14371 SW FANNO CREEK COURT ADDRESS:
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i:\records\micro r'r7Wargets\buiIding.doc
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Dlrl.Tigard,Oregon 97223.8199 (503)839-4171
CERT I r i cATE ll{
OCCUPANCY
x x x x PERMIT #. . . . . . . c MST9:3 -•ft►38;
639-41-11 DO TT. X s UIW D 1 1
PPPCEL.n 231 1 c'Nkl 1 k? 0'.
SITE ADDRESS. . . 1 14.371 SW i f:NN11 CREEK CT
;IUBL)I V T S I OW . . . s COLONY" CREE!t KID 5 'ZONING s
BLOCK. . . . . . . . . . x LOT. . . . . . . . .
('1_65',3 Or~....WORK. sNr�W___._._.___._
TYPE OF US.'.. . . v iF
OCCUPANCY GRP. cR3
OCCUPANCY LO`4Ut 118 4
TENANT WME'. . .
Remerksac PATH 8
Owner,r
FOM MILLER
12454 9W EDGE:WATE:.R
T I t ORD OR 972a3
Fhun19 M1 639_.9511
Contractors
IOM MILLER BUILDER
1X454 SW FDGEWATER
T HARD OR 97222
Phone #1 620--0767
Reg 1h. . s 37365
;1-c upanc:y of the above •r efierenc ed buildinr is hereby , .aver►, and certi fie r
the compliance with the State. Of Oregon fur- the group,
occupaanry` and use 1.snc'er which this ref r-enc-ed perlr:Gt way; iag.ued.
_____ ___________ __ ____ �.__
I RE Df"PARTMEN�" UILI1��e:aF.0 TpR
�- I]UILI�ING OFI=IC.T
POST IN CONSPICUOUS PLACE
aitT or "9Urd Bnildin9 D•Ps'�t
13123 an R%j l Blrsi. Tigard
Inspection Lina (itac_p Phone � �� 9i�',3
1 b39-4175 Bus,ness porn,,, 539-4171
InsPaotionr
Footing —�_"'-'�------
Plbq. Ondarelab Mach. Rough-in
1lppr/Vdvlk
Pound. Plbq. Top out
Oa• Lina PINAL�
Post/Beam struct. Vann Dever
lrrain9 / Bjd4.
Post/Beam Mach. loin Drain ~�``
Insulutior -Plumb.
Plb9. Undorrloor Nater Lina
Date RGYP. Bd. -Mach.
erlueatad�_r���� `33
Times
1lddrees s --- PM
n�—
Buildart Permit
_i w• �Q
TRE POLLONI"O ODRRECTIows ARE REQQIR1S:Dt --a---
------------
-
____
!NPOctOrt
1"PROVEb DIRAPpROVED
APPROVEP BU"WIT TO Aam,
_____M111 For Reinsp.
�$PECTION NK?TICE
City of Tigard soil&nq lsepartsasot
13125 80 Hall Blvd. TiWwd, Oregon 97223 �
inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections _
Tooting �
P1Lg. Underslab !loch. Rough-in Appr/fidwll
Pound. Pibq. Top Out Gas Line FINALs
Poet/seas Struct. Ban. Hewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Kooch,
Date Requested* /{ Times Yc'rl' AM
Address* t{� V A.4,-'Ve Cor C.e�- -� -- � I�j CIA �
�;�• Permit ft
BuLlder*'�
TBE FOLLOWING cORRECTIows mm REQUIREDs
b� Po 4/6
Inspec.'torsZLITA om (f'--3 Dates
_^APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
Ins Qffj!9%M
City of Tigard Daifdi-9 Dep R�/
13125 SR Hata Bled_ Tigard. Oregon
Inspection Line (ROC-o-Phone)t 639-4175 Business Phones ri39- 171
Inspections
Footing Plbg. Dnderalab Mach. Rough-in Appr/Sdwlk
rtovnd. Plbq. Top Out Oar Line
FINALS
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach.
Rain Drain Insulation -Piumb•
Plbq. Underfloor Nater LL1M1
-Msch.
' 1 G,Z T tae t AM PK
Date Raquastedt
Permit
Address
Builders_— oi-WA
TRE FOLLOWING OORRZCTIONS ARZ RBQOIRZDt
Inspecto _ Datet —�
APPROVED DISAPPROVED APPROVED SU CT TC, ARCM
CttYi For Reinap.
INSPECTION NOTIQN
City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
In pection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171.
Inspection:— — —
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk.
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Fi•miny -Bldg.
Post/Beam Meeh. Rain Drain Insulation --Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested -7t ---Time: r AH PH
Address:_ ` / ) Permit e --,0'3'W
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
I
i
I
I
Inspector: — — Data ! 7-,9. 3 I
APPROVED _ DISAPPROVED -_ APPROVED SDRJECr TO ABOVE
`_Call For Reinep.
SNBYECTSON NOTiCE K
cit? of Tigard Building Department
13125 sM Ball Blvd. Tigard, Oregon 97233
Inspection Line (Rac-O-Phones 639-4175 Business Phones 639-4171
Inspections_
tooting Plbg. Undersl Ufth. Iloagh-in Appr/Sdwlk
round. Plbg. Top out
Line IINALs
Post/Beam Struct. San. Sower
lraaitr��; -Bldg.
Post/BeAm Mach. Rain Drain Insulation -Ply.
Plbg.. Underfloor Natter Line Oyp. Bd. -Mach.
Date Retpuestede Times
Address ��12111 (,l.{/\ (1 CV{ Permit 1t
Builders_�'L�A_�_Q o
THE F*tJ-,DNINo CORRECTIONS ARE REQUIRED:
_ 7
Inspectors
Dates`�� _�Y
/ _�APYROVEp UISAPPROV'M APPROVED SUB.IECT TO ABOVE _-
— Call For Reinap.
�a�sea�rassasew���. ----
Cita of Tigard Hun jAg DD at Z ,
13125 6Q Hall Blvd. T1 rd, Oregon 97223
Inspection Line (Rec-O-phone)s 63y-vi7S Business Phonon 639-4171
Inspections I
Footing Plbg. Underslab Mach. Rough-in Appr/SdMlk
Found. Plbg. Top Out Can Line
FINALS
Post/Seam Struct. San, Dever Framing -Bldg.
Poet/Beam Meeh. Rain Drain InGulatlon
--Plumb.
Plbg. Underfloor Water :.ine
Gyp- Bd. -Mach.
Data R"pasa1M
teds , ` --T1I AM
Address: I q3_l Ir11/1V1[��� pQk
Builders -- M-7-
THU FOLLOWING OORRECPIONS AM N WIp",
f -
InMpwctor `�.//�•iL�,r ,� � / /,.,
-- Dates /
AFFRONTS DISAPPROVED PPROM) SUBJECT TO Ago"
_Call For Relnsp.
ems.-r----_
DL�o P•rtmant 2�
City o! 2igard �
13125 aw Ball Bl,,d. riga:y
Inspection L223
ina (Roc-O-Phone)t 639-4175 puniness s7 Phonar 639-
_ 4171 �
YnaDactLon: c.1
�1�--
Footing Plbg. UnderalaD
►leer• Rough-in Appr/Sdwlk
Found.
Plbq' Top Out Gas Line
FINALt
Post/Bean Struct. San. Sower
Framing -Bldg.
Poet/Beam Mach. Rain Drain
Insulation -Plumb,
Plbg. Underfloor Mater Lina
��p y z Off' Bd. -Meeh.
Date Aeq•aestedt���Cf/Fjl✓
--Tlmer AM PM
Addres,��� I f-Y�•,1 0 -
v Cts r Permit ,,L`.1T `13--U39(
--
Builder: (cam
THE FOLLOWING cORRZCTIONS Apo MUIRZDt �—
------------
Inspector ✓ice
Datae --
APPROVED ^IBAPPROVRn
?PROVED SUBJECT TO ABOVE
Call For Reinsp.
■
I4PECTION NOTItri
City of Tigard Building Department
13125 aM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)t 639-4175 Buaineaw Phones 639-4171
Inapeutions
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
1On11d. P1Cq. TOP Out Gas L14e FINALS
Post Mss atruct.l San. Sewer Framing -Bldg.
Toot/Beam 11aOh.� Rain Drain Insulation -Plumb.
Plbg. Underfloor "later Line Gyp. ad. -Nech.
Date Rwquaated t �3��y Tiarat �n , AN PH
Address s ��',,�' f-CtiV\W l rGC F- C _ Permit #s
Builders.
- i1
TlDL 1OLLONINO CORRECTIONS AR! AEQUg87 �7
`IREDs y �
lnapectortj�./ Dates
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
��'cTIOIf MOTIS�
City of Tl.gard euslding Department
13125 SB Ball Illvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-43.71
Inspections___
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out mss Line FINALS
I
Post/Bean Struct. San. Sewer) Framing -Bldg.
Post/Beam Mich. Q Main Dra\ Insulation -Plumb.
Plbg. Underfloor s Litte oyp. ad. -Koch.
Date Requesteds -ll� -lam /I _Times J!�
Addresa: l�� '�(�)�( I�IV�S(ej L7(C Q� (_' J �_-Permit 1e 3 f� �
Builders
THE TOLL40MIM0 CORRECTIONS ARE REQUIRED:
Z Oz
Inspectors_// C _ Dates Z
APPROVED __ DISAPPROVED APPROVED SDNJECT To ABOVE
Ca-1 For Reinap.
�nsPacrlgn no,��
r_itt or Tigard Building Dep,,xtment
13125 BW Hall Blvd. Tigard. Ora9ron 97223
Inspection Line (Rec-O--phone), 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in
Appr/edwlk
Found. Plbg. Top out Gas Line
FINAL,
Post/Bean atruct. fan Framing -Bldg.
Post/Ream Meeh. ( wain Drgiw Insulation
�...e- -Plumb.
Plbg. Underfloor Nater Line gyp. ad. -Meth.
Date Requested: L �
Timet YN
-7 r Q
Aadreses `Permit f j 2
Builders—��l�O_L,7
TBZ FOLLOWING ODRRECTIoNB ARE REQUIRED,
/
OIL
7 =�_
Inspector:
Datot
___7\P�ROVED D1BAPP,hnMD 'APPROVED S I&yxcr To ABOVE
Call Far Rainsp.
INSPECTION NOTICR I
City of Tigard Building Departae / -
13125 OW Ball Blvd. Tigard, Oregon 9
Inspection Gine (Rec-0-Phone)t 6394175 Business Phone, 6?9-4171
I
Inspections_ `
�Iootiaq Plbg. Underalab Mach. Rough-in Appr/Sdwlk
I
Found. Plbq. Top Out 4u Line lINALs
Post/Beam Struct. Man. Sewer Praminq -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor /Water Lino
Gyp. Bd. -Meeh.
Date Requesteds Z7 / Timao jI AN v"
s
Addres 777 Yrr Pas+kit +t_`r 3
Builders I !}}✓� 1,tA 1 9 1 I 7�(/f
THC ROLLONINO ODRRiCTIONB ARE REQUIREDt
Inspectors
APPAOVdD DISAPPROVRD APPROVRD SUBJECT TO ABOVM
Call For Reinep.
CITY CSF T I CARS
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171
'_t i. � 1ri ,,�.1.1!-)ttl. . ',.'_+l..L.tl�7 (..41(~F_•S NU z� !i.
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:? _10L:. ,
.r Y CCK€'. . ORP . . : . cla I"RAPS. . . . . . . . .
. . . . . . t Wq•[�R rrLp9 . . . . 'i L;At'`CH BW�iNS. . . . . . .
_.__._....._.... AUNW''( 71?0-)Y�
Aj
ar"'WSR LINL t t . > 2 . :L4
. . . Y RAIN U.RN'N (ft )
_. .-. Nd�-. ^4+'r. .. ..d., . .;.s^,j.. �� ., P.-. Y`• :a4it.x tc-• r.F ..91.1'"T'-`yy.'p.Xk..�I.....�iA
SW L:.L'CtiE:WA7'E,i gfi>Rf 11 ..307. ;l►4fi JN rnl/ _9/e)
J"Ri J H 0-1 LI)/I-J 3
#k; 9511 f_H0'. 00 .TF{ 07/2"�?/9;3
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v✓.
n
� � ( rry a1! ;_(s�-`� - `tt� �5�'1 .__. 9.c•>I_' $ 1 ;. 00 1i{ i�r `/,�'rj/�3.:t
116 (Jr~t ntxt issWcac sub.jOc:t• to they r.eg _
: ians cintazTre+ci a,n, he Iigav'd Mur,ir.iozll r'acct /four insp Rain ch-, Lrrgl:,
�tltr� t2f Circ+. 'i alty "Ar-9+�5 :int1 ' Aii past/.be im !:itt�r.c:i W��t 'a Lx T1 i ,i'ap
11 'a1�1� wSr't4 �� ..WnYiC t • be tit)r)e PosO /O �m Mt3ChrAn td(J ]1^!b. clW.iF: (C{3Fti
�►" i' " S"1 r,• "=113 4+LrArt,anL1s1,�Ah inwf1 M04W,Ani0al F.=it, A
+' * w1 3 ! r'xN:L,v,p 3. f work is 110t 5't:ar4ted V1.A/UT' J?e"] I a� Tyr,
?' S.'k•'-.i C.iy/`.s of z; ' 1,Sr,Ct' pl' i4' w0v'k i9 :r''. p kk'.tiidI
'1drd 'fev mw-p gm iti"z cfay3l Plumb Tor ll.?Y �'}^d'3,lCrf1 rContrt,
p.,; 9=rami 4a l.rt I't ,wl Ora-
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CITY OF T I GARD 4
COMMUNITY DEVELOPMENT DEPARTMENT
f1125 SW H&N Blvd.Tlgwd,CJM*n 07223*6199 (503)639-4171
p A R C F--1-: 2031 21 LA B 14 r01a1'..
ON. C.,UL
' CJNY fb.*,REF_K NO /Ohl I N4&-
,
. . . . . . . . . . . .
BUILUTNG
atWV ME.!f 9 1 J)WC-.'A_L1l\fG UN Vb: I BA13LKA T.
L
0F WOR , . *NEW BEDHMS".3 BWHS;i GK1RAGa. . . . . .
OF (YL3L. F: FLQOR N�--,Q U I RED L T B L '.3-
,,Pft, U1- CONST. `5i i F I Wz3T. . . . :1130? S f L EF-1 . 5 ft RIGW. 0 ft
�'rif k REAR, f�t
SECOND. . . . "f F 14 UN'T'. a 0
. . . . . . . a 1 41 RD. :0 s RWU1.4.lJ-------
r tT,(J T'AL i)p_:r*�
103 S f smc)m%. i-
_UL;p LUAU. .40 ps f UAL IL. 579eo pPRi,,ir%* tii- G, . I I
,,mArks - PAI'H
I-,L LJM8 I NU
FL_0kJP WIAIN(]. . , . -0 -0
T'0 R I 1-:.0 . . . . . . WAT ER HEA"rEW3. . . I f RAPS. . . . . . . . . . . . . . g 0
e LPLINDRY 1RAYS. LA CHIL!-) ow- N1. . . . . . . .0
2 SEWER L.INE: (ft) , 0 SREhtjL TRAP . . . . 0
i W AsF i E., I WAVER 1_ INN (ft . 100 OT HE'Ri F_ T.x I F-.3.
4F48AUE 0 1 t3p. kAiN DROIN (ft ) .0
4SHINI� MACO. 61= R0111 DRAINS'.
LES
Av"L, 1"YV i:'S" UNIT HTRS, erg! t y P(- nm')unt by db;:'*
:0 TIF 1<.b0, Oft J H IvA193
AX iNPUl :0 rU 14ENI FONb. . BPRI t 0 7. 160 j I-A I q
JUIN 4 100-( ;,s I HOUDIS. . . . . . 11 BPLL $ 40.*00 JLH Ob/:30/1)3
ARN ) -tiulOK W0006 I Uv L.1_,- .0 Bal IL I b. O'l/i?9/913
.UUR f-URN. . 10: L'LO IME.RS. - I 91,3LIt-, • �"440. OV JH 01/29/9,
A 0 (HL R LIN I I ";:: I pfjl4t� J[j 0
3
005 OUT!E15: 1 MPOT t 40, 5121 JH 011.291`9
ft, Lr' 1 10. 13 1H 07
Jlyl NILLF-R VmpL . '03 JI-4 Q;/;:'9/93 .4
.1454 Sw L06f-_WA"T1.-_R p0m ji.s ta-1/L,)
88 JH 07/29/93
00
jitARD OR 97:�23 ty. Ji f t,:7
16me
M 11-1 F R p I L.1A_I
:,454 SW FD=ATE-k,
1.utni_
-It is jssupI subject to the regulations cantav!fd I- no RECJUJfiE.D
,ilicipal eke, State cf Ura. Specialty Ev-F.s an;, &.1 other F00t/f OlAnd Insp i.-ii-eplace lnsr'
'e laws. Oil work wil. bf lc- t, cZ�Cj wit', 3COrn9Pd 1:-10r:t/B@aM tot4-�JCt Ga-. 1-1-ne rTISP
lana, This Pet-sit ic-11 empire J_Iast/BeLAm MechAr, .1- 1,U I a t i V T1 1 n S C)
cv, it work is M/L%T)d S -1 S p Gy J.) Shard I
PLM/uncj!?Y, lia.ln dvain
g Me�21811_J- Lai ' 11!:p Waztve Lirc
Plumb TL (`3� t Cippir'/Sclwii, (n
m in Ti s,p V c:h!¢r 1
r.al ?r- invppc:t ion
75
,I3LWEER CUNNL:L 1UM
CITY OF TIGARD PERMI l riiOhll ,
COMMUNITY(DEVELOPMENT DEPARTMENT
T3125 8W Hall Blvd.Tipud,Ck"an 97223.61" (503)639.4171
C=`filRGEl_:
+ HN NU LktiH C l It
JDL)IVic U,v. . , , M)LONY CR_Ef', NC; A.ONINC,
a ;
ANY N141111k:.. . . . . .
sir:). . . . . . . . . . s `IX'iUEZ
_ Of WOfW. :: , e NEW El_E_ i NU +_1N 11 1
OF USE. , - . . s SF NU. OF
. 13L)"'AR
R lh1t""�l:E?W S�i.11 F S•!t F.., .sY
FEES ___ __......
Ml rr_LER t YO 'Amd+.�nt by d&t"e rocpit
54 E-3W' R:DGE.WF1'TER l.•'RMT $ aeCAW. 00 JH 07/c`9/93
C ARD Ue{ 'j'IrlL:�3
MCMDR. 1w01 I-M F I L
u.
-applicant agree; tc coeply wilt ail the rulas and regviations :»wee• t n9pnct i cm
the u%f,eo bmiv AgPnr-y. The pergjt expires 'tib rays from
-e date issued. The .ota! aloo„nt paid wilt be forfeited if the
.-si. expires. The Agency does rot Oaar•antee fhe accuracy of the
IF ewer late-als. if the selrtr is not located at the seasuresen#
t'e Installer sha. prospect -, fert in 21i direc#.ons `r"
i distance giver. 14 not so located* t� ,nstallr :ur
--� -- _ —
'Tap and Side Sewer' 4-1' a.- +tir c
_
r••
tial I for irwpec!t i,on 14 t'r;
CITY OF TIDART) RECEIPT OF POYMENT RECEIPT NO. -93-243741
CIAFC-:K AMOUNT 4`17:3. 39
JPMF t MIL LER, TOM CASH AMOUNT z 0. 00
-IDDRESS e PAYMENT DATE t 07/29/93
SUBDIVISION
'URPOSE OF PAY11(ENT AMOUNT PAID P(.JRPO'"!Iz- OF PAYMENT' AMOUNT PAID
1 C)f N 307. Q.10 PLUMDING PERM 117. 50
EXHANICAL PE 40. 50 ST. BUILD PER ;2". 26
LAN CHFCK, FE 10. 13 SEWER USA P-200. lAo
"EWER INt--',Pr-:(. T 35. 00 PARKS SDC 500. 00
3TORM DRAIN SDC 290. 11.10 RESIDENTIAL_ TRAFFIC FEES 1350. 00
ASS TRANSIT TIF FEES 110. 00
.OT 121 COLONY CPF-FK 5
14371 FANNO CREEK ("J
OTAL AMOUNT PAID 4973. 39
' m s 7 9.�•cry�.�...
ot
13125 SW Nag B&& PLNCVRECT
CITY OF TIGAR.D Tom. p> PERMIT 0 � >.�J 3— D &
COMMUNrrY DEVELOPMENT DEPARTMENT
(503)63"171 DATE ISSUED
JOB ADDRESS: ��� �� � - �— TAX MAP/LOT ZS I 17-66
SUB: � LOT: /-/ LAND USE: _
6VALUATION: .S Z q-20, w-- _
OWNER c SPECIAL NOTES
NAME: REISSUE OF: . _
ADDDRt-E-SS: LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE l_l+Nh:
CONTRACTOR e-4 APPROVALS R l I RED, $N+3 Q j -caoUz___-__
NAME: �V _ PLANNING: S0 3~S1'l)ej-y_ -
ADCRESS: _ ENGINEERING:
FIRE DEPT:
PHONE: - OTHER:
CONTR. BOARD 0: EXP DATE: _
ITEMS REQUIRED
SusCONTRNCTORS: PLUMB: � 1i C`l',t7J rV C _ LIST/SUBCONTRACTORS: -
MECH: floe, a BUS TAX:
ARCH/ENG NEER CALCULATIONS: _
NAME: � k Y V _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
?ROPOSED BLDG. USE: _�)j
COMMENTS:
[CANT SIGNATW-
Received By: Date Received:
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. HAL. DUE
1 5 3-�3S1 10-432 00 Building Permit Fees -3 0.23�
_ 10-431 00 Plumbing Permit Fees 11712 ( _ _ • .)-'
_ 10-431 01 Mechanical Permit Fees o• )� ��'
10-230 01 State Cuilding Tax (5x) 023.1 G
Building -15-,.3) •//
Plumbing S
Mechanical 3
10-433 00 Plans Check Fee / / C; , 0
Building 4/0 y
Plumbing
Mechanical --10,1.3
/
10-230 06 Fire
9?-X32930-202 00 Sewer Connection �v
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Rcsidential Traffic Fees S
25-448-05 Mass Transit TIF Fees /% U I(U
52.-449 00 Parks System Dev Charge (PDC)
3i-450 00 Storm Drainage Syst Oev Chrg /
(SSDC) '
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
TOTAL JSCZZ} _9
nm/3587P_WP E
CITY OF TICARD Rtl—'CEIPT OF PAY14FNT RECEIP4 NO. N93--241874
CHECK AMOUNT s 15,j. 01A
PME TOM MILLER ALDR, INC CASH AMOLJ,4T 111. 00
WDRFSS PAYMENT DATF A 06/30/93
12454 SW PDGEWATER CT lug 1)1 V IS I 01"I
TIGARD OR 97J:233—
IRPUGE OF PAYMENT AMOUNT PAID PURPOSF OF PAYMENT AMOUNT V1011)
..........
11,ON CHECK FE 55. 00
li ,N C14ECK 6-98R-14371 SW FONNO CREEK CT
UT AL AMOUNT PAID 59- 00