12660-12662 SW 127TH AVENUE 12660-62 SW 127TH AVENUE
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CI7Y OF TIFA R C, 110 NO. MF '391:389
COMMUNITY DEVELOPMENT DEPARTMENT DA'TE 3:EiER.1I:*:1) : 7/1.q/,:)9
13125 S.W.Hall Blvd.P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PP I M. PMT.NO. 891389
JOR AI`.)I)I;lI'*-'S'.1 . 1.2500 SW 1.27TI-4 AVE /lip 7o- I J v i-'--
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Wf')I-,'K CLASS : P E:P A J*I:*,' F11PNOCE: (:1001< All-; 1--IANI:)L.P <10
U51—:- TYPIE, : P. F,A M1 I.-y 1001<4- ATR HAN1:1I-4-4 10K
C'ON51 .TYPE : VN 1-'1 0 0 P FIL I I--,'N A(.",I-.* COULEP
OCCUP.UPP . A3 FIEKA'VEP VI-:N'T' F"AN
VENT VENT . !iYGJ'EIM
NO . H! 1:4/C 0 M V, ]'N(:,"1:INIFTWI'LlP(D(JM
I:)WE-I-I.-.(JN:1*1'5 : 1.0 61-Ph"OMP 1.5---30HI:' ]:N(,:I:NI*-_:R0'T'(:)R'((.(:)M
I:t'Llr::l TYPE: WOOD FA..A/("(:)MP 30---!J0I-II-" PE"P611:4 UNJ:Ti
MAX . :LNI-'t)*T* BI-P/L0MI*-' 504-HP (Ty'l-ILP 1.0
DMPRS.? GAS 1*-"3:1:':EN(,,' OL111 ETS
1-11GH PPIEGS'?
1...0W PPI:-::!:.)5'?
Pelpli4.0e% Chi III fmr 3.0 W-..I:) !:;t(:)V1F.mtA
0 W1-.1 1011 T $1.0 . 00
W pl-AN PPV 1I:-':W
N $4.5 . 00
E
R STATE 1'AX $2.75
0TH EA
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N Oregon Chimey Repair & Cleaning
T 1318 SE Rhone
R
A Portland, OR 97202
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O 231-7704 y T(J'I'Al-, 57 1
PECKI F,T NO.
This permit is issued sublucl to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 14---QU114A) 1IS1115PE-EC"I'TONG
and all other applicable codes and ordinances, and 11 is he-eby F1:PF:FAL-ACE
agreed that the work will be done in accordance with the plans and ME-*(:',I--I(-)N(*.'I-. SYS'T'EM
specifications and in compliance with 311 applicable codes and F:I:N A I
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 ij not started within 180 days,nr if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the oermittee to assure
all required lnspectioi!3 are re,4ue!ited and approved
fls"-.rnitlee Signature
ls,,ued By L.1041-1- 11-011 1 N, I'I I 110N 639-41. 7!
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WW-EW-Xf�LW-mWW
PERMIT TO 'CONNECT _-P-
1.r6
Tigard Sanitary District
PERMIT ? 1455 DATE 4v
PERMIT IS GIVEN TO ,,�
OF t.k
TO CONNECT A P
TO THE SYSTEM OF TIGARI/ SANITARY G[g','],j
AT
THIS PERMIT MUST BE
POSTED ON THE pE9CRIBED PRE1111tiES UNTIL IL f ON-
NECTION IS MADE AND INSPECTION OF CONNECTION IIAS BEEN COM-
PLETED,
PERMIT F//EE PAID $..._,:......_............... TnGARD !SANITARY DISTRICT
Tr
CONNECT ION INSPECTED AND .APPROVED
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guperintenden- t�"
Address 12660 12662 S.W. 127th Permit No � 14 - E/-.
Permi t charge-_r_„-._
Owner �_ Connection fee V
750.00
Pa i_a by
Type of building_ Duplex _ _ Pate connected
_.._AL3
Service rate -- Inspecti.on fee 00
Contrar .ar_ Pollokk Invest __..
_ • Paid by _� _ Date
Sire of connection_ 411 Assessment -__
__._____,�_Paid
d-