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13934 SW MISTLETOE DRIVE Y wr r^•ne.y.r.�eem-! :wT"'.+tlM'nA�+'sTy�'..1"r .wi+. +M'+1"7^t(f�s`w tlF^"I�+whTt •M1nM!:L'F e e : •}�:..� ,.. � ... ij i S ! it 13134 &.4 Mis4kfie Dr)vx.., i� d fi A f i d ,i i it ! ,g '1 { 3 5 I i 1 i ,g 9 i I i i .d � � t,!• ; M4. � t�i� y }r 0.w d P f � • I "� ria �' pf ....,, ,fiy.a..tn� SKr Ned".r K..a-'crta•- � �' ke° •� alS dt CITY OF TIGARD CXRTIF•IGATE: OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY j '9126 BW Hall Blvd.Tigard.Oregon 87223081H (608)SOW4171 PERMIT #. . . . . . . : MST94 0166 639- 41 71 DATE~ ISSUED: 03/,21/95 PARCEL: 2S104CD-AA5100 � :i I TL ADDRESS. . . 13934 SW MISTLETOE DR I A SUBDIVISION. . . . : HILLSHIRE ESTATES I0NINGiR--7 PD BLOCK. . . . . . . . . I LOT, . . . . . . . . . . :051 � CLASS OFWWORK. 'NEW_........_..,,.,._..__.._.._ � 1 TYPE OF: USE. . . :SF i OCCUPANCY GRP'. :R3 OCCUPANCY LOAD.-,`-`30 4 TENANT NAME.. . . : Flemarkts: PATH I I 1-411_LCRAFT CONSTRUCTIOIN 1hIC I) :.3303 RIDGE LN ' WEST LINN OR 97 a Phone, #1 6130-•4078 Contractor. --__ . __._..---._.-.__._.._._.. _..__._... _._.._._.__.._._.•... I 1 I ILLCROF T CONSTRUCT ION INC i 330:3 RIDGE LANG: WEST I»INN OR 91068 P'h wi p #1 650-4878 1 Reg *I'. . : 740c.k Occupancy of the above referenced building is hereby giver, and ceirtifies the compl ianre with the State OF Oregon Sper_ia lLy Codes for the group, nccupancy, and crisp U(IdPt' whtr..h the rpfer enr.ed permit was in;s,.led. 1 _� 6r_. 1.4 /JCr1.11a�r':rCe' J_ _ _ ...... IN _.ILIIC3 INSPFC'TOR _.� ..... 1. LD ' ..__ I .I PO]')T 1N CONSPICUOUS PLACI-F • f� I J 1 1 i '.men+"`•'.}�...P�y'y'_•".M•M�r'n' p�° 'mr J^iAn �MGNt#1FA (��fl�'11G0AIF"AF9liiso+4w9W+rr..ygyn'n[H..ew.s-..wear'.1tl�41R.FltYA''tla+i�P7'i,unr"�,kro»••..•.,.•n•••,,•••. ,,... r y� f t CITY OF TIGARD BUILVING INSPECTION NOTICE Inspection Line (Rec-O-Phnre): 639-4175 Business Phone: 639-4171 \ R t R Inspection- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg Top Out Elec. Rough-in FINAL: Post/Beam Mech. San, Sewer Gas Line -Bldg- Plbg. Underfloor Rair, Drain Framing -Plumb. Alarm Water Line Insulation �fTvecFi' Underflr. Insul. Shear Wall Gyp Bd. -Elect. Date Requested: Time: AM PM T. Address:_ 2a f Y f;l ' i_r{- " 't C, /� , Builder: Permit a: THE FOLLOWING CORRECTIONS ARE REQUIRED. (GAJ a-tl )L G:./JG�GLi,,r i iA_i i Inspector: — Date: APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE i ;' Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwl Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall/ Gyp. Bd. -Elect. Date Requested: ! 1h Time: AM PM Address: 132 3'Y -� - - Builder: Permit#: �^1 !n��a-- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector. � T IL a l�u� Date: PROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. a AAA 6Py t 'F ti �'� tG+rcty rrE rZl r {i r �pRS`� "�3j "Iy v{{r 1 a , a GTx tFr (�T ttiv'� x �tsr ,tdt* G 1.4 r 9l! a 1 - i rti t; t tib: .w.uw..s�.wn.wn....,.._._:....._.. � l/ ,,....r.....,o.,�...�.,._r.,...�«......�........-_..�...._...__...,... _ t e .. }y6� r�,� r.; CITY OF TIGARD BUILDING INSPECTION NOTICE hof}uFa Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 fl ill4� t.,t.il Inspection: a 4y,,l Footing Susp. Ceiling Sprink. Roug'rin Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in CFIWJD. Post/Beam Mech. San. Sewer Gas Line Id Plbg. Underfloor Rain Drain Framing um . Alarm Water Line Insulation ec Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ' Date Requested:, -- Time: AM PM Address: 13 Cl— t, J /�C�:lL�f✓( Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: f Zr At ;s f�JQLdey�rC_ c• /.n w Lil Mwt_ LA�✓V'�.y1.�1 Inspector: - 1A 4 Date: _APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE ' A-'tall For Reinsp. a � +} It 1 JR�( �'yl r In g_p b I r Rte: # ql •: �n - fr� ti ' y+'�'� "�` , II5 � �(.`t•r, 4"c rer ` F y; telfr , °W I Y•{ i .a I v b O7WA:�,�,�la�,tyr��,� •'+ t�� "1��f�iT� q•:. {, iI I X;I d '. 44 r� r.]S�' �. •rgsrr F'� '# r, M1� ,k,.� r r �� INSPECTION NOTICE City of Tigard Building Department �- 13125 SW Hall Blvd. Tigard, Oregon 9722.3 Inspection Lino (Rec-O-Phone): 639-4175 Buslneas Phone: 639-4171 Inspections/L•C' t e� f-�� Y L- _�_ Y Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line`, `? Gyp. Bd. -Hoch. Da /v Date Requested: l -1 �G G Tis _pm � �s a Address:_ [ �� / J f : 1 l�•t:Y c.� J.% P2—. it #t Builder: TVZ FOLLOWING CORRECTIONS ARE REQUIRED: Inepector:y%��� Dates 7� APPROVED DISAPPROVHD APPROVED SUBJECT To ABOVE -----Call For Reinsp. r i; INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inepe,:tion: --- Footi-ig Plbg. Underslab Mech. Rough-in C ppr Sdwl Founr,. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sen. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. P1M,. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: �G1 — Time: AM / PM Addreee: L3 � 3 J IY4zilic (/I' 6 { Permit 1:_ Builder:_THE FOLLOWING CORRECTIONS ARE REQUIRED: 6.___Al'fZo A C-fq _/�E �%�- _b IPA/til P/ Pe- 10y_ W A)C--- a Aj r'Lc-_ f-l -7—e-, V,:)L''M�� 1 Inspector•— ----,APPROVED _-_-- DISAPPROVED �Ov1tD SUP-M, 'I[7 NBOVE -- Call For Reinsp. •s I:VSPEC_TION NOTICE City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Business Phone: 6-'9-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in 9 Appr/Sdwlk Found. Plbg. Tap Out Cas Line FINAL: Poet/Beam Struct. San. Sewer eraming --Bldg. 44 Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor7a er L ala � Gyp. Bd. -Mech. Date Requested: _Times 22 y� �/' AH PM Address: �//. �T`� ,7 Y ( L{J ( (' ! ,z-- Permit f t f.- Builder: THE FOLLOWING CORRECTIONS ARE REQUIRM -+.4, 7 i r^ Hp fi r� w � F•���i,�Fa roti��n��1��a}},� �� _ "T1 {" .0 'MX Y Inspector: �aPPROVED J --- — DISAPPROVED APPROVED SUR,7ECT To ABOVE Cell For Reinsp. r r ut � i �, ._..__ .-..._..._.-......... -._,_--.... M.�«urs.�..+-.e.+w,w..,,,.+».www.a.w,..H.�.w...w...... v , c I -' INSPECTION NOTICE City of Tigard 3uilding DePart�snt 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec:-O-Phone)s 639-41/5 Bunineis Phone: 639-4171 Inspection:_-__ �_--- — - -- Footing Plbg. Underslab Mach. Rough--in Appr/Sdwlk Found. Plbg. Top Out Ga i e � FINAL: " Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. f Plbg. Underfloor Water Line --� -(M�h' i Date Requested-- _Times /�_AM PM 1 Address-_L - _ Permit Bu1.1dnr:_ -- �— —" ! THE FOI.I.OWINO CORRECTIONS ARE REQUIRED- c CC inspector-_--- _ Dates APPROVED DISAPPROVED ,/' APPROVED SUBJRIT TO ABOVE F —Call For Reinep. 3 bud 2 r.. INSPECTION NOTICE City of Tigard Building Departwent 13125 SW Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec•-O-Phone)e 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Mach. Rough-in AS?r/Sdwlk Found. Plbg. Top Out Gas trine FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Bd� -Mach. Date Requested: 9/Z if ! / Time: AM PM Addreee: ? !� a-C� Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: h I ZAi r l 'l. w I I , i r) Inspector: Date:, APPROVED DISAPP VRD APPROVED SUBJECT TOf,AB OVE — _—_ -0 afw _Call For RAinep. r y.ft4 �- y}..:,..�b.'�{. •I tr lir r .! 1 � r. 1. ...�4 11 fir.F:A:�l"y 3n A q4', ( t h 3 t v t, 1 `, l Wif r) S4, 1�� IUEIgTION NOTICE city or Tigard Building Department i 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41.71 Inspections — t Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Strurt. San. Sewer Framing -Bldg. Post/Beam Mach. Rain DrainTneulation� (��k�eLPlumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:_ �/� r ! Time: \' /—AM ` PM Addreess�_ �q ~(0 /7L1 \�t'lf J.�K Permit �:_/ Builder: I THE FOLLOWING CORRECTIONS ARE RKQUIRED: .r 0 . Inspectors_ ��i� �, ��. -/-�� Date:_ / G _ ^—APPROVED DISAPPROVED V APPROVED SUBJECT To ABOVE Call For Reinsp. +weex ew. Y i IT wirrv4 Iii+' f°I' 'i',��vPr�� V F�'ii a•h l 1r j, f I ru� e NS ECTION NOTICE City of Tigard Building Departrent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__ `m_Q,C. Qr�-l� �-=�__ -- Footing Plbg. Underslab Roug A Found. Plbg. Top Out Gas Line i FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line - // Gyp. Bd. -Mach. Date Requested: \ v_ —,Time: - AM PM Address: KP -D armit Builder:_(D THE FOLLOWING CORRECTIONS ARE REQUIRED: f 771, —_ nate: /APPROVED ,-- DISAPPROVED T- APPROVED SUBJECT TO ABOVE Call For Relnnp. c'ck 1 9 ��^ { __SEP-16—'94 FRI 10:38• ID:FIRESIDE D1S'f OF OR TEL NO:503 620-5699 4967 P01 s . FIRESIDE DISTRIBUTORS T H E F I R E P L A C E 6 F E C I A L I S T 5 i FAX TRANSMITTAL--SUET � a DATE: -- TO; FROM: RE: �I Ihnrt 4?UIiPInCC- I REMARKS: / PAGE 1 of FIRESTDE ' S FAX ll: (503) 620-5699 r 1AS99 S.W. 800NC! FEAAY RD. POOT1 APM OAEOON 97224 $03 IIIA R1]1 (FAX) 903-420 5409 i ..w•MI IIH.N '•-iii„.. ., ... ... +:n,!.. alk'Pe:..... .:.t.,sm ..... ..xMrosk.'M.. ^:'www",MM►12Fut'o'AYiWWAv.rvi K Fil ,Is M »rMc i lit u �0 re BSc% -� � g LL 411; z IIA W r .1 G �,.,,►r� m Z , 1. CTI ti 4 p rn _.I cD Z Lj 04 TT--yye� a ul N cg ui W Y y to v .. �y1 r9i tp�1 yp� pi Z W � � �� �_• �� � tai ,n y,Q�+ W � .. 1 JJm 1n I •W I G S �i t11 m lt.� t+a QN LIJ LM 111 r� - a a u w ' HF� J " (IO Ir,t a w m. LL 04 0 wywLu 0- CL j zi s_ T -P XF W \\\ W ZO 'd EbIMSE1Z 'ON XV. 0AW 00M 99:6 INJ 06-9I-d3S k z9d L96" 6695—OC9 £09:0N 131 80 30 1SIQ 3QI53LIJ:Q1 8£c©1 18d 116,-91—d3S— r c' •o; w f r,^ S i t INSPECTION NOTICE City of Tigard Building Depart sient 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection i footing Plbg. Underslab Mech. Roughs 6ppr/Sdwlk Found. Plbg. Top Out ■_ n FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Dat Requeeteds S!9 —T�= AM PN Addreess1_r.� / •_J /,�S-� � �= Permit 1:y --, •-- i THE FOLLOWING CORRECTIONS ARE REQUIRED: ��� � �y� �-,i_"�' C� \ �u` ' c-•�-e'er t��S �_ yid VIA_ - CD Inspector: l/ ►w' " Date: - __VAPPROVED 1 /DISAPPROVED ^� APPROVED SUBJECT TO ABOVR ` -�- Call For Reinep. r J �1 h 6 1� 4 1, j e, s 1 CITY OF TIGARD STOP WORK ORDER I BUILDING DIVISION I 13125 SW IIALL BLVD., TIGARD, OR 97223 639-4171 1 JOB ADDRESS: I i1 1� ; l 4. ' t PERMIT #: ' I ! iy { OWNER: ('ON'I'RACI'OR: YOU ARE IN VIOLATION OFTILE FOLLOWING: t IL kr, AND HEREBY NOTIFIED THIS N i �, DAY OF 19 !g, AT 1 IM`s THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH i HIS NOTICE WILL RESULT_IN THE ISSUANCE OF A CIVIL INFRACTIONS SUMMONS. -,DO NOT REMOVE THIS NOTICE- BUILDING INSPECTOR 1 ' r N ' s CITY OF 7'I CSARD — RECEIPT OF PAYMF NT RF CE I P'T N(J. s 94—e5b,LW3 d` CHECK AMOUNT' ; 15. 00 NAME i HIL»L.CROFT CONS'TR1.1CI ION GASIA AMUUNT s 0. OLA e. ADDRESS s 3303 RID14E LANE C'AY'IvIE_N'T DATE: s 09/15,,94 SUBDIV1SION s WEST t_INN, ORE13ON 97068— PlAPOSE OF PAYMEN7 AMOUN1 PAID PURPOSE CIF' PAYMENT' AMOUNT PAIL) MtC;GEL,L_gNf OUF; _..__--_._. _ ..._.._._...1 .-0 11:151 I� f )1 I (I I a ,'0:34 HW M I S'TLwE'T'Oh HS 1'94•-•0162 1 0]fal. AMOUNT PAIL) - - —> 156. 00 1 �j 4 J I.` r h v a, NSPECTION NOTICE of Tigard Buil t Cit? 9 ding Department � 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab ec�R-.gh�-iPk Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: I Post/Beam Struct. San. Sewer Framing -Bldg. I I Post/Beam Hoch. Rain Drain Insulation -Plumb. I Plbg. Underfloor Water Line Gyp. Rd. -Meth. Data Requested: Time: _X —AM PM Address: '� e �/} f a —��> >—�--/ ��C[LLk"�Yf?C Permit #:M.5T _64' ;L Builder: THE FOLLOWING CORRECTIONS ARE REQUIREDt Lc I Inspector: --- ate: ---/ --=� APPROVED _V_ SAPPROVED - APPROVED SUwE:'T TO ABOVE Call For Reinsp. ,f Y r,V 01 �G M1 7a, a Y�q� .pSt4�tik, r kil i�rc'i - f• r >a v � G " ��l �1+ I 1 t �Y IJ k t 1.f Jf 411 y t F 1 4' :;:: arsw«�..•.,.,.. ,.. . . .._...w.,v,.,......».,..,.,,M..rw.�.-.«-....-:....u......o..,»..•...n��.�..+�M�+( � r': � , ;x as 71�+{r ,�:. � � I INSPECTION NCYIICE • City of Tigard Buildlnq Depnrts:ent 13125 Sw Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,k 5 Inspection:__ � " Footing Plbg. Underslab Rou h- / 1Q Appr/Sdwlk Lound. Plbg. Top Out Gas Line FINAL: : T' d Post/Beam Struct. San. Sewer Framing -Bldg. 4r Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line [ Gyp. Bd. -Mach. Date Requested: / l� Z-� Icy Time: 1►MPM Address: "" ZJ _ Permit Builder: 5�' 7 " THE FOLLOWING CORRECTIONS ARE REQUIRED: T ...... IT Inspector: '-"'-1• ._�_�- Dete: �-- -_-APPROVED _-_L'--16-I3APPROVED APPROVED SU&IErT TO ABOVE f��. •�� � Cal 1 For Reinsp. ttggggg v, u �„f4': � ` - r s .. "`u � ♦, f � A 4 tib, r r A� i,f � f d` ^r.f .,'.�', i ate ' ti ✓ W�1� U4, ' .�t rf f f' 4`.wi r "N iPk 4r yV'2+1 v.” fE, -11 y :`e , Ix r'. x - � u }�4i,y, � ,�'�• f 1 °s 11 mill k - r ix r yl r,P . 1�lip i4ld dA r._ INSPECTION NOTICE City of Tigard Building Depart—t 13125 SW Ball Blvd. Tigard. Oregon 97223 f Inspection Line (Rec-O-Phone): 639-4175 Business Pho : 9-4171 f Inspections_ -- , Footing Plbg. UnderelabRough-in; Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: f Post/Beam Struct. San. Sewer -Bldg. Poet/Beam Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Rd. -Hoch. C Date Reque//steds Time: AM — PH Addrese sl 3 T �1•� 1��{�'-- Permit Builder:_ l-P f1 THE FOLLOWING CORRECTIONS ARE REQUIRED: -- _ < p5 )l Lc [� ,1421(1 C W- -i'�e)er:1�7V_ i Inepectbr: Date:- L. 'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVi Call For Reinsp. T }t fPi t r ,r ML. 3°f , �i a INSPECTION NOTICE City of Tigard Building Departs t 13125 BW Ball Blvd. Tigard, Oregon 97223 „y Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Pibg. Underelab Mech. Rough-in Appr/Sdwlk Found. bg.—Top �� Can Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -P1,umb, f Plbg. Underfloor Water Line) Gyp. Rd. Sh. Date Requestede) yj L� Time: -G pAM PM Address: / �f � -7'/ t[� // I Permit [ / / 1: `I C'�(0 Builder: �LY 1 , THE FOLLOWING CORRECTIONS ARE REQUIRED: i � t Inepecto: i�� Date:-� �� ' APPROVED DISAPPROVED APPROVED .4UBJECT TO RnOVE - ',. Call For Reinsp, .,;..,.,...,.,a,», ..__ __.-..... = . «w,Ni.Jan+r...,r•....^....•...•_.. ...,,.n.•...r-...�.,n+.I++.,Miee++n.a,�w,ew.rwi.a..°..,•..�^:a°'..,•:. ,.' '• . INSPECTION NOTICE City of Tigard Building Departswnt 13125 SW Ball Blvd. Tigard, Oregon 97223 i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: L Footing Plbg. Underslab Mach. Rough-in App dwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -•Bl.dg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line L - -Mach. C ., Date Requested:_ / 2 Time: AM _PM Address•, �1 \ / , Permit 1: �._t::.1 W -r Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspecto �. Date:_ -7. Q2 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Rainsp. - ....+.......-..• «.._-_..........--..—.»...—.+nrRwn++M'MYMwM,a•tw�PMR*N.MF.RMMWi1Rw.""'^^-................rv+•.—.. .,.+.ar�wwllr i�i�b aP F"'� �4in*dl�l{, +�,ww'^�1��1 ,h 9'. • INSPECTION NOTICE_ City of Tigard Building Department °A 13125 BW Ball Blvd. Tigard, Oregon 97223 ; ,. Inspection Line (Rea-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: �'�- .�` ✓/ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALS I Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rein Drain Insulation -Plumb. f Plbg. Underfloor Water Lips , 1 Gyp. Bd. -Mech. Date Requested: ! �I �f Times AM PM Addreses,�.)643�{ (a A fes. Permit 1: ( �f. J- E Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: I I f r 4 1 i l • _ t Inspector:/ — Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE 4 Call For Reinsp. INSPECTION NOTICE �+ city of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 ` Inspection Line (Rec-O-Phone): 639-4175 �Business ,Phone: 639-4171 i Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line �OJ� v_T -Mech. Date Requesteds )� t n Time: AM PM Address [ 1)t L } "Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: r Inspector:_ APPROVED v DISAPPROVED APPROVED SUBJECT TO ABOVE -Call For Reinap. rt � A , e f# 1 s I INSPECTION NOTICE City of Tigard Building Departeent 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4.175 Business Phone: 639-4171 _ r — � Inspection: Footing Plbg. Unsilab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/B�m Mech. Rain Drain Insulation -.� -Plumb. 1 Flbq. Underfloor ) Water Lina Gyp. ed. -Mech. : i Date Request ds M — Tlme: AM _ PM ' r ` 1 Address• A '/Qi� Builder TEM FOLLOWING CORRECTIONS ARE REQUIRED: i t 'r Inspector: � � �L -- — nater �,,, APPROVED DISAPPROVRD APPROVED SUBJECT TO BOVE —Call Par Reinsp. h j f , INSPECTION NOTI_Ctf City or Tigard Building Departusnt 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-rf-Phone)s 639-4175 Business Phones 639-4171 ( ■ Inspections Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk w Found. Plbg. Top Out Gas Line FINAL: ort/Beam Strums. San. Sewer Framing -Bldg. oat/Beam Heck Rain Drain Insulation -Plumb. e Water Line Gyp. ad. -Hoch. Date Requested[: ! 1 ) ` �� Time:: _q � AM PH Addrese: 7] 1.�` 1 1-j�k J),/, Pe)im�i�t�s -1 Lt C)1 �o Builder= e-,rte �jl TRE FOLLOWING CORRECTIONS ARE REQUIRED: (�ZmaL ! I 4 1 Inspector -__�_ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _`Call For Reinap. T PLUMPING P'EHMTT— PERMIT #. . . . . . . : MST94-0162 CITY OF TIGARD DATE ISSUED: 07/26/94 COMMUNITY DEVELOPMENT �gDEPARTMENT � PARCEL: 2S 104CD--•Q15100 `.iIT' 12(1llUKh_5 Tlqud,0iy�p�r; W� CTI IWL DR SiUBDIVISION. . - ., : HILLSHIRE ESTATES ZONING: FT-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :051 � { CLF-1SS OF WORK. . :NEW GARBAGE DISPOSALS— : 1 rk 1"YF'E OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O ^ OCCUPANCY GRP'. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 h+, STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH PpSINS. . . . . . - :0 y F-- IXTURF_=S-___.-_..--.._ LAUNDRY TRAYS. . . . . . , 1 SF RAIN DRAINS. . . . . : 1 [ GREASE. TRAPS, . 0 r I 3 I NKS. . . . . . . . . . : i . . . . . h ,. LAVATORIES. . . . . :C O'T'HER FIXTURES. . . . . :0 '. • TUB/SHOWERS. . . . : SEWER LINE (ft ) . - . - :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 1)15HWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 ,r 1 Remarks : PATH I OWNER: HILLCRAFT CONSTRUCTIOIN INC TIF 4 1520. 00 BLT 07/05/94 .3,303 RIDGE LN BPRT $ 595. 50 PLT 07/05/94 PPL.0 $ 387. 08 SW 04/28/94 94-251804 WE=ST LINN OR 97 B5PC 4 29. 78 BLT 07/05/94 Rhone #: a50--4878 SSDC $ .:80. 00 DLT 07/05/94 L }� f -,ARK $ 500. 00 8l_T 07/0 /94 1 1�_rmbing Contractor: ."—nf�t.___L.��!My��!. MFR1" 9- 45. 00 BLT 07/05/94 ,) MPLC 11. 2'5 PLT 07/05/94 Name: M5PC $ 2. 2`5 NL.T 07/05/94 Address : ____._ _ PF'RT 1E�`. 50 BLT 07/05/94 Ci.11,y : r _._ S�t�t : �_____ plbrlu $ B. 13 PI_1 07/05/94 Zi : :.— _ F' on #: ►S��} ...__ _ _ RLOUI RED INSPECTIONS ---- --- This per-mit is issued subject to t!-ie r-eg-- dations contained in the Tigard Municipal Foot/found Insp Gyp Board Insp Code, State of Ore. Specialty Codes and all Foot/found Insp Rain chain Insp other applicable Jaws. All work will be done Post/Beam Struct Water Line Insp in accordance with approved plans. This i='ost/Beam Mechan Appr/Sdwlk Insp permit will expire if work is not star^ted F'lm/undslab Insp Mechanical Final within 180 days of issi.rance, or, if work i .s PI_M/Underfloor• Plumb Final sI_ispended for more than 180 days. Mechanical Insp Puildirlg Final Pl+_rmb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp >< Gas Line Insp _ Insi..rlat ion Insp E.3 Authorized Fliyb r t rg L..G►'1traC:tOt- .3 .t�_rre Call for inspection - 639_4175 Contractor i l� z p INSPECTION NOT-SCE City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-•4171 i1 Inspection: Tooting Plbg. Underelab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. Ban. Bawer Framing -Bldg. Post/Beam Nech. in Drain Insulation _plumb, j I Plbg. Underfloor i a Bd. -Meeh. _ < C Data Asquostad: Time: AN PN AdAreos: L '� �� �.Q ' e �� I 1 i Builder: Y- _1 (TI-4 t' }c 1 &- THE FOLLOWING CORRECTIONS AR! REQUIRED: - — i -- i I I Inspecto:�_�-� APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE _Call For Reinsp. f' IpSPECTION NOTICE City of Tigard Building Depart mmt 13125 SW Ball Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: __�C�I..X-' `-- Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Sewer Framing -Bldg. Post/ream Hoch. Rain Drain Insulation -Plumb.�� (( Plbg. Underfloor Nater Line Gyp. Bd. -Mech. 9�) Time: AM PM { Date Requested: -- llf� 3 ( 10 �I ef 1 Address: f Builder: _ — -- f THE FOLLOWING CORRECTIONS ARE REQUIRED: Date- APPROVED DISAPPROVED \I/ _ APPROVED SUBJErT TO ABOVE Call For Reinap. j • INSPECTION NOTICE City of Tigard Building Department F 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o(-Phone): 639-4175 Business Phones 639-4171 Inspection: footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Wn Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line j Gyp. Rd. -Koch. !; Date Requested: l O �! Time: ) AM --PH ! Address: 2�L� I 1 s 11 I te C' UIIPerDt 7T CLL_ V 1. I Builder: — TAE FOLLOWING CORRECTIONS ARE REQUIRED: VIAi i 1, l - — Inapectort_ � �, � Dates APPROVED DISAPPROVED L�APPROVED SUBJECT TO ABOVE Call For Reinap. 4 J ,t I yd N s , P411 Oil ON' a FROMIALAN MASCORD, DESICINER TO: +503 650 4078 JUL 8, 1994 9:45PPI P,01 J WIlfbDON' ASV 04 ANCNOPR9 10 16O.G. ,32' O.G.MAX, I 4' CONC. PIRl WAY ,.....__..__ ._.. 'OIMP60N' MAO 61Lw ANCWOPR6 1 s 4E' Or, MBAR 'N'----. 04 1W O.0 CONY. HoRl BAR '2' GRAVEL COG.. r •a A�Ib�W,LwY _ _.__ 213 WA.L W W1 1 DRAIN 'ILC. _� - .— _ _ sr.•r-Mt r �wr. _ A �' B' C ,:r,O��J Pei ._..��.... _. Fye 40,000 p61 11 i 4' 16' UC. 04'e • 161 OC. N 6' I'•S' 31-01 04'11 • I6' O.G 04'e 16' O.C. 04's ® 6' ac. __. 044 A 14' O,G, FOUNDATION WALL OCAL.IX 1/2' . 1'-C' GWALL d �[ t ,11 >r r 4u t l ar �Sr J k a�r x t 4 f31p+ �. 5'. ,, k. b i w, t .ale ,�a., ,v .f�t� e � is Ad'C.� ' �,„ `+' 4, #. ✓i 4, .r,.; k• a,'. c �? '6q, ��'u' Y �F kd dd, �d ' 'I • '+�M9���rAk1��MA±'�k+t�M4�tNMt1►ra+wewm.w. rn-., ,.r. .�.-.s.. .... _....,..•.._ .. , .r...,- t., .,-._,.w...e... _.t..c..,. rr I u ; ' ' i ,1t'y? �tE �+�i'R,ay1� ✓r tt, • • I�P .' '4i Ik 1ii MASTER PERMIT ` CITY OF TIGARD � = PERMIT #. . . . . . . : MST9 f-0 16` COMMUNITY DEVELOPMENT D ���T DATE ISSUED: 07/05/94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: 2S104CD-05100 !" SITE ADDRESS. . . . 13934 SW MISTLETOE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :051 _...------------------_______.__.______ BUILDING REISSUE: DWELLING UNITS• 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:4 BA'THS:3 GARAGE. . . . . . . . . . :672 sfyz ? TYPE OF USE. . . :SF FLOOR AREAS ---- ----- - REQUIRED SETBACKS-------------- TYPE ETBACKS-•-•------- --TYPE OF CONST. :5N FIRST. . . . : 1484 sf L.EFT. . : 18 ft RIGHT. : 16 ft OCCUPANCY GRP. :R3 SECOND. . . : 1832 sf FRONT. :20 ft REAR. . :58 ft ;itiy7u` STORIES. . . . . . . :2 THIRD. . . . .0 sf REQUIRED-------- HEIGHT. . . . . . . . :30 EQUIRED-•__.___________._____HEIGHT. . . . . . . . :30 ft TOTAL..-.•-.------:3316 sf SMOKE DF_TECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . t : 164632 PARKING SPACES. . : 1 Remarks : P'A'TH I 1?; PLUMBING -- --- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 1 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . ..0 1 TUB/SHOWERS. . . . ::, LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . , . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . .. 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1. SF RA I N DRA I NS. 1 MECHANICAL .__-.___.-----_._._. ...__._.__..._.._______-___._____.._ FEES . - - ----.__-----•_.- FUEL TYPES.•.__-____.------- UNIT HTRS. . :0 type amolant by date recpt /GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 BLT 07/05/94 tp; MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 595. 50 BLT 07/05/94 FURN l 100K . . :0 HOODS. . . . . . : 1 BPLC $ .:,87. 08 SW 04/28/94 94--251804 FURN ) -100K . . : 1 WOODSTOVES. :0 B5PC $ 29. 78 BLT 07/05/94 :�•4 � FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC: $ 280. 00 BLT 07/05/94 bf MOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 BLT 07/05/94 GAS OUTLETS: 1 MPRT $ 45. 00 BLT 07/05/94 Owner: ____ _._---._-.-- _.._. _____._._.-. .__ _.-MPL.0 $ 1 i.. i=_5 PLT 07/05/94 b, HILLCRAFT CONSTRUCTIGIN INC M5PC $ 2. 25 BLT 07/05/94 3.303 RIDGE LN PPRT $ 162. 50 BLT 07/05/94 . "3 P5PC $ 8. 13 BLT 07/05/94 WEST LINN OR 97 t ' Phone #Contt-ac' - _._._._.___--,_.__._ J: ot—c _ __._._. __._ ....-._ _._.. _.__._.. . 6 0-4878 4;k HILLCROFT CONSTRUCTION INC 3303 RIDGE LANE N.. I' WEST LINN OR 97068 ' 'hone #: 650-4878 Reg #. . : 74024 $ 3541. 49 TOTAL_ ' `' This permit is issued subject to the regulations contained in the ---- --- REQUIRED INSPECTIONS - ----- W i, Tigard Municipal Code, State of Re. Specialty Codes and all other Foot/fol-ind Insp Fireplace Insp r' applicable laws. All Mork will be dune in accardance with approved Post/Beam Str-I.ict Gas Line Insp plans. This permit will expire if work is not st rted i in lA0 Post/Beam Mechan Insl.11ation Insp days of issuance, or if work is suspended for a th 8 days. Plm/I.tnds.lab Insp Gyp Board Insp PLM/Underfloor• Rain drain .Insp Pev�mittee Si �tur'e. /„ G�'� _ � � Mechanical Insp Water Line Insp Pll.imb Top Ol.lt Appr/Sdwlk Insp Issl.ked By : � FY-aming InSp Mechanic-al Finai Call fur inspection 6-39--4175 �'wpl "` '[•ffi`.° 'H" �,k,w.? +'u' srti"".*,�t'u . NNtq!*.,•. o +r •. Asa •:'7n"Y,trr#M1^•"^9p, -kms':- �yy „' �M' y" k"'^ ,.�,,� 'gl' ''la<P "���� i YFyP�iq, �•� i 7' it's -x''” o- wr x'14 ._� y . CITY OF TIGARD SEWER PERMIT ERMITCTION COMMUNITY DEVELOPMENT D"T qIT PERMIT #. . . . . . . : SWR94-0166• 13126 3W Hall Blvd.Tigard,Onpon p7223.819 ( 03) q 71 DATE ISSUED: 07/05/94 PARCEL: 2S 104CD--05100 SITE ADDRESS. . . : 13934 SW MISTLETOE DR SUBDIVISION. . . . a HILLSHIRE ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . :051 TENANT NAME. . . . . a USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Remarks : PATH I Owner,: _____________._.___.__.____________________.____._______.._-- FEES ----___-_--____,. HILLCRAFT CONSTRUCTIOIN INC type amount by date r•ecpt 3303 RIDGE LN PIRMT $ 2200. 00 BLT 07/05/94 INSF $ 35. 00 BLT 0.7/05/94 WEST LINN OR 97 Phone #: 650-4878 Contr-actor: CONTRACTOR NOT ON FILE Phone #: $ 2 235. 00 TOTAL Reg ------- - - REQUIRED INSPECTIONS - ____--,_ This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement _ given, the installer shall prospect 3 feet in all direction from the distance given. If not so located, the instal or shall urchase a "Tap and Side Sewer" Permit and the Agency inst 11 a lateral. — Permittee Si natl_ire: I s s I_t e d By Call for inspection - 639-•4175 I Y � r���1fi4 �Y '3r tliy . +f�S}(`�kk y¢pl � v'• e C i Residential Building Permit Application � ,D City of Tigard (\ 13125 SW Hall Blvd. �• Tigard, OR 97223 (503) 639-4171 I./jobslte Address:� 'z��3 �� �i��(.22 s Office Use Only vtubdivision: z6r/ir6S Lot # "PlancktRec# = / Valuation: ` ✓ Owner: //C. z 12 4� Reissue of Address: 3 3 63 DCytT Vv ;Map&:TL# i�cTS T Z-i,,� O/L p Approvais Required Phone: (c'S"� _ 4 Planning Jzie '(- Contractor: 11444-p"61�r Engineering =� L O v�cv Address: S 3y- I C� Other<. items'Reguired Phone: (aS o 7� Subcontractors Contractor's License # (attach copy of current Oregon license) Truss Details I Subcontractors: Other 1 Plumbing: 7W-6t'r--7 O Mechanical: /.5 6z-e-- (attach copy of current OR Contractor's License) Architect/Engineer: (0t2 Address: o S- AJ Cu- % Phone: !22 S 6 3 COMMENTS:(�/ I F� ,l t fi App' ant Signature & Phone number Received by: Date Received: ..u.•o...ww...nw...wa+.:.. .. .ap n:nr..sw...m's.Y,wMp� Lf7uWI1f1lJMRM�p.M{.:rl:•MINPlhrTM MI.NiaM!!^x^iMI+M+esu.+FWOI.WN.ARMMIGIik+IMVui+MN41Ap1�lRPOBMWvd . i 1 1 Permit # Account Description Amount Amt. Pd. Bal. Due � Bldg. Permit (BUILD) 15 9S.S u J %S• 3`Z ✓ i Plumb. Permit (PLUMB) (oZ >V 16 Z .S a ✓ Mech. Permit (MECH) _s/�� /-,!-$--- V State Tax (TAX) u a/ Z/u,/ L Bldg: ul_ C( . Plumb: 5 j( Mech: Z > f Flan Check (PLANCK) ,�'y�'. 33 • U / j 3 Bldg: 7. or Plumb: Mech: i Sewer Connection (SWUSA) 1 0 Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Sv✓ Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) /y/u lqtv Mass Transit TIF (TIF-MT) //G? J1 Commercial TIF (TIF-C) i IndustriatTIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) Water Quantity (WOUANT) Fire District (FIRE) ' TOTALS: `l 1 G• ` ='_•��� f' ��c 'y I �"* a 3 ---rte,- -w-;�,_ •—.--. -. ____..___..,_.._ . � �.� ... , L 1. I Y t!i Ftf (.k .t I I PAYMENT REC;E.IPT NU. :94--i-5414r' GHE;CK AMOUN I : 55ie6. 49 NAME : H I LL.C'ROF T LONIJTRUC*t I I",1N GASH AMOUNT : 0. 00 3303 R I DOE LANE PAYMENT' lh-ll k W7/05/94 1 wi--S-r l..INNy CINE--BON tiUBDIVISlON e 97"068- 068- !wURPOGE: OF PAYMENT AMOUNT PAID PURF-`U�-'& (IF' i.'"YME'NT AMOUNT F`WD 1 fsIJ I LDI hIO PERM M`",T94-@ l t:-.-' �i95. PLUMBING PF.;.RM 16P. 50 MEGHAN I CAL PE: 45. 00 ST. BUILD PER 40. 16 t 1,.AN CHECK FE=. 148. 33 SE:WFR lJSA 2200. 00 `iEWEwR INSPECT 3115. 00 PARKS SDC 500. 00 S T'ORM DRAIN SDC; 260. 00 RES I DENT I AI._ I'Rl4FE 11': FF E..11 1410. 00 ]MASS TRANSIT TIF FEES 1 1.0. 00 11.3934 SW MISTLETOE OR H I LLSH I RE:. ESTATES LOT 51 TOTAL AMI: ui,4 T F'A I D - - - - > '5`.5k-'6. 44 i! 1 it I G'I T Y OF OF' PF3YMF.N T R (.::1P T NO. n'��1 i:': 1.a<104 �i (':E'IFS K 01`OLIN I' n Plb14.,14 +I(•1m: se N(L I.C:F2OF T' GON1 T ROC"'I ON t':AE3Li AI*t111.1N r' a H. go (l1)1)R"L::f46 >: PAY111FN l WITE a Wl4lr.?t3/9h I 1y1lI3UIV:I131;(III 7 ii 1,144-109E" OF PAYMP:N'1' OPIOUNT MAID VIIJRV10`4 OF L'•PY10'..111T AMOUNT, PAID i '1.f1W CHECK F'F k!"•.-i(+'!.00 0 t1 I ;fit li ll-L.MERE EST 1.1 .39134 1',w lh1 x;11 E"T'(')F,. im, 11)TAL.. All(II IN T PAID