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CiT. YOFTIGARD
CITYOFIWA
COMMUNTrY DEVELOPMENT DEPARTMENT 01114M BUILDING PERMIT
13125 SW Hm91 BW. P.O.Box 23qQ7.TlgaM,Oregon 9722.,(603)M4176 7F7 PERMIT #. . . . . . . : BUP93-0021
DATE ISSUED: 02/12/93
SITE ADDRESS. . . : 15085 6W 100TH AVE PARCEL: 2S111CB-01500
SUBDIVISION. . . . '. THE MARGUERITE OCHS TRACTS ZONINGv R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . : I
------------------------------------------------------------------------------------------
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :DEM FIRST. . . . : Sf N: St E W:
TYPE OF USE. . . :SF SECOND. . . : Sf PROTECT OPENINGS?-----_—_.__.___
T"YPE OF CUNST. l:5N THIRD. . . . : s Ns S.. Et W.-
OCCUPANCY GRP. :R3 TOTAL--------: 0 s ROOF CONST: FIfijz. RET'? :
OCCUPANCY LOAD: BASEMENT. : Sf AREA SEP. RATED:
STOR. - HT. : ft GARAGE— : 9f OCCU SEP. RATEDi
BSMT?a MEZZI: READ SE'rBQCKS----------
FLOOR LOAD. . . . v psf LEFT: ft R6HT a ft FIR SPKLP SMOK DET. . :
DWELLING UNITSt FRNTi ft REARS ft FIR ALRlyis HNDICP ACC:
BEDRMSi BATHR: IMP SURFACE: PRO CORR: PARKING:
VALUE. $: 0
Remarkso DEMOLISH I SFD AND 2 ACS BLDGS. SEWER TO BE CAPPED/INSPECTED OR SEPTI(
TO
BE PUMPED, FILLED, INSPECTED. TIF & SDC FEES WILL TRANSFER TO ANOTHER LOT IN N[_ ,,
SUBDIVISION.
Owner,: ---------------------------------------------------- FEES
BEACON HOMES type amount by date t,eept
PO BOX 1368 PRMT $ 25. 00 JH 02/12/93 —
5r-,C*T* $ 1. 25 JH 02/12/93 —
BEAVERTON OR 970715
Pho-- ? #: 524-1999
Lontractori
BEACON HOMES
PO BOX 1368
BEAVERTON OR 97075 ---------------_____._.--_—__--__-----...
►-'hone #., 524-1999 $ 26. 25 TOT'A'_
Reg #. . -. 70782
------- REUUIRED INSPECTIONS
chis pewit is issued subject to the reqvlations contained in the Pump/Fill Septic
ligara Municipal Code, State of Ore. Specialty Codes and all other Cap sewer- line
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This porsit will expire if work is not started
within 180 oays of issuance, or if work is suspended for sort
than 181 days.
—If—o-—r—inspect ion 639-4175
CAIV nF' 'TR.,0RD Ed E: OF PAYMENT RFIT1f1T NO.
f4MOUIAT
WAME OMOLATT
PAYMI"N'l DnTf..
�-.;IJBD I V T -*,1 ON
O
- POW-11sr-7 F. MENT AM( UN'r r.,t)i j.,
!-,I IPPIlIZA: Or 00 ['1F.H1 AMOUNT F",A T D
PM
00 SUILDINri Pr
PUt RU I 1 1) V+..R
it
fil,l I T V"085 !-I'W J.00TH f)VE,
I.T IN 1•-'C
065 x11,1 AVE. 1
l'OfAL AMOUNT r'()ID
I
10643 N.E.Simpson INVOICE
Portland,Oregon Complete
97220 Industrial
Waste
Removal
E*SANITATI
ti. Septic Tank Cleanin
f Sump
�Ine Cleaning
017428
N�
I
DBA McInnis Ent.Ltd.Co.
E (503) 253-7587
I
Customer PO. #— Date
Billing Name "" 1.-L'!TP 1 MC _
I acdress-_ I' n "I)X 762
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--- --� wr�I:n(►r1 -Q122-Ll.n Job Site#
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City- State Zip Code_
Ordered By---LA I'1�;C Phone# ?r-��"? Date
Job Location- C P R t!F
i Service Call` $
Labor _ T _ $
F'I' 1 1F, %f ..�
Pumping :i ":`"'J�allons
Miss - --- -- --$—
d --
Ln
2
r
> Conditions of tank/Distribution Box—
C -
c.� TOTAL CHAVGES
Schulz Sanitation Is In no way responsible for damage to the septic tank or lids on the system_
uU., TERMS:Net 10 day&1'/2%e per month will be charged on past due accounts.(18%per annum)
J
/ I
Customer's Signature:
Service Driver's Signature \ ; OC._)
Time Date % -
TERMS AND CONDITIONS ON REVERSE SIDE REDEEMABLE IN MULTNOMAH COUNTY.
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