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13985 SW FANNO CREEK LANE ADDRESS: i:\reccrdslmicroflmltai gF�tslbuilding.doc CERTIFICATE OF CITY O TIGARD IOC:CUPANL Y r w F t COMMUNITY DEVELOPMENT DEPARTMENT DATE I:SSUEDt 07/07.ig4 13125 SW Nall Blvd. Tiperd,Oregon 07223.8190 (56,, 639.4171 PARCEL: 2SI020D 01700 SITE ADURE�iE7,, w . a 13985 GW FANNO CI<L=.FX Ufa 13UBD i V i 5I CIN. . . . s FINLEY PARK ZON I NG s R-•7 DLOCK. . . . . . . . . . LOT. . . . . . . w • • • w . toot CLASS OF WORK. s NEW TYPES OF um. . . .-sr OCCUPANCY GRP. a R 3 OCCUPANCY LOAD i Z:44 4 TENANT NPME. . . r Remarks: PATH I Owner., JOY MILLER V, 0 BCIX 23291 rIGARD OR 97281. Phane #s 684•-7543 C:ontratr_tors _...._..W_�..._.__�._____.._ JAY MILLER PO BOX a3.2191 1 ARD OR 9 72 81 Phone its 684-7543 pl.g 1t. . 9 30 101) Occupancy of the 1stbove refer-enl_•pr1 building ts. tl _rEt.r; y1 , i, aiisi c :er ifse ; r he c:orpl iatnce with the St atai. Of Oi-r qon Spt?cialt ; C odei frtr th.e atru ..ip, o: _uparrcy, and uae kinder which the reference-7ci permit wav 'i nue Y B ILD INSPECTOR NUII-p G . FIC:AL POST IN CONSPICUOUS PLACE I.tMMMO Na,I-99 City of Tigard Building Departaent 13125 s11 Ball Blvd. Tigard, Oregon "-7223 Inspection Line (Roc-O-Phone): 639-4175 Businen■ Phone: 639-4171 Inspection:, --- -- -- Footing Plbg. Undersiab Mach. Rough-in Appr/sdwlk Found. Plbq. Top Out vias Lino �I NALs Pcst/Beam struct. San. sewer Framing -Bldg. � Post/Beam Mach. Rain Dre.in Insular_ion -Plumb. f P.l.bg. Underfloor Mater Line Gyp. ad. -Hoch... ../ 2V_ Data RPqussts : — I d AAdrsse: Builder: �_—"--�/ } TFM FOLLOWING COR"C.TIONS ARE REQUIRED: {+ crx Inspector: Date: i APPROVED DISAPPROVE,) —__ APPROVED sUB.f m To APOVE Call For Relnsp. I1 P99r-ION_KPITIC6 City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (pec:-O-Phone)s 639--4175 Business Phone: 639-4171 Inspection:__ -_ Footing Plbg. Underslab Mach. Rough-in C Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam 9truct. San. Sewer Praising -Bldg. Post/Beam Mach. Rain Drain InsuIntion -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. AN —PH Date Requested: _T►�= _ 0 Address:.-_- �� �I Jr�CU l FC _� Permit l�of 0�.. By=lder•_—�(f-i- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: L O Dote: _APPROVED DISAPPROVEDy J APPROVV J SUBJgr'r TO ABOVV Call For Reinap. r■MMMMM NJ SZLC-71 ON.NOTIC6, City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard. Oregon 9727.3 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone. 639-4171 Inepsctiuni-------------------------.�.___— _� _�,_ Footing Plbu. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line [� Gyp. Bd > n.-ch. Date Requesteds /n 9% Time: AM _ PM Address: /3 1 t f 1 )Ci/9r-7/1c) c k- _ P;`rm115t71_1: ')v Builders C1-t ✓ �/ / £'Y" __ ___+ TBE FO r CORRECTIONS ARE REQUIRED: LV' -- Lop Date.•_ APPROVED - -- DISAPPROVED ✓ APPROVED SUBJECT TO ABOVE -Call For Reinep. �NSP.CCPION NOTICE City of Tigard Building Dexwxtsent 13125 81. 3&11 Blvd. Tigard, Oro4gon 97223 Inspection Line (Rec-0-Phone): 635-4175 Business Phone:,639-4171 1_ ,1 I-L C.&', Inspection:_._,__ _ /fit "4 Rooting Pl.bg. UnderslaL h. Rough-in ppr/Bdwlk Pound. Plbg. Top Out Gas Wne I t�1IR1►L: Post/Beam Struct. San. Sewer Framing �j/�7��a -Bldg. Post/Beam Mech. Rain Drain Insulation (p/l/'i4PILueb. Plbg. Underfloor Nater Line Gyp. Rd. -Hoch. Date Requestea. '/! - L1 /_y Tlmet )U1 ___PH Addreass J' \/ C/1! 7 Permit 911- 01,51 Bu 1 tder t TNR PorAAMING OORRRCTiIONS ARf R20IRKDo c -r; J­ 4 j, VL,-( --c,4 (b S To-s or -q4 TLf !nspectort _ Date:_ - ze " if ____"PROM �281WPROVtO APPROVED SURiErT TO ABOVE _ V Call For Rsinap. INSPF:QTION NOTICE / City or Tigard Building Departaent 13125 S* Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)e 639-4175 Business Phones 639-4171 Inspections—�_ — —� _—.-------_ Footing Plbr. Underalub Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out one Line FINAL: Post/Beam rtrvct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain ( Insulation / -Plumb. Plbg. Underfloor Nater Line oyti.. ad. -Koch. Date Requested: _—(Q=L / 7 Timet A14 PN Address:_ I�� 7 �/7✓�C� ( /�.CC' k Pena�fs y Builder:�,� _F��l� THE FOLLOWING CORRECTIONS ARE REQUIRED: I r� IrApector: _ Date:� / L APPROVED DISAPPROVED APPROVED S'-AJXrT TO A call For Reinsp. A� M$ ION MOTICK City of Tigard Building "tPertawnt 17125 81t Hall. Blad_ Tigard, :'9rogon 47223 Iwpection Lin, arc-O_phone)% 639-4171 Ausknese Phone: 6e171 n Uudoralab Hoch. Rough-in \ Appr/Sdwlk Foot i ng F.'1 bg• I Pound. Plbg. Top O•at Cas Line lINALe Post/Beam 3truct. Sen. Sewer raminq -Bldg. Post/Deem Meeh. Rain Drain Insulation -Plumb. Natar Line Oyu ed. -Mach. Plbg. Underfloor ll Date Requested:____ OrMi _ -- Builder:—/2/ THE POLI.OWING CORRECTIONS ARE RyQUIRED: ---------- L ------.��_-`—.—. Dater Inspectors APPAOV80 _F DIShPPROVRn APPROVED SURJECP TO ABOVE Call For Reinsp. INSPECTION 14TIC$ City of Tigard Building Department 13125 RM Ball Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone: 639-4175 Business Ph 639-4171 Pootinq Plbg. Underelab Mach. Rough--in Appr/Sdwlk Ponnd. l Plbq. TCP Out Can Line FINAL: Pos�,Bet^ Struct. San. Sewer Praising -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Uyp. Bd. -Hoch. Date Requastedc� /� �- �> Tirasi �[��AMM — PH Address:_ 7—LLL i,./,�)(.) C ('k. L�q'• Pet�i �l! C__1'_ BuUder:�/�(`�/ THE FOLLOWING CJRRECTIONS ARE REQUIRED: Inepector ��— Date:__ � ?l� i APPROVED _—_ DISAPPROVED APPROVED $UR.Y1S_ TO ABOVE —^Call For Reinap. OSPE27ION NOTICE City of Tigara Building Dnmrtsrnt 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line pec-O-Phoneys 639-4175 Businean Phone: 639-4171 Inspection:---- ---- — ---- --- --— --- looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Pl.bg. Top Out Gas Line FINAL: st_/seas stru San. Sewer Framing -Bldg. Pon h. Rain Drain Insulation -Plumb. Plbq Underfloor Nater Line Gyp. Bd. -Mach. Date Requested: �� 5�!_ J 1 AM Address: PenyoitQ�/: �L1- Builder: c /� —:, �z /'�/ / O / 2 THE FOLLOWING CORARrTIONS ARE REQUIRED: Inspector: Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INS 8CTION NOTICE City of Tigard Building Department j 13125 Bw Ball Blvd. Tigard, Oregon 97223 Ii Inspection Line (Rec-O-Phone): 639-4175 Business Phcnet 639-4171 Inspections_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk F.wnd. Plbg. Top Out Can Line FINAL: Post./Beam Struct. Ba�Xewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. underfloor Nater L/ Gyp. Rd. -Meeh. Date Requested: �) Times yl_ AN PM Addross:1y� _ BC�/J�)L� Permit Builder: TRE FOLLOWIVG CORRECTIONS ARE REQUIRED: I Inspectors APPROVED DISAPPROVED APPROVED SUBJECT To AROVE ---Call For Reinap. hSPEC LION_NOTICE City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417S Business Phones 639-4171 InspectLons4._� -_---� Footing Plbg. Underalab Hoch. Rough-i-s Appr/Sdwl.t C�� Plbg. Top Out Gas Line FINAL: Powtt//Beam Struct. San. Sewer FrPAing -Bldg. Port/Beam Mach. Rain Drain Ins,ilation -plumb. i Plbg. Underfloor Water Line Gyp. 8d. Mech. Date Requeatedt 7,P L - fir, Ti1Mt AN gM (�J( l Address: f Arlt �t �1 Builder: C' (,• JY� )' THE FOLI.OWI mRRECTIOws AAR RRQUiREDs i Inspector:_ _- — Date: _ APPROVED DISAPPROVED APPROVED SURJECT Tt` BO __ Call For Reinsp. INSP ION NOT CE V city or Tigard Building Department 13125 SW Ball Blvd. Tigard, IVORCM 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4111 Inspections_______ _- Pootlnq - Pibg. Underelab Mach. Rough-in Appr/sdwlk Plbg. Top Out Gas Line FINAL: Pont/Beam :,tract. San. Sewer Framing -Bldg. Post/Ream Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor. Water Line Gyp. Rd. _Hoch. Date Req.sested. _y � --__TL.. __V -PN Aidrsss:_ 9 9.!7 /y9r�/)L) 6LCrA_&--Permit Bulkier: 7' Ik 1- ',25/- &�6r1 ,L pD n THE FOLLOWING—CORPEcTIONS ARE REQUIRED: (� ) v'VN Zi - "A -�2c..•--„� �' ���-��'v rte` .�. r, — (� e Inspector• __Y_APPROVED _ DISAPPROVED �11PPR117D SUBJECT To RROVE Call For Reinsp. PLUMBING PERMIT CITY OF TIGARD DATE PERMIT ISSUED: , N4/r_1/94 0151 COMMUNITY DEVELOPMENT DEPARTMENT 19146•w H&H Wd.Tqud, 7429.9199 (W3)639-4171 PARCEL: 2S i 02DD-01800 :SITE ADDRESS. . . : � SW FANNO CREEK DR SUBDIVISION. . . . : FINLEY PARK .0701 ZONING: R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . kW :LASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 JYPE OF USE. . . . a SF WASHING MACH. . . . . . . al BACKFLOW PREVNTRS. . :N OCCUPANCY GRP. . :R3 F=LOOR DRAINS. ,. . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :@ I FIXTURES---------_---_- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 uREAGE TRAPS. . . . . . . a0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PATH I OWNER: -_____.______---._.__._,_.,_________ ------------------F'EES-••___-___-__------ JAY MILLER TIF $ 1520. 00 SW 04/21/94 - P 0 BOX 23291 BPRT $ 448. 00 SSW 04/21/94 - BPLC $ 291. 20 SW 04/'15/94 94-521319 TIGARD OR 97281. 85PC $ 22. 40 SW 04/21 /94 - Phone #: 684-7543 SSDC $ 281. 00 SW 04/21/94 - PORK $ 500. 0e SW 04/21/94 - P'lumbing Contract or: ___________-._..____ MPRT $ 45. 00 SW 04/21/94 - �. MPLC $ 11. 25 SW 04/21/94 - Name:��.l b. - 1,�+.�.�+1 4 .____ __.�. M5PC $ 2. 25 SW 04/21/94 - Nddress: PPRT $ 140. 00 SW 04/21/94 - CitY= ._ _.� State :____ —_ P5PC $ 7. 00 SW 04!21/94 - Zip: ^_ Phone#: _ Req #: -- ----- REQUIRED INSPECTIONS Phis permit is issued subject to the req- ulations contained in the Tigarc' Municipal Foot/found Insp Rain 'train Insp Code, State of Ore. Specialty Codes and all Post/Beam Str'_tict Water Line Insp ether applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance wi"h approved plans. This Plm/undslah Insp Mechanical Final pprmit Nill expire if work is not started PLM/Underfloor Plumb Final within 180 drays of issuAnre, or if work is Mechanical Insp Bui :.rjing Final sklspend4,d for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain r Fireplace Insp _ / Gas Line Insp Insulation Insp - r y P Board Insp A'i.tthoriaed Plumbing ContractorSignature Call for inspection - 639-41.75 C:'ontrActor Notes: -- RMI CITY OF TIGARD PERMITS#TER. ... . : MST94-0151 COMMUNITY DEVELOPMENT DIPARI MENT DATE ISSUED: 04/21/94 13196 8W Hag NOW.Tlpvd,Ornon 97223x8199 (603)630.4171 13975 PARCEL: 2S 102DD-4"11TW SITE ADDRESS. . . : •#-896 SW FANNO CREEL; UIR 0/ 700 SUBDIVISION. . . . . FINLEY PARK 001 ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . b~. --------------------------------- BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT :0 sf CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GA RAGC:. . . . . . . . . . :42LN sf TYPE OF USE. . . :SF FLOOR AREAS----------- REOU I RED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . : 1020 sf LEFT. . : 10 ft RIGHT. :6 ft OCCUPANCY GRP. :R3 SECOND. . . : 1100 sf FRGNT. :20 ft HFAR. . : 16 ft STORIES. . . . . . . ..2 THIRD. . . . :0 s f REQU I HEIGHT. . . . . . . . :24 ft TOTAL------:2120 sf SMOKE DETECT'GRS. :Y FLOOR LOAD. . . . :40 p.f VAL.UE. . . . . $: 105080 PARKING SPACES— : 1 Remarks : PATH I __._-----------_______----------___-.- PLUMBTNG - -------------------------------------- SINKS. . . . . . . . . . : 1 -_.-_.-_.___---------------SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIFS. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SH04v�RS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE �'ft ) . :0 GREASE 'TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE tft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 ---._-_-_-____----- MECHANICAL .___-----_--.-_---_.-.___.-_--- -w-- FEES FUEL TYPES-•-----______._- UNIT HTRS. . -.0 type amount by date rec.pt /GAS/ / / VENTS . . . . :0 TIF $ 1520. 00 SW 04/211/94 - MAX INPUT:O BTU VENT FANS. . :h BPHT f 448. 00 SW 04/21/94 - FURN 1100K . . :0 HOODS. . . . . . : 1 BPLC t 291. 20 SW 04/15/94 94-521319 FURN >- .00K . . % 1 WOODSTOVES. :0 B5PC $ 22. 40 SW 04/21/94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 SW 04/21/94 - BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PPRK f 500. 00 SW 04/21/94 - GAS OUTLETS: 1 MPRT t 45. 00 SW 04/21/94 - Owner: ----------------------------------------MPLC; $ 11. 25 SW 04/21/94 - JAY MILLER M5PC f 2. 25 SW 04/21/94 - P 0 BOY, P-3291 PPH T $ 140. 00 SW 04/21/94 P5PC S 7. 00 SW 04/21/94 - TIGARD OR 9.7281 Phone #: 684--7543 Contractor: - _______._.___..________._.__-_----- Jf�Y MILLER PO BOX 23291. 'fIGARD OR 97281 Phone #: 684--7543 Peg #. . . :30109 -------------------------------- ------------- $ ----•----- $ 3267. 10 TOTAL. This persit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -- -- --- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans. This persit will expire if murk is not started within 18@ Post/Beam Meehan Tn,,ulation Insp days of issuance, or if work is suspend@ for sore thV@ d;,-i,. Plm/Undslab Insp Gyp Hoard Insp / PLM/Underfloor, Rain drain Insp f,ermittee 9ignatf_1re : - Mechanical Insp Water Line Insp l 1111_imb TOP Out Appr,/Sdwlk Insp Issued Py ; lJ framing Insp Mn,'I r ,rir_.al Final Gall for inspection - 639-4175 SEWER CONNECTION PERCITY OF TIGARD PERMIT 0. . . . . . . SWR94-0155 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/21/94 13176 SW Hall Blvd.Tigard,Oregon 07223.8109 (603)639-4171 /39 P5 PARCEL: 102DD-914-BQb :iT'TE ADDRESS. . . : t-396-7 SW FANNO CREEK DR 10/700 SUBDIVISION. . . . : FINLEY PARE ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . TENANT FAME. . . . . : USA NO. . . . . . . . . . FIXTURE UNIT,S. . . . C:Ln- SS OF WORK. . . :NEW DWELLING UN I'TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGSs1 INSTALL T'YPE. . . . ;BUSWR IMPERV SURFACE. . : :s-F Riemalrks: PATH I Owners ----- —_.._________.___.__._..___.____._._.____--------..___._______-- 'EES JAY MILL_E.R type ramoo.Ant by date rer_pt P 0 BOX 2:3291 PRMT $ 2200. 00 SW 04/21/94 — INSP $ 35. 00 SW 04/21 /94 — 'TIGARD OR 97261 Phone #: 5$4•-7543 Contractor: —__._____________.. _----• ----•-•-____-. CONTRACTOR NOT ON FILE Phone #: $ 2235. 00 TOTAL Reg M. . ------ -- REQUIRED INSPECTIONS -- — -- - This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires IN days from the date issued. The total amount paid will he forfeited if the perrit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the aeasureaent given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purLha,;e a "Tap and Side Sewer' Permit and the Agenc will inst 1 lateral. Pel•mittee 5ignatUre: Call for inspection - 6.39-4175 Cll'y OF I )GORD cm: PAYPIFNI RECEIPT MCI. a94--P5,1564 CNIFC K APID(.IN't a 5e°5(?- I W 1AME a JAY MILL LR FILDR CASH AMOUN,,r. PAymFNT' DATF 41)DRESS 0 � /94 slifiDIVI SION :,I)RPOSE (IF' r-'lAYMFN'r APIOUNI, PAID PURPOSE. (IF p-A yME N T AMClUNr PAID .............. -0.1ILDIN13 PERM M91-94-0t5i 448.00 PI-11MBING PF.RM 14171«00 1C.CHANICAL PU 45. (40 (,'T. POILD PFN 31. -E,5 5 R. 4 5 (414ER USA SWR94 0 1.55 2200.00 I AN CHECK VE lH9V't--C,'t 34t. (40 PRRKS ',-%I)C bff). V)IA DRAIN f3l)(1, V80. (40 NF-J-31D.!NT TOL TRAFFIC FF.F.S 141.0. 00 AS'S TRANST T 11F FFFS 110.00 x4f.45 SW FONNI'l CRERK DR/LWT #1 1*OTAL AMOUN't PAID s Residential Building Permit Application City of Tigard 1.3125 SW Hall Blvd. `f Tigard, OR 97223 C (503) 629-4171 .lobsite Address: ��� ✓1 � ' V.7v VII t f Subdivision: 1 n 1 i_ K— Lot# valuation /6'sQSLdi < u 6 4 owner: Y (( 1elu Addre'VI _ Phone: C/ Contractor: t Address: • / ,, ( — k. , .fix Phone: Contractor's License tl (attach copy of current Oregon license) Subcontractors: J Pp,mbing: 4,4'AI/ � bw_ � JMechanical: (attach copy of curnen R Contractor's License) Arch!teci ngin r: _ Adds 9ss: Phone: Applicant Signa u e & Phone number Received by: Date Received: ' S i U Y Permit 0 Account Description Amount Amt. Pd. Bal. Due his f y -0 'S Bldg. Permd (BUILD) ANY 1 U J Plumb. Permit (PLUMB) Ivo,o /�U Mech. Permit (MECH) _ v0 'mrd✓ State Tax (TAX) Plumb: :7, O o Mech: ✓ Plan Check (PLANCK) r,2,�/ Z 'S�� �S Z, c/S Bldg: J /, Z u Plumb: Mech: Sw k,57jp I S, Sewer Connection (SWUSA) ZZUU ?uU J Sewer Inspection (SWINSP) 35 3>; Parks Dev Charge (PKSDC) —5 o 0 / 5 6G 0 W Storm Drainage Chg (SDSDC) 0-8U Za�u VV Residerdlal TIF (TIF-R) 1410 /U Mass Transit TIF (TIF-MT) //0 //(; ✓ Com:nerciai TIF (TIF-C) _ Industrial.TIF Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Ouality (WOUAL) Water Quantity (WOUANT) Fire District (FIRE) TOTALS: „"�+N-ter.--s.^.'-ti --�.-�a-�.-�-..-v--••�----•-•- -•..-�.--..-�..---+--�w-�.--•---•-.--�.--.--.-_'vr-..--.r--•w�-•-�.-..- .. -.--: •-'-- .-- ---'r u i 1 CITY OF 110ARD RF;(:F.-TVIT OF PAYMFNI' RFCF.:1:F'T 40. a'3Q.—P..913i.9 C HEC.'K AMOUNT u i.?(5”, 00 A11F.. a M[L.LF Rv JOY C:ASIA AMUUN 1 a 0.00 11►1)C�;F't f3 a PAYMENT DA•I F. a 04/15/9.4 '.i1.18I)'14VJA1ON a "11PPIOSE: OF: VlAYME:NT AMOUNT r-"OtD P1.112PIOSE (.)F mYI•IE:N 1 AMC)UNI PAII3 ._........_..._._.. ...........__......_W._.. _........... ..__. .._ _,.� ....._........__.._ _.� . . ....._._. __._........._.___..._... �I.f1W CHECK FF, 25(h.om ._O1' :I. F• T.NL.E:Y PARK F O NNC1 C.,RFF:Fi:K I M01.. 11110UN I PAID 2r,0.(!)k)