11720 SW MANZANITA STREET 11720 SW LMANZANI'IA STREET
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INSPECTION NOTICE
City of Tigird Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection I "A L- �)O
(SSC lTZ?V
Date Requested Time ANN+1-17PDX
Address 7,2 0 5LJ 44,Vlaa v%NA,
Permit #
Owner ------ Lot
Builder
The following Building Code deficiencies are required to be corrected:
III
Presented to 116 Approved
Inspector Disapproved
Date
CAU 1"OR REINSPECTION
F-1 YES 4 NO
RD
`IJ,A.iHip-JGTON C.MNTY,OREGC."N
4-27-83
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OWNER: Don Olson ,,,_�.__.•.__....___. _�....�_�.•. -._ 2715 _�---
P.DDRESS: 11720 811 Mantianit,t,,.�k'�;acd, C)re}�on�9722?,-
i
On September 309 1'99863 a pea:mi.r: was issued ;Lor the installation of
a wood stove 1your X-as,,I.dencv. As of this elate records do not indicate
+' an inapectio ! of auch'-ir,,E�trallation, as required ',,'y Tigard Municipal
Code
Please inform this department urn to the =i^atua of your project so a time
can be ret !nor an inspection o1` rour un r..
Sincerely,
51Z7
Brad Roast
Building Inspector
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_ - - 12755:•.W. ICSH }'G 610•K 23,97 1"GAM), OREGION 97222 M:639-4171 -- ---
Address 1iz2.v_,_r&zmA#jAmr,4 Permit No. Ze 0 V
Name of Occupant.--------- Permit charge
Connection
Paid by
Date connected
Type of Building 'nspection fee
Service Rate Paid by Date-----.
Contractor Assessment—_ Paid
Size of connection
,
PERMIT TO CONNECT
Tigard. Sanif-ary District
PERMIT N° t 0 0 DATE.
PERMIT IS GIVEN TO s /� +� '(. t C �� (j • s
� 1
OF i s
i
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY 11199.SICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE; AND INSPECTION OF CONNECTION HAS BEEN COiVI-
PLETED.
PERMIT FEE PAID :....:...............................TIGARD SANITART DISTRICT
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9.59
TG y 1
CONNECTION INSPECTED AND APPROVED
__._.Date Superintendent