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13245 SW FALCON RISE DRIVE
CELECTRICAL PERMIT
CITY O F T I G A R D
PERMIT M ELC1999-69258
DEVELOPMENT SERVICES DATE ISSUED: 4/29/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133DC-01800
SITE ADDRESS: 13245 SW FALCON RISE DR
EJBDIVISION: MOP MING HILL NO.1 ZONING: R-7
BLOCK: LOT : 046 JURISDICTION: TIG
Proiect Description: Insts;--tion of onP branch circuit.
RESIDENTIAL UNIT TEMP SRVC/FEEDE_RS MISCELLANEOUS
1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
---SERVICE/FEEDER _ __ BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _PLAN REVIEW SECTION _
1000+ amp/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL:
Reconnect only:_ SVC/FDR >- 225 ARAPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PEACI-,ER, R:IODA L WEST SIDE ELECTRIC CO INC
13245 SW FALCON RISE DR 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
Reg aa:: 2W-15006
SUP 1556s
El_E 26-1350
FEES Required Inspections
Type By Date Amount Rece?pt Elect'I Service
PRMT DRA 4/29/99 $35 00 99-314937 Elect'I Final
5PCT DRA 4/29/99
Total $36.75
This Permit is issued subject',,the regiilat,._:�contained in the Tigard Municipal Code, State of OR Specialty Codes and all ether applicable laws.
All work will be done in accordance wit'i approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than IPJ days ATTENTION Oregon law r-quires you to follow rules adgpted_by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 951-001-0080 You may obtaired
es of these rtes or direct questions to OUNC at(503)
246-1987
Permit Sionature: IssBy:
_ OWNER INSTALLATION ONLY —
The installation is being made on property I ow.1 which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: —_— __ DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPRDATE:. ELEC'N: V -- ------ ' ---
`7
LICENSE NO: . 1. — - --- ------ ----
Call 639-4175 by 7•nCi io for an inspection the next business day
APP-28-99 04 :45 P11 WEST SIDE ELECTRIC 503 7756 0677 P• 0 '
VNTY OF TIGARD Electrical Permit A.pplica?ion Plan Cr06k r„,
13120 SW HALL BLVD. Rar•'
TIGARD OR 87223 Dale Recd
Dote to P.E.Phone'(503)639.4171, x304 Date to UST
Print or Typet-4-29
Inspedtion (503) 839-4175 Incomplete or Illegible will not be accepted called aZ�
fax (503)684-7297 _
I. Job Address:� 4, Complete Fee Schedule Below:
Name of Development Number of Inspections p;r permit al',owed
Name (or nems of bu: aess)_ �'`r A),(21-(.0A7 _ Service Included: Items Cost Surn
Addre59 Z y�- 5W /���o �r S e, 4a. Residential-per unit
-y 1000 s4.It.or legs $110.00 _ _' 4
City/State/Zip r e;A " _ -Z Z S Each additional 500 sq.'!.or
portlon Comm4rclal ❑ Residential Llmhod Energyt 25.00 1
25.00
Each Manuf'd Home or Madular
Dwelling Service or Easdar 5;9.00 �_ I
2a, Contractor Installation only:
(ARsch copy of all current)Ice s] C / 4b.Service*at Feeders
Flpct►ICal Cp fActor f C —
Installation, or l alteration,or relocallen
/ 200 amps or loss � $GO.r 0 _ 1
Addre r 201 amps to 400 amps $8n 10 2
City �' StlaleZip - 401 amps to Guo amps ___ $120 00 2
S=/1 _ sol amps to 10oo amps $190.00 2
�/ 7 Ovar 1000 amps or vnits _ $140.00 2
Job No,
—.,i 7 Q r 3 Reconnocl only ___ 1010 u0 —_— 2
Finc.Cont. Lice. No. _Fxp.D4te_,—
OR Slnte CCB Reg. No.1 _Exp Date_.._____. 4c.Temporary Services or Feeders
COT Suglnp,89 Tax or Metro NO._ Exp,DatP,__-, Inslallallon,allaratlnn,or rglocatlon
goo amps nr less $`0.00 2
201 amps to 400 amps :75.00
S gnsture of Supr. Elec n-_� T_�_ __� -- 2
401 amm
amps to sou aps $100.00 I
Over GX amFs 10 1000 volts,
: � EX sea"b"above.
Licens Nn p Date__—_--
Phone Nr -93!r-
4d,Branch Circuits
New,altaratinn or a.tenslon per panel
2b. #or Owner Ins1aI1:;Ai✓i-►r-: a)the tea for branch clrcults with
purchase of service or
Print Owner's Namp — - feeder flee.
— - — Fach branch rlrcuit f 15 00 __— 2
Address_____ - h)The Ise for branch clrcults
CitY__ _----..., - Statta_ . _--- Zip --_ without purchase r: _
Phone No. service or feeder les -t
- Flrsl bt mrh clrcull $35.00 _ J S 2
rhe In3lallatlon I9 being made on property I own which i_,not Each additional branch circ•It —__ lIi.00 -____ _- 2
Intended for sale,lease or rent. 4e.Mlseellaneous
(Service or feeler no+',ncludud)
OWneeo Signature—_ __r Each pump or Irrigallon circle
Fach gip,or outline lighting $IO,QO 2
4 Signal clrruri( )nr a limit^d energy
3. Ptw^ Review$ecti an (if required): panel,alleratinn tr woorslnn $40.00 I
Minor Labels X10) $100.00 _
Please check appropriate Item and enter fee In section 59.
4 or more res4ontlal omits In one structure 41.Each addltlonal Inspecllon over
Service and fneder 225 amps or more the allowable In any of the above
System over G00 volts morainal Por Ingporllnn $35 00
ClastIned area or structure containing special occupancy Per hour $5500
as described In N.E.C.Chapter 5 In r'lanl —
w Submit 2 gets of plans with appllcallon where any o1 the above apply. 6. Fi19s: i
Net required for temporary constructlen cervices. 9a.Enter total of Abova fanE
5%Surcharge(0!,X total fans) $
N21" Subtotal $ —
5b. Euler 259;of line Sa for
FERMIM, BECOME void it WORK OR CONSTRUCTION AUTI IORIZED IS Plsn nevlsw Il regal elst(Sec.3) $
r)T COMMENCED WITHIN 180 DAYS,OR Ir CONSTRUCTION OR WORK &Tturl
ublofal $
ie eIjg0r-NmD OR ABANDOIMD FOR APER(OD OF 1So DAYS AT ANY n•.count M� /_� : j 6, ?f
TIME METER WORK IS COMMENCED.
'� Total balance Due 7XK 5 T
CITY OF TIGARD ORIGINAL
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00192
DATE ISSUED: 5/6/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133DC-01800
SITE ADDRESS: 13245 SW FALCON RISE DR
SUBDIVISION: MORNING Hll_L NO.1 ZONING: R-7
BLOCK: LOT: 046 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCYGRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1� DOMES. INCIN:
- 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER Ul`—,S:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Unit cannot be placed within the required setbacks.
Owner: _ _ FEES
DAN WATSON Type By Date Amount _ Rereipt
13245 SW FALCON RISE DR PRMT DLH 5/6/99 $25.00 99••315134
'TIGARD, OR 97223 5PCT DLH 5/6199 $1.25 99-315134
Total $26.25
Phone: 524-6959
Contractor: _
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 _ REQUIRED INSPECTIONS _
Cooling Unt Insp
Phone: 503-234-7331 Final Inspection
Reg #: LIC 1441
This permit is issued subject to the regulations contained in the Tiga-d Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, of if work is suspended
for more than 180 days. ATTENTION Ore-ion idi —nriir 3s you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAk ''52-001-0010 through OAR 952.-001-0080.
You may obtainies of these rules or direct questions to OUI,4: by callnig (503)246-9189.
i
Issue By: <<.?"��_- _ Permittee Signature: (4)V ;;t/n�t4;7,,ieA/
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Plan Check#-
-CITY OF TIGARD RECEt Chanical Permit Application Recd By _y
13125 SW HALL BLVD. Commercial and Residential Date Recd s
TIGARD, OR 97223 MAY I, a 1q�1R Date toP.
-
(503) 639-4171, X304 _ Date to DST
COMMUNITY 0LVLLUI'N1LN1 print or Type Permit>Y
ble ills i
Incomplete or applications will not be accepted Ca:le I --
P 9� _ pp ons
_ _
Nems of DevelopmenVPro)ad I Description
Table to Mechanical Code _ Ot Price Amt
Job street Address (�; IaeN _A) Permit Fee — 1000
�NJ .� �� � r 1) Furnace to 100,000 BTU
Address _. including duds&vents 6.00 _
BIdpIY City/stale Zip 2) Furnace 100 000 STIJ+
including ducts b vents 7.50
Name(a risme of business) 31 Floor Furnace
Owner 0C"t -\ t-...1C - including vent _ 6,0n
Missing Address 4) Suspended heater,wall heater
I r 7 or floor mounted heater 600
'Acd(Q Y-) k �` ' ' 5) Vent not Included in appliance permit
CNyrStala Zp Phone _ _3.00
Tk ztiAd oZ CHFCK ALL 'Boller Heat Air
Name(or name of business) THAT APPLY: or Pump Cond City Price Amt
Com
6)<3HP;absorb unit to
Occupant MtllNng Address 100K BTU 600 cu
7)3-15 HP,ibsorb unit
cNy/51ete J Zip Phone 100k to 500k BTU 1100
8) 15-30 HP,absorb
unit.5-1 mil BTU 15.00 _
Contrrctor Na"1° 9)30-50 HP,absorb
JACUHG HEATING 6 AIR CONDITI7NI f; unit 1-1.75 mil B1U 2250
Prior to pen0 Mailing Address 10)>50HP;absorb unit
issuance,a copy 4474SE MIS• >1.75 mil BTU 37.50
of an licenses clryfstete Zip Phis,. 11)Air handling un't to 10,000 CFM
are required If P091LAW,—OR qZPQP 234-7331 _ -_, 4.50
expired In COT Drego.n conn Cr" aoard LIe 1 Exp Date 12)Air handling unit 0,000 CFM+
_database __ 1441 7.50
Architect Name 13)Non-portable evaporate cooler
_ 4.50
Me"�1dress 14)Vent tan connected to a single dcd
or 3.00
__,-__ 15)Ventilation system not Included In
Engineer crtycavne Zip Phoneappliance_permit 450 _
16)Hood served by mechanical exhaust
Desvibe work to be dry. -- — — — - 450
17)Domestic Incinersto s
Now O Repair 0 Replam with like kind Yes 0 No O _ .550
Residential 0 Commercial 0 18)Commercial or in,ustrial type incinerator
30.00
Additional ir,fonnation or description of work. 19)Repair units —
4.50
20)Wood stove
4.50---
2 1)
0_21)Clothes dryer,etc.
4.50
Type of fuel oil O natural gat O LPG O electric O 22)Other unit
4.50
1 hereby acknowledge that I have read this apr:u,lion,that the ir,'omsation 23)Gas piping one to four outIrls
given Is correct,that I am the owner or authcr,zed agent of _ 2.00
the owner,that plans submitted are in cornp'is-ci A.4h Oregro State laws 24)More than 4-per outlet(each)
50
Signature of OwnerlAgent W we
Minimum Permit Fee$26.00 SUBTOTAL
5%SURCHA_R(9E I oZ5
Contact Penson Name Phone PLAN RFVIFW 2",%Or SUR IOTAL
Regulled for ALL commercial permits F .
MtLANIE MCMUnTRY 234-7331 f0fiA
'State Contractor Boiler Certifcatlo required
"Residential A/C requires site plan sh,•%'-7 placement of unit
1114mechperm doc rev 07/20/98
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Jb23 N�n�c �AN WATrona
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1'1"10 0 C L
MW E /KfINE XE X100
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PoR r. OR . 9 7702
503 - ,7-3q- 73-31
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4 1,?5 Business Line: 639-4171
BUP —
Date Requested J'�� [ `! AM_�_PM BLD �]
Location 1 ��2- { �� �,1 Suite MEC
o ��
Contact Person L..Y(l�L��-- Ph PLM
Contra-.tor Ph SWR
BUILpING Tenant/Owner _ __-- ELC
Retaining Wall ELR
Fouling Access:
Foundation FPS
Fin Drain _ SGN
Crawl Drain Inspection Notes:
Slab _---___-- - --__ _ _..---__s-- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing ' LLGc�C�4s..
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -----------
Roof
Final
PASS PART FAR
PLUMBING --- - --
PLUMBING
Post&Beam
Under Slab
'Top Out - - --
Water Service
Sanitary Sewer
Rain Drains --
Final
PASS PART FAIL —
s
Post&Beam -FTSV-RT�
Gas Line _
Smoke Dampers
ina
AS PART FAIL _
ELECTRICAL
Service _
Rough In
UG/Slab _
Low Voltage
Fire Alarm —
Finsl
PASS PART FAIL _.
SITE
Backfill/Grading — �—
Sanitary Sewer
Storm Drain [ einspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Fsesin [ 1 Please call for reinspection RE: [ j Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Ext
Other Date 577 � � _� Inspector �` _
Final
PASS PART FAII. 00 N'3T REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested 5 !G�c/ AM PM BLD
Location I Z r' Suite C� MEG _
Contact Person Ph S L L "(�P s / PLM
Contractor Ph _ _ SWR pQ
BUILDING Tenant/Owner ELC
Retaining Wall +� ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ — — SIT
Post&Beam
Ext Sheath/Shear - --------
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing ----- - --
Firewall — -30A- ��Q�„ N „
Fire Sprinklerry `ZJ
Fire Alarm
Susp'd Ceiling --- --
Roof
Misc: --- ---
Final
PASS PART FAIL ---
PLUMBING
Post&Beam
Under Slab
Top Out
Water Servir 3
Sanitary Sewer
Rain Drains
Pinel �----
PASS BART FAIL --
MECHANICAL
Post& Beam
Rough In
Gas Line ---
Smoke Dampers
Final
PASS PART FAIL
ELECT 10t
Service
Rough In
UG/Slab -
Low Voltage
Fire Alarm — -
PAS ART FAIL -
Backfill/Grading --—�
Sanitary Sewer
Storm 1 ,ain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13123 SW Hall Blvd
Catch Basin Unable to inspect-no access
Fire Supply Line ( 1 Please call for reinspection RE ( 1 P
ADA
Approach/Sidewalk Date inspector_.;2-IAExt
Other
Final
PASS PART FAIL j 00 NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 ��,l ,
INSPECTION DIVISION Business Line: (503)639-4171 MST �� �_
BLIP
Received ---_---_ Date Requested-;),I� - AM__\�_—PM BUP
Location 11�� � �--� Z� Suite __ MEC
Contact Person _--_ __ Ph(--) - PLM
Contractor - Ph (--—) - SWR ------ -----
B_UILDING Tenant/Owner __ ___ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Dain —.
Slab Ir,.;pection Notes: SIT
Post&Beam --
Shear Anchors __- ---_-_- - -- -- -
Ext SheathiShear
Int Sheath/Shear
Framing --- ---- -- --- - -- - _ _
Insulation
Drywall Nailing — -- - -- - -- -------
Firewall
Fire Sprinkler --- --- _- ---- - --
Fire Alarm
Susp'd Ceiling
Roof
O her:- -- - ----
ASS PART FAIL - _--
PLUMNING
Post& Beam
Under Slab - -- ----- --
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains - - ---
Catch Basin/Manhcle
Storm Drain _ ----
Shower Pan
Other: -
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In I - ---
Gas Line
Smoke Dampers - - - -- ---- --- _ _
Final
S _PI1P FAIL ------- -____-------- ------- -- --
Service
Rough-In --_
UG/Slab
Low Voltage
Fire Alarm
El
PART FAIL Reinspection fee of$_- _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIFE-1-- Please call for reinspection RE. [1 Unable to inspect-no access
Fire Supp'll Line
ADA '' t
Approech/Siodwalk Oahe -`-�-� �a - InipA ��'� t _ Ext --
[Other:
Final DO NOT REMOVE this Inspection record front the job site.
PASS PART FAIL
MASTE
ERMIT
°.'ITY OF TI�GARD PERMIT
: MST2
�.�I PERMIT#: MST2002-00180
DEVELOPMENT SERVICES DATE ISSUED: 4/11/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13245 SW FALCON RISE DR PARCEL: 1S133DC-01800
SUBDIVISION: MORNING HILL NO.1 ZONING: R-7
3LOCK: LOT:046 JURISDICTION: TIG
REMARKS: Const. shed dormer.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
.ASS OF WORK: ALT HEIGHT: FIRST: it BASEMENT: sf LErT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: st GARAGE: sr FRN'T. PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMF.NT: of RIGHT.
VALUE: $5,00000
OCCUPANCY GRP: R3 BI RM: BATH: TOTAL: 000 sf REAR.
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS,
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES. £F RAIN DRAINS: 0 CATCH BASINS
TI101SHOWERS: GARBAGE DISP. WATER HEATERS, WATER LINES: BCKFLW PREVNTR: GREASE 1-RAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K. BOILCMP t]HP: VENT FANS: CLOTHES DRYER:
rURN+=10OK: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FL]OR FURNANGES: VENTS: WOODSTOVES. GAS OUTLETS:
ELECTRICAL_
RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS_ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: 0 PUMPIIRRIGATION: PER INSV L ION:
FA ADD'I.500SF: 201 400 amp: 201 400 amp: 1st W/O SVC/FOR: SIGNIOUT LIN LT. PER HOUR:
LIMITED ENL RGY: 401 600 amp 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT•.
MANU HMISVCIFDR: 601 • 1000 amp. 6014ampa•1000': MINOR LABEL:
1000.amplvolt: PLAN REVIEW SECT ION
Reconnect only >=4 RES UNITS. SVCIFDR>=225 A. 600 V NOMINAL: CLS AREA/SPC OCC:
:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL. B COMMERCIAL
AUDIO&STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM. INTERCOMIPAGING'. OUTDOOR LNDSC LTT.
BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNI.
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR,
HVAC: DATAITELE COIAM: NURSE CALLS: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 157.95
Owner: Contractor: This permit is subject to the regulations contained in the
MATTHEW JOHNSON OWNER Tigard Municipal Code.State of OR. Specialty Codes and
13245 SW "ALCON RISE DR. all other applicable laws. All work will be done in
TIGARD,OR 97223 accordance with apprcved plans This permit will expire It
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION.
Phone Phone. Oregon law requires you to follow rul as adopted by the
Omgon Utility Notification Center. Those rules are set
Req 0 forth In OAR 952-001-0010 through 952-001.0080. You
may obtain copies of these rules or direct questions to
OUNU by calling(503)246-1987.
REQUIRED INSPECTIONS
Framing Insp
Insulation Insp
Final inspection
a
Issued By : �.L.���i-�l.� �`.—._ ____. Permittee Signture
Call (�03) 639-4175 by 7:00 p.m. for an inspection n3eded the ext business day