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16715 SW 124TH AVENUE;
--� KING CITY _
INSPECTION NOTTE i
City of Tigard Building DE partment
12420 S.W.Main S,
Tigard,Oregon 97223 {1
Phone: 639-4171 1
Type of Inspection uu _1Gi__,�i'c
nate Reques�ed Time A.M.---<P.M.
Address [' „� �> LTJ ,[ / jermit
Owner — _ Lot
Builder ��z7�-u�- j']”)The following Building Code deficiencies are required to b%. corrected:
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Presented to F1Approved
Inspector _-_ _ - Dia roved
Datc
CALL FOR REINSPECTION
D_'( YES 1-:1 NO