12600-12602 SW 127TH AVENUE 12600-G2 SVS 127TH AVENUE
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COMMUNITY DEVELOPMENT DEPARTMENT (C
1,441M . F11,11 NO . 091399
13125 S.W.Hall B'Vd.P O.Box 23397.Tigard.Oregon 97223.(503)639-4175
J013 ADDRIESS : J.2500 SW 1271.11 AVI;:-
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LAW.) USE`
I (,XT 517.FK� NO: NO
W0114K CLASS : WEPA- 3:11:1 F-11JANN."E. <100K AlP VIANDI-P 0.0
V'YPV : t.2 FAKIA.-Y F1.IRNA(.',E 1001<4' AA:R HANDIA.-I, 10K
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N Oregon Chilmey Repair & Cleaning
T 1318 SE Rhone
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A Portland, OR 97202
C
0 T 231-7704 V-57 . 1',
R RECILK T.I::'V NO .
This permit is issued subject to the regulations contained in Title 14 RI--QU-11:4.A) 11SISPI'ECTIONS
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it I.s hereby
I::-1WE-PLACE
agreed that the work will be done in accordance with the plans and ME-AlAAW.A... . SYS11--l"I
specifications and in compliance with all applicable odes and f:J N Al
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work Is not started within 180 days.or if work Is suspended or
abandoned for a P"iul Of 180 days any thne after work has
commenced It shaL be the responsibility of th,i permittee to assure
all required inrpectlanp are requested and approved.
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A90VF-.
PERMIT TO CONNECT
Tigard Sanitary District 7164
PERMIT ? 1457 DATE _• �� -
PERMIT IS GIVEN TJ
OF
TO CONNECT A Jf iv '
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $......A7 ;...... ; TIGARD SANITARY DISTRICT
By
CONSMION INSPECTED AND APPROVE
Date _-
i
r
I t rvl
Address 12600 & 12602 S.W. 127th Permit No, �� v
_. Permit charge
Owner Connection fee
_. Paid
Type of building 13u lex Date connected
Service rate Inspection f'ee? 35.00
Contractor Pollock Invest. Paid by Date
Size of connection_ 411 Assessment--.---Paid
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