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INSPECTION NOTICE
0ij of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: - 1 5
Type of Inspection
Date Requested / / L-----�
Time
Address
Permit #_
-
Lot # _--
Owner - - —
Builder -------- -------The foolowing Building Code deficiencies are required to be corrected:
Presented to _ _ ! ;kpproved
Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YES I.3 NO
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Code Enforcement Action Request
Complainant: —
Address; —
Phone No. : --Date Received �.
Complaint:
Business Tax __ Open Storage of Junk
Noxious Vegatation _ Noise
_ Hazard _ Dog (Animal)
Sign filling (Sensitive lands)
Othe •
Explanation:
Location:
J
Tax Map: Tax Lot: / r/
Actio^F __
Code Officer-
( 1069P)
fficer( 1068P)
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DESIGN '
W McMONAGL_E THE W
TRACED
CENTURY 21 HOMES INC .
CHECKED
J.R. HARRIS �Iari'is - McMona�e Assotia ►es
ENGINEERS - SURVEYORS
DATE 8905 5 W. COMMERCIAL S1REE1
y- i5�;— 76, TIGARD, OREGON 97223