10960 SW MEADOWBROOK DRIVE HO )IOOHSMOaV3w MS 09606
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10960 SW MEADO'WBROOK DR
CITY OF TIGARD
BUILDING DIVISION PERMIT H:
DATE ISSUED:
1315 SW Hall Blvd., Tigard, OR 97223 �
Phone: (503) 539-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: I(o I�� TIME: C( ,, PACE:
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SITE ADDRESS: BUJ CLASS OF WORK:
SUBDIVISION: 6--
LOT q: TYPE OF USE:
PROJECT NAME. r�DESCRIPTION: 1
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OWNER:
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I� PHONE k:
CONTRACTOR: Q COY
Inspection Hequest Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
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- - [] CANCEL ❑ NO r.(';:ESS
PASS � PARTIAL APPROVAL
IFAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
lja �Ql�V Phone #: (503) 718- V4
Inspector: