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INSPECTION T ON NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 f / ,
Type of Inspection _ ' /� - �'c��� L�/L ``(�(.G
Date Requested_ `� - -�/ Time_ k A.M. P.M.
Address C G� i_`_ Permit #-- �
Owner ' le, Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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v~i Presented to _ Approved
r Inspector ___ [� Disapproved
Date
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CALL FOR REINSPECTION
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-' ❑ YES 0 NO