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CERT I F- I C;ATE C?(
CITY OF TIGARD PERMIT #. . . . Ca. I
OCCUPANCY 3._0345
COMMUNITY DEVE4_OPMENT DEPARYMENTISSUED:
DATE �- ;,
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
j PARCEL c "RS 104AC—10600
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SITE ADURE S. 1 x594 SW MURN i NU HILL DR
51JOD'IVISION. . . . a MORNING HILL NO 9 ZONINC3aR25
BLnOCK. . . . . . . . . . o LOT. . . . . . . . . . . . . :241)
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CLASS OF WORK. a NE:W
rYPE OF USE'. . . :FIF
r)(,CUPANCY ORP. a R3
OC:CUPANf,:Y LOAD a 229 4
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TENANT NAME:. . . a
Remar+sa PATH I
Owner,,: .n ...
)AY MILLER BUILDERS' INC
4 O BOX r"t;.sir 91
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TIGARD OR 97224
Phone Oil 664._.7543
r;ont;raac.:tora
JAY MILLER
PO BOX 23291
T I CIARD OR 97261.
Phone #s 684--754,",
I'ayi M. . a 30109
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f Oct:Ltpanc_y of the above referenced building is hereby given, and certifies
the compliance with ti-le State Of Oregon Specialty Codes for-, the group,
oc;c:upanc:.y, Sind Lisp under which thy- referenced permit: was issued.
F I FtE 4 DEPLIRTME'N1 I I)I Nh (aPECTOR
BUILDING OFFICIAL
POST' IN CONSPICUOUS PLACL
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INSPECTION NOTICE r;
City of Tigard Building Department pp
13125 SW Hall Blvd. Tigard, Oregon 972231 T.
Inspection Line (Rer-o-Phone)s 639-4175 Business Phone: 6.19-4171
Inspections_ _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam truct.S -^-----'� t
San. Sewer Framing
Poet/Beam Hach. Rain Drain Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh
Date Requested: �' �"3.L-7 Times _ AM Ph
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Address: !. _ Permit #8
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Builder.._ k
THE FOLLOWING CORRECTIONS ME REQUIRED:
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Inspectors//_� —_ Date.
'/ APPROVED DISAPPROVRD APPROVF,D SUBJECT TO AROVE
Call For Reinnp.
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INSUCTIOp NM-ICE
Cit,v or Tigard Building Ds_2artaont
13125 AV Ball Blvd. Tigard, Oregon 97223 '
Inspection Line (Pec-c-Phone): 639-4175 .lusiness Phones 639-4171
Inspections_
Footing Plbg. Underslab Mech. Rough-in //xppr/&Wlk '
round. Plbg. Top Out Gas Line (� r_.1KR I
Pont/Beam Struct. San. Sewer Framing B14q.1
Post/exam Mech. Rain Drain Insulatkon /(-Plumbs
Plbg. Unde,:loor Hater Line Gyp. Bd.
Date Regvested> 1 v � Times AM , —" PM
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Address: ' ]�/ �lt�In((!� l I Permit tr L
Builder,
THE FOLLC/41MG OORRBCTIONS ARE REQUIRED&
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Inspectors_ �—� Datet._�_Z-- / / _3
APPROVED D1SAPPJ6VED APPROVED SUBJECT TO ABOVE
_Call For Reinep.
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IN.§LP CT ON NMLCE
city or Tigard Building Departawwt
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phones 639-4175 Business Phone: 639-4171
Inspactions` -- ----- I
Footing Plbg. Underslab Ner_h. Rough-in Appr/Sdwlk
Found. Plbg, Top Out Cas Line FINALS
at/Beam strwit. , San. Sewer Framing -Bldg.
at "M h. Rain Drain Insulation -Plumb.
7v!�_tfidlor Nater Line Gyp. Bd. -Mach.
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Date Requested: Y �7 Tit _
Addreses < Permit i:�
Builders -
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APP1bDVtib DISAPPROVED _ APPROVED SUBJECT TO ADM �� r } lk4WpfY�GG
Call For Rainsp.
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I�.NSPECTIOIT NOTICE
City of Tigard Bul l.:ling Department -/
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-•4171
Inspection:
Foot.in Plbg. Underelab Mech. Rough-tn Appr/Sdwlk
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Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Mech. Rein Drain
Inrulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Time: AM PM
Date Requested:
Address:
Z.S 1 `1 -3,nJ `I 1 11 Permit7-4
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Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Date: _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
` y --_call For Reinsp.
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INSPECTION NOTICE u
City of. Tigard Building Department
13123 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Bunineso Phonet 639-4171
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Inspectiont_
i
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALt
Post/Beam Struct. San. Sewer Framing _ -Bldg.
Poet/F .im Mach. Rain Cain < Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
is•t e Requested t 1 I Timet AM PM
Addroµo t 1 ZS� `T I�� C�*� t -_rC� 1�� `,l Permit f% C)!�
Builder'
THE FOLLOWING CORRECTIONS A.'- REQUIREDt
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APPROVED DISAPPROVED V APPROVF,D 9URJECT To ABOVE
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City of 'Tigard Btal r.4i g Depax %f
13125 SR Ball 91td. -I lard, Oregou
Inspectkon Line (R`c-O_Phons)r 639-4175 Businos hone: 639-4171
Inspectionr
Footing Plbg. Underslab Hoch. Rough-Ln,, A
ppr/Sdwlk 4
Found. —
Plbg. Top Out Gas Linegt
F I H1►L r It
Post/Beam Struct. San. Sewer Framing -Bld
J_._ g•
Post/Beam Hoch, Rain Drain
l .sulatlon -Plumb.
Pibg. Underfloor Water Line Oyp. Bd.
-Hoch.
Date Requesteyd r I(1
— Times AM PH
Permit
• Adctress:� L 1 (� � 1
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Builder.: "r
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THE FOLLOWIHa o0 ARECaIONB ARE FtEQUIR$D7 �
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spwctorr / rTe
Dater �
PROVED DISAPPROVED
APPROVED BUBJECf TO ABOVE tt
Cell For Reinsp,
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,7(_SPECTION NOTICE
City of Tigard Building Departw uut
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-:l-Phone): 639-4175 Business Phones 639-4171
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Inspectiont-
Footing Plbg. Undevelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ass Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb,
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Data Requestcdt Time: _AN PM
Address: fir. Permit #i
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Builder.:_' ! �� I el'J II �i
TBr FOLLOWING CORRECTIONS ARE REQUIRED:
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`�C..��.....;1 � ,t,J � 1, --�.� `�V �• 'G,N-�
V lDate I ~ C
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APPROVED DISAPPROVED APPROVED RUBJRCT TO ABOVE
�✓�` _Y Call For Reinsp.
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"SPECTION NOTICE �� r
City of Tigard Building Department �•
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Reef-O-Phune): 439-4175 Business Phone: 639-4171
Inspection:—'A_
Footing Plbg. Underslab M.ch, Rough Appr/Sdwlk
Found. Plbg. Top Out tla. FINAL: '
Poet/Beam Struct. San. Sewer Frar•ing -Bldg.
Poet/Beam Rech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
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Date RRqueetedt Time: _ AN
_(�N PM
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Addrnee: 1 4:;-Cl ��'�w= _ '`� Permit #C
THE P'")LI.OWING CORRECTIONS ARE REQUIRED:
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APPRMO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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IINSPECTIGN NQTICE
City of Tigard Building DepartsiI 1
13125 811} Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phor♦s)s 639-4175 Business Phones 639-4171
Inspection:,— — — _ _---
Footing Plbg. Underslab Hoch. Rough-in C A r/Sdwlk •',
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Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. ,
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor ,N(azar Line Gyp. Bd. -Hoch.
Date Regnestedt
Address: i Zq `J` 'V1 f(�i1M YX Perait #s
Ruildar:�1�-� l l � 77 � k
t THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ _ Dates '
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APPROVED DISAPPROVED APPROVED SUR.IECT TO ABOVE'}t y 1r +Iti ti h "'"
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Call For Reinsp.
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INSPECTION NOTA
City of Tigard Building Departasnt
13125 BO Hall Blvd. Tigard, Oregon 97223 },
Inspection Line (Rec-O-Phone(e 639-4115 Business Phone: 639-4171
Inspectic,s: __
Footing Plbg. Onderslab Mech. Rough-in Appr/sdwlk
Found. Plbg. 'Pop Out Gas L'ne FINAL:
Poet/Beam Struet. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation _Plumb.
Plbg. Underfloor 4Water Line2 Gyp. Bd. -Hoch.
Date Requosted:_ Cl- ___1 3 -----T�: _N / PH
Address: Me* 1�Y� �� Permit #:
"udder:
THE FOLLOWING CORRECTIONS LRE REQUIRED:
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Ins
psctor� Dates
11PPROV=D bISAPPROVRD APPROVED SUBJECT TO ABOV:;
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For Reinsp.
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INSPECTION NOTICE
City or Tigard Building Depart—t r;
13125 811 Ball Blvd- Tigard, Oregon 97223 s.
Inspection Line (Rec-O-Phona): 639-4175 Business Phones 639-4171
Inspections - --
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Footing Plbg. Underalab Mach. Rough-in Appr/Sdwsk Vit;
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Found. Plbg. Top Out Gas Line FINAL:
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Post/Boas Struct. San. Sewer) Framing -Bldg. ;
Post/BYaam Mach. Rain Drain' Insulation -Plumb. q
Plbg. Underfloor `Mater Line, a-.p. Bd. -Hoch.
Date Requested: Times AM J PH
Address: i-17 cel t( 1'Layyy,,'IWS) _ _.. Permit i=17�
Builder:
THE FOLLOWING CORRECTIONS ARE R4QUIRED:
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APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call For Reinsp. �: w�
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INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspectl'n Line (Rec-O-Phone): 639-4175 Business Phone: 639--417.1
Inspection:
1�,Footing Plbg. Underalah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: '
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
Date Requested:____._ __Time: AM
i 4 .r- .n Gam- omit f: Ylr'3
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED AIIBJECT TO ABOVE
Call For Rei.nnp.
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INSPE9TION NOTICE
City of Tigard Building Department
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: eS7Le -C
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Lound. Plbg. Top Out Gas Line FINAL:
CCPost/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Water Line Gyp. Bd. -Hoch.
A{{ Date Requested: Thi v� A v pN
Addresei
/�"�L I m V\I l^ 7�/.(..4 / Permit til
Builder.t LJ I �k 13.�C
THE FOLLOWIN% JORAECTIONA `RE REQUIRED: t"t
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_—APPROVED ✓ DISAPPROVED APPROVED SUBJECT TO ABOVE };
a Call For Aeinsp.
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CITY OF TIGARD T i 41
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COMMUNITY DEVELOPMENT DEPARTMENT a; �rO; k;t ✓,_:'�� " ',>
13126 SW Hall Blvd.T19ard,Orapon 97223.8199 (503)839-4171
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Htl1 Blvd.Tigard,Oregon 97223.8199 (603)839.4171
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CITY OF T
COMMUNITY DEVELOPMENT DEPARTMENT
131258W Hall Blvd.Tigard,Oregon 97223.9199 (603)434.4171
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hss Ap1,11Lant agrees to coeply kith al i the rules and regui.attans c.Fa C t: to ,
A the unified �vwage Agency. T'I°re perait eMpires. ..s Oxy:
ire dike isvied, The total asmint paid N:'ai :)e for e.ted
P,-,t axpires. The Agency does not guarantee erre ar.+.'.:, ar'y thw
,1";`e 1`6+401” laterals. If the sewer is riot I:cateu at tree
given, t''f trrsialitr^ shall prospect 3 feet in all sirertivs r a1" _.-_.____�_.•» .._~___. ___w w__._ .__._.__._._. �`
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'.he distance yyaer. if not so located, the )nstalier shall wires rase _.....
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17125 SW Han Div& PLNCK/RECT N �^ 'o
CITY OF TIGARD PERMIT I 4 -o 347
COMMUNITY DEVELOPMENT DEPARTMENT Tipcd OrcRon97227 -
(507)6394171 DATE ISSUED
JOB ADDRESS: _1rz5eASvc/ Morr�I.r'tG; H�!f b TAX MAP/LOT L 5L
SUB: _ Mn r-n*irxJH ,-LI - LOT: Zlc1 r1H LAND USE:
VALUATION: �0
OWNER SPECIAL NOTES
RWIE: -J a P-k i rxc _ REISSUE OF:
ADDRESS: I,• O LAST REISSUE: _
r%a.h r.1 FLOOD PLAIN/
PHONE: AlED4 SENSITIVE 1-AND:
CONTRACTOR APPROVALS kl UO I,RED
NAME: T 1 s 1 e,� ►',I c) r _ , T �N c PLANNING: OIL
ADDRESS: ENGINEERING: _
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: �1 l)`t� EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: t2cII W(I H' Lor 11 LIST/SUBCONTRACTORS:
MECH: jig-1 jea�T("ri� BUS TAX:
ABCNjCNGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: _
COMMENTS: N1 H
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O f 7;<'k4:!; Gr..J 1�/.4 1 1/9'
APPLICANT S GNATURE
Received By: DaLe Re,eived:
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
v3,{ ' 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees /.SS`,�-� -
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 3Z, 71 323
Building 2.2, ?k V
Plumbing �, 7
Mechanical 0, 2- 1
10-433 00 Plans Check Fee 1• Z '�
Building U
Plumbing
Mechanical
10-230 06 Fire
SwJZ ?•Da L 30-202 00 Sewer Connection ��� 00
30-444 00 Sewer Inspection j —--5
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 Residential Traffic Fees /,35 J L�-
25-448-05 Mass Transit TIF Fees -1L-
52-449 00 Parks System Dev Charge (PDC) _ S� _ _ -5"
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) SSU -112
24-445-01 Water Quality (Fee in lieu of) _ _ —_�__
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
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nm/3587P.WPF
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CITY OF' TI[)ARD RECEIPT OF PAYMENT RFCEIPr NO. s93-241690
NAMECHECK AMOUN'r s 50'74. `;4
s M I I...LE C3, JAY CASH AMOUNT s 0. OWA
ADDRESSCASH
DATES s 06/;:'5
SUBDIVISION
PURVIOSE OF PAYMENT nMOUNT PAID PURPOSE Ot= PAYMENT AMOUNT PAID
BUILDING PERM 455. 50 PLUMBING PERM_._ ..._ _.___.. 155. 00
MLC:HAN I C:AL. PE 45. 00 ST. BUILD PER2. '79
;!:,L-All CHECK 1=E' I1.. ;'5 SEWER USA c?i00'. 00
tmtF::WFR INSPECT 35- 00 PARKS SDC °;0o. 00
�3TORM DRAIN SDC 280. 00 RESIDENTIAL, TRAFFIC FE'E5
MASE; TRANSIT TIF FEE'S 110. 00
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.OT 249 MORNING HILL
]Z'594 SW MORNING HIL_t_ DR
T'C]TAI._ AMOUNT PAID — — _> 5074. 5+
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