLAB 1-1 FENCE
BLDG.TYPE dwb
OCCUPANCY LANDUSEZONE FIRE ZONE!!—#' PLAN CHFCK BY HEAT
,,vcj,jjrjq w/nttached qa,&nrTcs, 3 Vadroor l4tths.
of Fin mit 113c�t`l (11.2 Sw 94th AVC*mv-)
ga rar
SEV�ER PERMIT# _4v 39f�
OCC.LOAD FLOOR LOAD 1) _HEIGHT V) NO.STORIES AREA I -174 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR E LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS 1,ND ALL APPLICABLE CODES AND ORDINANCES, . ND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICtIrIONS AND IN COMPLIANCE
3!3. WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS3UANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE CGVENANTS. CONT RACTOR AND SOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIREI)FOR SEWER.PLUPOIBING AND HEATING.
State Tax 3.
-7,4 SLIC—
Total t'
APPLICANT OR AGENT
PDC.
By P1
Approved dwil Receipt No.
PHONE
_DATE INSP. TYPE INSPECTION REMARKS PLUMBING
DATE
Contractor A, /ZO
^✓�' Z- /J'r, _ 1 Parmit Plo.
gough-in
Fixture
—• — - £i- Y �_ � Fin — --
HEATING
---- Contractor
ul -1s Permit No. V
Gas or Oil —— —
Rough-in -
-- _ Final i --
----- v SEWER
T Final
DRIVEWAY
— Final
Storm Drainage A
-- __—_ — — (Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT, FINAL TEMPORARY r CERTIFICATE OCCUPANCY —�— ---
CCHTIFICATE(TCCUPAPKSY Final
Landscaping
Zoning Final
t .
WEI"�� . fl �
BUILDING PERMIT APPLICA T ION TiGn�� QAT--�+" t9--_z_ ���fe
THE UNDERSIGNED HCR'--BY APPLIES FCrI A PERMIT FOR TI;EviOPK HEREIN INDICATED BUILDER PHON�-606(,
ORAS SHOWY AND APPR VED IN TH=ACCO!IPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
1 d
LOT!!O. g_.�J g'W
01 Ft �OKSG �00 ADDIiE`�S
024 1'�w _—L�
ARCHITECT
` ENGINEER
BUILDER a� ADDRESS 1S J 5�1io1w�IQr Cid,` DESIGNEP �—
STRUCTURE NEW ❑ REMODEL —_0 ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLli1
RcSIDENCE I-i COMA ❑ EDUCATI( NAL ❑ GOV'T ❑ REUGiOUS ❑ PATIO ❑ c�a P�JRT ❑ GAi'AGE ❑ STOR GE ❑ SELF❑ FEF
G,C.iirANCY 1� `J,LANG USE ZONE BLCG.TYPE � v FIFt1=ZONE._i_PLAN CHECK BY _HEAT
SEWFA Pr_RMITp �arA ti 3—L_.w_— �W
_GCC.LOAD FLOOR LnAQ _ - HEIGHT NO.STORIES _ AREA IV NO.BtiDROOMS 3 VL.LUE
BUILDING DEPART MENT SET BACKS FRONT ? REAR &f LEFT SICE �_- RIGHT SIDE
Permit � •' 'THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EU1,1-DiNG COU , ZON
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AG%+Z-t'] T FjAT"
PlanChark ��5-� WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AN'D IN CCY,,:PLIA!
`—Iw�1 Y/ITH ALL APPLICABLE CODES AND ORDiNANCES. THE ISSUANCE OF Thl� PFRPAIT DOES NOT WA SU6 tatal _ _313'�'�/ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CiTY FUSIN
UCFNSF?SEPARATE PEHMITS REQUIRED FOR SEVER,PLUMBING AND HEATING.
i •
$L3LD i2:( • D
Totall—a
PDC/1 APPUCANT OR AGENT
By • —_
Receipt Na. — — ---------- —
Approved - -, ADDRESS PHONE
ff
3DC —A-00 ,
=QC - S _1 ��z 00
;EWER CONNEC"TION S 7��w
';EWER INSPECTION S 33
5EWEF7 SURCHARGE S
/3b
. PQ • �•82 ------
-gag
BUILDING PERMITAPPLICATION TIC-A-0 DATEQP&-
THEUNCERSIGNED HEP.EDY APPLIES FOR A PERMIT FOR Tl;EWORK HERE=IN I�JDICATED SUILDcR PHONE Elq-0,660
a
OR AS SHOLVN AND APPROVED IN THE ACCOMz PANYI�N+G1`P,LX,14S AN SPECEFICATIONS. OWNER PN :E _
F1 I (/�.�.� 7�✓ (� � e
o OK C0M`9�CTri*BAODRESS I ? •�
ARCHITECT
o CENGINEER p i
'BUILC� �0.w1 e. ADDRESS 1�J JOMN�lY�k DESIGNER-�J'SP_��iT.►+c..
STRUCTURE NEW ❑ REMODEL G ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE��Afv1AGE ❑ D�410LIT IC,
RESIDENCE C COMA ❑ EDUCATIONAL
C] GOVT ❑ RELIGiO_US G PATIO u CAR PORT ❑ GARAGE STORAGE ❑ SLASr' FEN
:)CC FANCY ' VLANOUSEZONE BLDG. ,"r-
� TYPE SN -FIRE ZONE-=-PLANY NEAT
11Elea
SEVVER PERMIT
:JCC.LOAD FLOOR LOAD ( HEIGHT 12- N0.S-roniF_5 I AF}�A�(� ,m6. 13EDROOMS VA..>_UE3R
BUILDING Dc ARTMEY
_^ SETBACKS FRONT SO(,' REAR LFFfS,CE / .,r RIGHTSIDE
'Permit z THIS PERMIT IS ISSUED SUBJECT THE ReIGLIUPION'S CONTA.INEO IN THZ EUILMNIC; COi!E, 70i:;`;
2 iSS.et I 0O REGULATIONS AND AI_L APPLICABL COCES AND ORDINANCES, AN:D IT I5 HERc3Y AGREtD T'riA T 7H
Plan C`-rX ?• _ WORK WILL BE DONE IN ACCOP.1AN. 'WITH THE PLANS AND SPECIFICATIONS AND IN CO',1iPLIANIC
v WITH ALL APPLICABLE CODES AND DiNANCES. THE ISSUANCE OF THIS PER;;IT DOES NOT WAP:
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTO AND S1J3 CONTRACTORS TO HAVE CURPENT CET+ GJ31t:c5
LICENSE_SEPARATE PER.MiTS R_OIJIRED iti SEWER,PLUMIMN:G AND HEATING.
State Tax +
Total 3 7Sa.4
A�PCAN1.ORAGENT–�-�--�-J----� —'-"--
By '
Receipt No.
Approved ADDRESS PHONE
Dc
Dc
EWER CONNECI'l0N S 773__
IJER INSPECTION Ste. _
EWER SURtCHAR . S �--- .
mm�afl}4+ p� 'J. 12 1 ---
ON
r'_L 511A 770 Nr fi
Z-O;r
Go
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iw
z-or a
AP WOZ,41WO
.4er 7
L 17. ell
SS 01
"'IN-1�V"-e CURPS
LOT
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