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R.T.E. Bldg.
I' Columbia Hardwood & Molding 12600 SW Hall Blvd. Tigard 253-092-000
Washington B-2 Off. V-N 253 I .I
Co_lumbja Har :jdwood �; t� " , All' ' x r.. . 8-17-81
Columbia Hardwood 12600. SW hall B1 . Ti. reviewed 8-3181
1 IIIc; hi"..' Lven rE'I(' ,,iA for conformity vith fire p totcctlun stalt!i ,-,(; I , I;.il;) of Orq;wi adiii It :,I,
C'n 11". e,lclo'i
Address 7 Permit No.
Name of Occupant
Permit charge
Connection
Paid by
Date connected
Type of Building Inspection fee
Service Rate- dZI TSL -t' L_4:i�21 Paid by Date----
Contractor Assessment_ .-,Paid
Size of connection L/I