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11555 SW FAIRVIEW LANE
INSPECTION NOTICE
City of Tigard Building Depar+ment Y�
P.O. Box 23397 1�
Tigard, Oregcn 972.23
Phone: 639-4175
Type of Inspection ���/n�►,/ a ` Q'.�, ''
Date Requested
,,��''�� – l -nme _ A.M. ___�P.M../ ''�� �
Permit
Addrass _.1..__r.��,,,Ls #, S.LL L
Owner �._— _ Lot _
Builder
The following Building Code deficiencies are required to be corrected:
C1
Presented to C7 Approved
Inspector _ -- U Disapproved
Date ---
CALL FOR REINSPECTION
❑ YES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested � r�r Time 4 - A.M. P.M.
Address . ^ � G �1,. — Permit # rS,iL�
Owner _ Lot # _
Builder -- —'
The following Bu;lding Code deficiencies are required to tit. corrected:
Presented to ovsd
Inspector — ❑ Diapprotnd
Dare I �♦� --
CALL FOR REINSPECTION
[] YES L7 NO
RD CITY OF T167A BUT*
TDING PEPM1'T'
PI--"R1vl1* * NO . : BIJOB2077
CITYOFTWARD
COMMUNITY DEVELLo.,OMENT DEPARTMENT olittoom 0A'1*E IL55UED: J-0/26/88
13.IM S W Hall Blvd.P 0 Brix 23397,Tigard,Oregon 97223.(503)639A175 PRIM'. PMT .NO. 88P-077
JOB AODAEV. I.1.555 Sw FAIRVIEW LN
I*AX 2S:I. 3C;D SUB: HOL.LY lPr--*.I:--- LT P 8K .
I. AND USE -
I O*t SIZE : V Al.,LIAT ION $ 6,840 SE1'BhCKS
F PION T' PEAR
WORK CLASG : AL)1)1'.'I*I:ON DWEL.L. .UN I T 5 PIGH'I' :
USE 'TYPIE : SINC.A.11: PAMILY NO. BEDROOMS : EX*T .WALL WNS'T :
CONG I* VN NO. BA'T*HS : N E" W
R"'.4
PR(:)I* . UPE'NINCS :
111t."CLIP . I-OAD N E W
VCYTAL AREA: 3HO
NO. ST(IRIES : 1. Is I* : ROOF F:CRE. RE'T"?
I lI.*-::TGI4*r : :1.(3 PND: AREA SLP'Ap'! RA'T'ED:
F.3AGEME'N'T"7 3141): C)CCUID . Skov-An.? PATI--:D:
Mr--.ZZAN I NE'? BAWKWT
1:1-OUP LOAD: C-11 A P A C-11 E - 380 1:14141iii: GPRKLP7 ALAPM7
FLOW((:IPM) DE'I'E;:C,'Y'7
1-4LXA'T' 'TYPE: HIXP ACCESSCOR117-
H AN CHECK BY: rl:l.t
PEMAIIKS :
r.W.ViSUE OF NE) .
I A
FEES
0 C.SILi E ri FRANK PF:PM:E'T*
W " ill 62- ."1O
N 1155!5 SW FATIPIVI.C.M LN PLAN REVIE.M $10 , 6%
F T:r.(,.f-4 P I:) CII 91a2l's F114E. DF P"T
R
[)HOW 1303) 689-49P-3 SI'Alt., TAX 11111�
()MER
C I IcKVEI-OPMEN'T ('1HAP(;I:;.:s :
0 SM( SM14m)
N
T 51 EXI. IS I'PE E T I
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C PA 10 <
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R 'T'O'TAL_ $1.06 E!5
This permit is issued subject to the regulations containen In Title 14 PECEIP't NO. /C)
of the TMC, Slate of Oregon Specialty Codes, oning regulations PP-QUIFUH-A) INSPEC',IJONS
and all other applicable codes and ordinances, and It Is
hereby
agreed that the work will be done In accordance with the plans and FOU'l—r.NG,
specifications and In compliance with all applicable codes and V-11AM 1'.NC-;
ordinances The issuance of this permit does not waive restrictive VJNAL
covenants Contractor and subcontractors ahall have current city
I'AlSirIeSS 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 period of 180 days any time after work has
commenced It shall be the•espnnsibility of the permittee to assure
all required inspections sested and approved
Permittee Signs re
.*
Issued By P OR
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Address 11555 S.W. Fairview Lane Permit No. 1603
Permit charge
Owner MM quadrant MM Corp. Connection fee 400
Paid by 4uidrant Corp.
Res. 7-20-72
T-.pe of building Date connected n p�
Service rate Per-month Inspection fee �
Contractor quadrant Corp . Paid by Date
Size of connection �►" Assessment Paid
i
PERMIT TO CONNECT
Tigard Sanitary District
La
PERMIT N° 1bC'3DATE
;3 xi t` to c.., F a9 r w fildfowa Ala.j
Pr'RMIT IS GIVEN TO
OF
TO CONNECT A /
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
I
THIS PERMIT MUST BE POSTED ON THE DE,SCRIBEI)PREMISRS UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $-. ....'.......................TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date Superintendent y%
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