8159 SW MATTHEW PARK STREET w w.anw prx.diYwr ptiMbFPFMWM�MWt+lf4daMtiawwhN:KM+�aWNYpY tWMF,'WXWICi1i1LE41C�"NqM Wi.+:•kduW
j
j
I
8159 SW Matthew Park Street - —
iaryOF TIGA ,� ,�
COMMUNITY DEVELOPMENT DEPARTMENT 00100" CERl"ll-'lLf-ITE 01'
13125 SW HMI BW- p.0.640 23W,TOW,OreW 97223(6W)63W4175 OCCUPANCY
-% #. . . . . . . a
6-39-4171 1;?/i.-"3/9i?
L'I TE ADDRESS. . . I 81`S9 SW MAT VHX--.W PORK I PHRCE'.La c':!S112BC-115,00
SUBDIVISION. . . . r MATTHEW PARK ZONINGs
BLOCK. . . . . . . . . . Lol . . . . . . . . : 10
CLASS OF' WORK. oNEW
TYFT OF USE. . . I SF:
OCCUPANCY GRP. sR3
OCCUPANCY LOAD 12;:2 4
TENONT NAME— i
Pom,prkma PATH I
,JAY AILLER
PO BIX 1213p9l
TIGARD OR 97281
Phone #e 684-7543
tint r-'-Actorl
i t Y' W LLEA
PU BOX e3291
TIMIRE, OR 97281
Phone #s (.8-4 -7543
Reg .30109
of the above refPy-evic-ed Imiluji-lu is hereby given, and
the complistIce with the `jtate Hf Oremon Piper,-laltv C04-10% the El"31-1P,
occ,kipancy, anti 1.16& L(nder whirl-i -ttlie rpteretic-pd permit
FIRE DEPARIMENT TOR
BUILDING (r
.!�Wl AL
POST IN FONSPICUOUS PLALL
XN-SPBCTION Nl71I9E ClY
City of Tigard Building Dep�artar nL lY
131?5 SW Nall Blvd. Ti.gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plhq. 11ndersla`.i Mech. Rough-in Appr/Sdwlk
�._- -.
v„und. Plbg. Top Out Gas Lind tiRALf
Post/Ber*m Strutt. San. Sewer Framing -Bldg.
Poet/Ba3m i4erh. Rain Drain insulation -Plumb.
Plbg. 11nderfloor Water Line Uyp. Bd. -Mmoh.
nate Requested:_
Address:_ y� M_CI� LL� Etr k-. Permit 4:
nn 1) �
Bulloors_ 1 1((����"`A.�4_QY
TBS FOLLOWING CORAECfIONS ARE REQUIRED:
Inspector t_ �! � /�_ •_l ---- - Date:1�.__ = /wl.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Iff§MECTION NOTICE
City of Tigard Building Ilrparteent ('-
13125 SW Ball Blvd. Sigard, Oregon 97223
Inspection Line pec-O-Phone;t 639-4175 Outsineea Phon 639-4171
Inspect ions — ------ -- '—
Footing Plbg. Underelab Mech. Rough-in Appr/8dwlk
Found. 11bg. Top Chit Gas Line =�1�J
Poet/Beam Struct. San. Sewer Framing
Post/Rexuo Mech. Rain Drain Insulation �j�81um1+
Plbg. Underfloor Water Line Gyp. Bd. �G-Macs•
Date Requesteds 12- ? 14.- Times AM PH
Address: 'J V�` V` ��1�.— Permit 11
Builder• 1aiv-
-- -- >I r ��� ---
THE FOLLOWING CORRECTIONS ARE RE UTREDt
r-
Inspector: _ Dates/ ?—
APPROVED _ _ DISAPPROVED __ APPROVED SUBJECT TU ABOVE
Cali For Reinep.
NS ETON NOTICE
city at Tigard Bulldiog Deparibent il!
13125 S11 Hull, Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 539-4171
Inspection:._
Footing Plbg. Underelab Mech. Rough-in Appr/S�;
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer "Naming --Bldg.
poet/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
�7 Timu: AM PH
Date Requeateds ---
Address: Permit
Builder:_
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
or
Y
Inspr=tors Date:
��TLf>�__.���r-.L—'" —f--- - --�
APPROVED DISAPPROVED Y VAPPROVID SUBJRM TO ABOVE
Call For Rainep.
INS-901-09 NOTICE /+
City of Tigard Building Dnpartsent
13125 SM Hall P.lyd. ^igard, Oregon 97223
I:.epection Line (Rec.-o--Phone): 639.4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Hoch. Rough-in .4Vr/adwlk
Pound. Plbg. Top out Gas Line F; :ALj
Poet/Beam struct. San. sewer Framing -Bi, T.
Post/Beam Hoch. Rain Drain Insulation -Piuk I.
Plbq. Underfloor Mater Line Gyp. Bd,r' -Hoch.
Date Requested:_] Time: AH PM
Address: �� u`D.�
U )
l (y n Permit. #+_
Builder:V LXQ1-
THE FOLLOWING CORRECTIONS ARL► REQUIRED:
i
i
Inspector:
Date:
:APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 9727.3
Inspection Line (Re -Phone): 639-4175 Businean Phone: ,9-417]
Inspection: �- -- _ —.-
Footing plbg. Underalab Mech. Rough-in Appr/Sdw1k
t
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
1
Past/Beam Mech. Rain Drain Insulation -Plumb.
Plbo. Underfloor Water Lina Gyp. Bd. /-Hoch.
Date Requested: Ttl6�f ' —PH
Address:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
. 1J
1
Inspectors
APPROVED DISAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE,
Call For Reinsp.
1N �BCT�QN NOT—IC F
City of Tigard Building De.partsentG
13125 tial Ball Blvd. Tigard, Oregon 9722
Inepectian Lin -(Kec-O-Po e): 639-4175 Businens Phone: 639-4171
Inspection:�v_ --
Footing Plbg. Sinderalab Mech. Rough-in Appr/Sdwlk y
1
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain -insulation ) -Plumb.
Plbg. Underfloor water Line 7 Gyp. Bd. -Mach.
Date Requested: 4 G- Time: AM PM
2
Address:_ } / Permit tr`1 Z�
Builder-
_ // ,h `
<'C
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
:
r
i
Inspector
t
APPROVED DISAPPROVRD APPROVED SUQTRC1' TO ABOVE.
Call For Reinsp.
.. .,.......... .vi.n!Ni6lCirbUkrevJ'.d'4'M1tAU16'IIGNiiV:'�+u','b(k!rYFiMU1�47
INSPECTION NOTICE
City of Tigard Building Departne►.t.
13125 8t1 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phone)/: !6039-4175 Business Phone: 639-4171
Inspection:_. � -- ----^-
Footing Plbg. Underslah Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Li:.e FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beim Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: l -`� -TLMI AM )----PM
Address:_ V e, 1'l Kv P."Wit #a �2^0,?-'2,
Builder:
THE FOLLOWING C13RRZCl'IONS ARE REQUIRED:
Inape^tor:_! /� � Date/ �_-
i
,.(,-APPROVED DISAPPROVED � APPROVED SUBJECT TO ABOVE
cell For Reinsp.
N6 BCTIaN NOTICU
City of Tigard Suilding DOpartMMA!_
13125 SN Ball Blvd. Tigard, Oregon 972
Inepertion Line (Rec-G-Phone): 639-4175 Busineae Phone: 639-4111
Inspection
Pootiny Plbg. Underelab - MCCh�. Rough-in Appr/Sdwlk
Pound. tel" Plbg. Top Out T - FINALt
poet/Beam Strict. San. Sewer raminq -Bldg.
Post./Beam Rech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Koch.
`•v
Date Recp:estedsy� _Q 2-
_
Addreses-, L„�. y '` �,�-mit tt �'.�-`r✓' 'Z
Buildert
L
THE FOLLOWING CORRECTION8 AM REQUIREDt
Ire ctor: � - DntA� �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
I NS P&CT I Ot�N(YT I C8 �%
City of Tigard Bull.ding Department
1.1125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineus Phone: 639-4171
Inspection:
Footing Plbg. Underslab �06-
. Rough-in Appr/Sdwlk
Found, Plbg. Top out Gas Lin_~ PINAL:
Poet/Beam Struct. San. ,Sewer ( Framl.ng ` - -Bldg.
Post/Beam Much. Rain Drain Insulation _ply,.
Plbg. Underfloor. Water Line Gyp. Bd. _ ech,
Date Requeateda PM
Address: Permit
Builder:�� 1 � n��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
_ Dates
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinep.
k
k
INSPECTION_P(_TICE
City of Tigard Building Gepartsent''`i'!1 c
137.25 SN Ball Blvd. Tigard, oregon 9722,/"1
Inspection Line (Rec--O-Phone)s 639-4175 Business Purines 639-4171
Inspection:__ -. ------- — —
Footing P)bq. Uuderelab Mech, Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
San. Sower Framing -Bldg.
Poat/Hlaro 8truct.
"" .:" -Plumb.
Rain Drain Insulation
Qt1dlr Water Lina Gyp. Bd. -Meeh.
Date R6_4M&Sted1 �Lf G Z`- Timet _ Ari PH
Address: �- Permit 1t_ C�-a —a
Builder: _a,.J A~1 't
THE FOLLOWING CORRECTIOII8 ARE REQUIRED:
a
Inspector: f _.__--- — -- Dates
AFPROVFD DISAPPROVFD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION Novsq
City of Tigard Building Departweat
13125 BN Ball Blind. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BuO Lness Phone: 639-4171
Inspection:__
?outing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. Framing -Bldg.
•ter=
Poet/Ream Hoch. Ririi n Dra In� Insulation -Plumb.
Plbg. Underfloor Q .ter. Lina ) Gyp. Ed. -Meeh.
Date Requested: Z., Timor _�LAM PM
Address: Permit f: qZ Z
BuLlder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_
Inspector:- ---- --- -`--� Date
APPROVED — DISAPPROVED APPROVED SUBJRCT To ABOVE
--_Call For Reinsp.
1
s
I11g_ECTI(�N NOTICE
city of i'igard Building Department f �
13125 SW Hall Blvd. Tigard, Oregon 9722A
Inspection Line (Rec-O•-Phone): 639-4175 ?8n Phone: 639 .
Inspection:
� y•i.d1 ootin Plbg. Underslab Mech. Ap /Sdwlk
—24aund Plbg. Top Out
Gas Line FINAL.
Poet/Beam Struct. San. Sewer Framing -01dg.
Past/Beam Mech. "min Drain Insulation -Plumb.
i
Plbg. Underfloor Water Line Gyp. Bd. -Much. j
AM
Date Raqueated:--- _
Address: '--`J;�[�� Permitf:!4 621
i
Builders.—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Dotec. ( �! L ` y -
PROVED DISAPPROVED —! APPROVED SUBJECT TO ABOVE
-Cal l For Reinsp.
CITYOF TIFARD
COMMUNITY DEVELOPMENT DEPARTMENT RD
13125 OW HWI OW p.0.9(w 23M.TIOW,oropm 97223(SM)&&4176 0"00" Irl ASIER PER111T
F�Inkam
---- ;cmr 07-7� 1.4:R PI.1 T . . . . . . . 1y1S
_L71
639-4171 DATE 1435UEI).
9 1)CH,
SITE ADDRESS. . . : 8159 SW MATTHEW PARK ST
SUBDIVISION. . . . : MATTHEW PARK P(4RCE'L:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . 110 ZONING: I V,
BUILDING
REISSUL3MST92—ji00i DWLLLINu UNIT'Sil
CLASS OF, WORK. :NLW BASE=MENT. . . . . . . . go sf
BLDRMS:3 BATHS:3 GARAGE. . . . . . . . . . o410 sf
TYPE OF USE. . . : FLOOR AREAS----------.-. REUUIRED I
TYPE OF LUNS1- :5N FIRST. . . . 1894 s LEFT. . v5 ft RlGHT. -5 ft
ULLUPANCY (jkp. R.3
STORIES. . . . . . . SECOND. . . #796 S f FRONT. a 20 ft REAR. . 72 ft
HEIGHT. . . . . . . . l22 THIRD. . . . go S f REQUIRED----------------
ft TOTAL------11690 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . t40 psf VALUE. . . . , n 85120 PARKINO SPACE S. . .- I
ROMarksi PATH 1
SINKS.
PLUMBING LAVATORIES. . . . . FLOOR DRAINS. . . . so BACKFLOW PREVNfRG. .
:4 WATER HEATERS. . . sl
TUB/SHOWERS. . . . :,:2 LAUNDRY TRAYS. . . :0 TRAPS. . . . . . . . . . . . . .
WATER CLUSETS. . :3 SEWER LINE (ft ) . so CATCH BASING. . . . . . . :0
DISHWASHERS. . . . .- I WATER LINE (ft) . : Ioo GREASE TRAPS. . . . . . . :yr
GARBAGE DISp. . . RAIN DRAIN (ft ) . :@ OTHER FIXTURES. . . . . :0
WASHING MACH. . . al SF RAIN DRAINS. . : !
--------------- MECHANICAL ---------
FUEL UNIT HTRS. . g ------
o FEES
/CANS/ VE14TS . . . . . ..@ type amoo-int by date r-ecpt
MAX INPUTcO BTU VENT FANS. . :4 71F s 1460. 00 JH 09/29/92
FURN ( 100K . . : I HOODS. . . . . . gl BPRT $ 391- 00 JH 09129192
FURN )=lQiot,, . . :0 BPLL $ 40. 00 JLH 09/18/92 231625
FLOOR FUHI,,j. . . . :0 WOODSTOVES. so B5PC $ 19- 55 JH 09/29/92 —
BOIL/CMP < CLO DRYERS. s I SSDL $ 280- 00 JH 09129192 —
OTHER UNITS,o PARK $ 500. 00 JH 09129192 —
Owners _ OUTLETSil MPRT s
39- 00 JH 09/29/92 —
JAY MILLER MPLC $ 9. 75 JH 09/29/92
PO BOX E3291 M5PC s 1- 95 JH 09/29/92
PPRT* $ 14,4. 00 JH 09/29/92
TIGARD OR 97281 P FJ P C $ 00 JH 09/29/92
Phone #: 684-7543
Contractors
JAV MILLER
PU BU)( 23e91
TIGARD OR 97281
Phone 664-7543
This permit is issued subject to the regulations contained in the $ 2888- 25 TOTAL
Tigard Municipal Code, State of 01,p. specialty codes and all other -------- REUUA*RED INSPE=CTIONS -------
miFoot/found Insp Fireplace I,sp
applicable laws. All work will be done in 2�rordance with ipproved F'Ost/Beam Strutt Gas Line Insp
plans. This pert will expire if work is not started withl,, 18@
days of
issuance, or if work is Suspended for more than la@ day r-'Ost/Beam Meehan lnst(lation Insp
• PIM/Undslab Insp Gyp Board Insp
J -P)Alittee Signature.- PLM/Underfloor- Pain drain Insp
Mechanical Insp Water Line Insp
ISSLIed By, VA�_tmb Top Cjk.tt, APPr/SdwIk Insp
1-r-amirly Insp Mechanical Final
Call for '"Pect ][Orl 639 -4175
CITYOFTIFARD SEWER CONNECTION
OF AD
PERMIT
COMMUNfTY DEVELOPMENT DEPARTMENT
T, P' RIMi'r #• . • • • - • : swR9:�-0297
13125 BW HWI Blvd. J.O.B2M.Tipmid,dmprx,VIRI F�� 76
1 v DA�TF_ ISSUED: 09/29/92
51 TE NDDRESS. . . : 81 9 SW MAT•FHE:_W PIARK S•T PARCEL: 2S112BC-.1+1FIK10
GUBDIVISION. . . . . hIAT'TIIEW PARK ZONING:
13L..00:K. . . . . . . . . . . LOT. . . . . . . . . . . . . . ]. i
I LIVHIVT NAME. . . . . :
USH IVU. . . . . . . . . . : F I X T URE: UN IT'S. . .
CLASS OF WORK. . . :NLW DWELL 1 NG UN I T'S. . 1
I YF-'E OF USE. . . . . :SF. NO. OF BU I LD I NGS: 1
I NST'ALL. T•YPE. . . . :BUSWR I MPERV 'j-URFACF. . : :s f
keniarks: PIOTH 1
Owner: _._..._____.________._____.________________._ FEES
JHY 0I1LLLU type amo�.tnt by gate recpt�
F'0 BOX 23291 PRIII T $ x=100. 00 JH 09/29/92 -
1.NaE' h :33. olzi JH 09/29/92 -•
T I GHF�D OR 97cti L
Phone #s 664-7543
L_ontractora
I.,iJNTRACTUR NC]T ON FILE
Thune #: ---•_-$ 2135. 00yTUTAL-___._.____.__._._-.- -
keq #. . .
RLUU 'RUD 11VSF'E-t=:1 1 UNIS - •-_____
This Applicant agrees to comply with all the rule3 and regulations Sewer InspeL . ion
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 directions fromthe distance given. If not so located. the installer shall purchase
a "Tap and Side Sewer" Permit and the Agenry will install a lateral.
I-'Lr mlt Lee 5iynit1_rre : `A" -7 7
t - sii_ied' By : -
Call for inspection - 639--4175
`� IV7.
CITY OF TIOA RD 6�o
MY no
COMMUNITY DEVELOPMENT DEPARTMENT PN-1.lMLQN(� PERMJT Mwn
13126 SW Hell Blvd. P.O.Jim 23347,TllpH,Or"m Mw ism)63"175 PE.HMI T #. . . . . . .
-
,2j rE. ADDRESS— .. 3159 SW MATTHEW PARK ST 2S1128C, MPKI
t-,UBDIVISION. . . . M(4TTHLW PARK 7 01\1 I NG:
. . . . . . . . . . LOT. . . . . . . . . . . . . a1
QLAGG OF WORK. . :NEW GPRBAGE DISPOSALS— el
fYPE OF" USE. ., . . :SF WASHING MALL. . . . . . . ; I BACKFLOW PREVNTRS. . -el
UCCUPANCY GRP. . 3 R3 FLOOR DRAINS. . . . . . . :0 TRAPS. '0
STORIES. . . . . . . . :a WATER iqrATE:F?S. . . . . . el CATCH 10
r-'IXTLJRES---.. L.AUNDRY TRAYS. . . . . . :N BF RAIN DRAINS. . . . .
RAI Ns. . . . . 11
f-;JNRS. . . . . . . . . . 11 GREASE TRAPS. . . . . . . :0
I-OVA'TOR I ES. 4 FIXTLJkU,:,)- tO
11 IBY SHOWERS. . . . A SVVERA- INtfi ) . . . . r N.
WATER LLOUETS. - 83 WAR LIN .- ( f+ t . . . . : ili,)0
I).(f41w(*Ji IL RS. . . . a1. RAIN DRAIN (ft llO
Rewarkst PATH I
UWNE.R1
JOY MILLER TIF $ 1460. 00 J11 09/29/92 —
PLI BUX c-'3291 BPRT $ 391. 00 J11 09/29/9P -
8PL-C $ 40. 00 JLH 09/1(3/92 231825
TIGARD OR 97C.181 B5PG 1 19- 55 JH 09/29/92 -
ohoviv #: 6A4-754, SS'DL: t 2180. 00 JH 09/pq/92
PARK 6 300. 00 JH 09/29/92
Plumbing Contv-actov: MORT s .39. 00 JH 09/p9/92
PIP1-c $ 9. 75 Jk 09/P9/92-
a w e _._..A1v15PC $ 1. 145 '1H 0.1/29/92
4d d r e 5 s v PPRT $ 140. LAO J44 0,3 1:`9/9 1•_'
r
St art e- F15 Dc $ 7. 00 JH
Phone#:
'Re-q #i_.....
FREQUIRELo 11413i'I'Ll I ONS
'rtf-i-s permit ie 19SUVId subject to the v^vgL---
-11Ations rontainer.11 in the Tigard Muri.icipal Foot/ f,01.1nd Insp Rain drain Insp
Lurie, State of Ure. ':aper--ialty Codes Arid all Post/Beam Struct Water Line Insp
other., applicable laws, 011 wank will he done Float/DeAm Mer.haus Qppv/Gdwl1-( Insp
,-tri- 7accord&nce with appravpd plans. 'This PIm/#.tndilalj Inip Mechanical Final
oermit will expire if work is not stAriisd PLM/Underfloor 9:1 1 u m L, Final
within 160 days of issuance, w if work is Mechanical Insp Building Final
cl-tspEnded for- more than 1130 days. Plumb lop Out Erosion Cont , , I
Framing Tntp Drain
Pirpplar�@ frispl
Bali Line Insp
Insi.dation Insp
(3yp Board Insp
441, horizod P11-A bin kj-con- t�r&,
Call for i nsptsvt i on 639_..4175
L ont rmct or Nat F qr
d
I I
C:I TY OF T I GARD RECEIPT CIF PAYMENT RECEIPT NO. :92-232147
CHECK AMOUNT 4983. 25
NOME MILL.ERV JAY CASH AMOUNT 0. 00
ADDRESS . PAYMENT DATE a V►�3/1:''�/9;''
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OFF PAYMENT AMOUNT PAID
-s-ITT
.._...._.,.,._...�......._._.._._..._.._.. ..�..___.._......__..�_._.._ !
_D I NO PERM 391- 00 PLUMBING PERM 140. 00
MECHANICAL FIE
a9. 00 ST. BU T I.it PER r28. 50
PLAN CHECK FE 9. 75 RE WE R USA -100. 00
I_ �I.
SEWER INSPECT ,51. 0.�0 PAPKS SDC �rf�tll. (710 l
STORM DRAIN SD(:,' 280. 00 RESIDENTIAL. TRAFFIC. FEEt,; 13!10. 00
MASS TRPNSTT" TIT` Fk".R.f� 110. (110
MATTHEW PARK LOT 10
. 1.39 C:iW MAT1 H[.W PARK Li T (
I'
l'Cl7 Al_ AMOUNT PAID - _ } 4983. a5
77,
`777r'77►'_ .. . . .M.� ,M ;;... ; "'-- _
I
fC TY OF TIGARD _ RECEIPT OF PAYME=NT RECEIPT NO. a9w- 013 18 5
NAMFEE s JAY M I L_L CR E;I_DR, INC.; CHECK K AMOUNT 0 40. 00
i ADDRESS a PO BOX 2,3291 CASH AMOUNT c 0. 00
C'�AYMENT BATF
1'TGARD OR 9724,3-- SU.EDIVT SION a
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF F'AYMPNT
AMOUNT
PAID
PLAN yCHECK FF _ _ . _. ___ __ ...
I 0--
d ►��+ .__-�__......._..._..,.___....
I
f
I
PI—AN CHECK 9--46R
8159 SW MATTHEW CLARK STOF rT
TOTAL AMOUNT PAID