12405 SW 124TH AVENUE ADDRESS:
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HWI Blvd. P.0,Sax 2M97,rgwd,Otagon 972V (503)M41 75 PLUMBING PFRMIT
RERI'If+
DATE IS35UED: 04/1'4/92
SITE ADDRESS. . . : 12405 SW 1i=41"H AV PARCEL: 2S1036r2j-017�oZi,
SUBbIVISION. . . . : BROOKWAY ZONTPIG.- R-4. 5
BLOCK. . . . . . . . . . . t-OT. . . . . . . . . . . . . : 13
CLASS OF WORK. . :#-u-T GORBAGE DISPOSALS. 1110BILE 1-40ME Sr .)CES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPqNCY GRP. . :R3 FLOOR DRAINS. . . . . . . a ] RAPS. . . . . . . . . . . . . .
ST'ORIE'S. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . .
FIXTURE 3 LAUNDRY TR,'-)YS. . . . . . . SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . : GREASE TRAPS. . . . . .
Lf',VATORIES. . . . . : O) 1ir::.R FIXTURES. . . . . .
TUB/SHOWERS. . . . SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WATE-'R 1-11',IE fff-, ) . . . . -75
DISHWASHERS- - - RAIN DRAIN (ft- ) . . . .
Rema) -[(s : Replac--p watev- line
Own e�- 7FES'
ALEX JOHNSON t v p e --A m,i f-i n t by 6,71- P 1,(2
1 e40 SW 124TH PRM*r $ 25. 00 BCR 04/1-, ,'92 -
5 P CT q, 1. E5 BCR 04/14/9�' -
TIGARD OP 97a23
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Cant 1-actcjr—
MICHAEL AND CO.
J5575 SW 74TH AVE
TIBORD OR 972C'w.4
Phone #: $ &.* - 25 TOTAL
Req 4r,4,1909<5 7 S;7 -
RE-QU 'RE:D I NESPECT I UNS ---------
7m5 ptroit is issued subject
ject to the regulations contained in the W.itpr Line I(ISP
Tigard Municipal Code., Sta"I of Ore. Specialty Codes and all other F n----11 1 njspec--' i on
A0014cablo laws. All wnrk will be done in accordance with
arorieed plans. This pproit will expire
pire if work is rot started
wthin 189 0ve )f issuance., or if war, sismded fcr @are
than 180 jays.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Unders'.ah Koch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Stzuct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ( Nater Line`1 Gyp. Bd. -Mech.
f
irate '2equeated: rr--; ! Times _.� __.AM PN
Address: i', Permit
Builder:
THE FOLLOWING CORRECTIONS ARE R 'JIRED:
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Inspectors_ Dates �- �4a � 9 7
G APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CTTY OF T](,!)RD :RE-CEIE'T OF P'AYME'NT RECEIPT NO. n92,—•ti.'251)67
CHECK AMOUNT ; 26. 25
NAME M1C,HAE.I._ 87 C;U PLUMBING CASH AMOUNT 0. 00
ADDRESS a Po BOX 23006 PAYMENT DATE e 04/14/92
Tltwf' RD, C.-IR SUS 1)1VIyION c
9722:4—
PURPOSE OF PAYMENT 0MOUN i PAID PURPOSE OF PAYMENT AMOUNT PAT D
r,l_UMEI—IN( 010 ST. BUILD FE:R 1. F25
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