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CITY CF TIGARD C.L. I OC;C;UpCUPAN 01ANCY
COMMUNITY DEVELOPMENT D�PART ENT PERMIT #. . . . . . . A MST9 3. 9603
1312u',W Hall Elvd.Tigard.Oregon 97223.81 AD"I 003)`66-4171 DAT E. l E3SUE"D= 06/09/94
PARCEL: S 1 Vh?DD-.02300
;..,ITE: ADDRE'56— A 08,54.35 5W MEkLYNk. C1
13USPIVISION. . . . A FINLEY PARK ZONING:R 7
BLOCK. . . .. . . . . . . a LOT. . . . . . . . . . . . . s007
jCLASSµOF WClril•t. aNE.W_____.w~..,___.....__ .._...._._...._._._�.__..,.,................._._........._..._._._.,_.__.__._,_..�......_._.._...._.._..._��_._. _.__
rYpr- OF Uric•. . . e sr
UC:CUPPNCY GRP. r Rei
1 13C;C;UPANCY LOAII A Cy23 4
a 1'EP.ONT NAME.. . . a
,
(".'um,arl�% A PATH I.
Owners ---._.._.,.._..._ ....... .... ........._. ., .........._ . .......,....._._._.__..._.._.
11M MILLER
1.30E7 914 T.IMAtiA L.N
r IGM.0 Or 9?20'4
Flhone! #v X99-85174
i IM MILI_.E:W
13027 5W T I MA RA l N
T IGnRV OR 97224
Phone M: 596-80374
Perp #. . A 64687
()cc.t.lfrarWy of the above referenced building is tlereby given, arid certifies
the compliance with the State Of Oreynn riper_i�1ty C.'ode, fere the group,
uc.•cupancy, and ueet under whirh the referenced permit was issued.
i
I"I RE' DE:PARTMrNT F1 1. I N. NEXT—CTOR
l I L,I"r1 Ci 0 ICTAL
POUT IN C ON3P I C:UOUS PLACE_
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INSPECTION NOTICE
It liky of Tigard Building DepRrttaent
13125 tIN Ball Blvd. Tigard, Oregon 97223
s'
Inspection Line (Rec-o-Phone): 639-4175 Bueinene Phone: 639-4171
b Inspect ic.c:
Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk y
Pound. Plbg. Top Out Gas Line ( fIMALt
� i
Poet/Beam Strur_t. San. Sewer Framing
Poet/Boam Mach. Rain Drain Insulation lamb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech. �
Date Requ*Stedt�(y Times
5? S X13 Yee r l- Pezoit t_ 03
9 f——J
Adareee: ---
Builds,r:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Date:_ l
ApP!IOVED `__ DISAPPROVED APPROVED SUBJECT TO ARUIR
Call For Reinsp.
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'�5 �+I�°9Pptl;;: +�sa.r,••n`� � 'wey �s4'°r^��'> "1�,,'!�w"���IIPQ�'' S,AMflr�F` !"A+MM+" .�;
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INSPECTION NOTICE .� + '
f
City of Tigard Building Depart-Ment s♦
131.25 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone 39-4 sinees Phone: 639-4171
f.
InepPcticn:__,__ _ _
rr
Footing Plbg. Underslab Mech. Rough-in < Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
i
Poet/Beam Struc' . San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wate._ Line Gyp. Bd. -Mech.
� r_
Date Requeeteds__. _� C/ Time: — PH
y /urs e Cii Pe/is I('. `1
Address:
Builder: �/4/7) /3�/'//*'/' �❑ `/— ty/�?C�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Insipector: / � Date r" .�� 'C _
SrPPROVED DISAPPROVED F APPROVRD SUBJECT TO ABOVE
Call For R^lnsp.
s
INSPECTION NOTICE
City of Ttgard Building Departeent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-n-Phone): 639-4175 Business Phone, 639-4171
Inspection: __— --
Footing Plbg. Underslab Mach. Rough-in `.. Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALt
Post/Beam Stnict. San. Sewer. Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plb9. Underfloor Nater Lillno Gyp. Bd. -Meoh.
Date Requestedt � ` d 9� Tim�eI AM PM
,��,-
Address: eI. � / Mf'_'I-N /(.-1/ C'7 `�. Permits ' 4'
Builders
THE TOLLONINO CORRECTIONS AAE REQUIRED:ov
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Inspectors _ Dates. = =--L—f— '1
APPROVED /DISAPPROVBD PROD StlaiNCT To ABOVB
!:r Aeinep.
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INSPECTION NOTICE / � ,� �,� t �� ►��°
City of Tigard Building Depart—n
13125 BN Nall Blvd. Tigard, Oregon 9722urY
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-44 :• �`
i
Footing Plbg. Ut...arelab Mech. Rougl,-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam struct. Sun. Sewer Framing -Bldg.
Post/Beam Mech. Pa?.n Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
4 Date Requesteds yy j Timet 2 AN/ _2_'— PH
Address tz �/ 'l �•" ' H�/ t J ( / 7 r,
Builders—]
THE FOLLOWING CORRECTIONS ARE REQUIRED: d
InspectorsDnteO/���'
PPROVED DISAPPROVED APPROVED SJRCf To ABOVE
_ Call For Reinsp.
�� `,.
v
INSPECTION NOTICE J�i�✓c
City of Tigard Building Department
13125 S" Hall Blvd. Tigard, Oregon 97223
Inspection Li.:e (Rec-O-Phone): 639-4175 nueinene Ph e: 34
Inspection:_ _-___ — ----------
Footing P1bg. Underoy-` Mech. Rough-in Appr/Sdwlk
Pound. / Plbg. Top Out -,Gas Line FINAL:
l � �
Poet/Beam Struct. San. Sewer r'Framing -31dg.
-- r
Poet/Beam Mech. Rain Drain Insulation -Pl:tmb.
Plbg. Underfloor Wator Lliino� q Gyp. Bd. -Mech.
Date Requenttedt d C!/ / Time: <C( 37 _ �. M
Address: �7�V,3V ke �J l f' (I_ PeerrmW� %� 9 0,3
Builders ); Ile�
TFS FOLLOWING CORRECTIONS ARE REQUIRED:
Insper_tor: Date:
_..-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
LL_ * rYiMpr
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NS ECTION NOTICE
City or Tigard Building Department
13125 SW Bell Blvd. Tigard, Oregon 97223
In"ction Line (Rec-o-Phones 639-4175 Business Phones 63
Inspections
Footing Plbg. Underelib Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out can Line FINAL:
st/&tam Stru (�n. sower Framing -Bldg.
a■ Rain Drain Insulation -Plumb.
PI . underf r Water Line G� Gyp. Ci -Meeh.
Date %Westedt_ 7 Z�� 1 � Times �AN PM
mit 1 w eA'T`3?r`rUO3
Address w ?n"
Permit
Builders l ill/\
Tse 1OLI.OHiNa OORRBCTIONS ARE REQUIRED:
--_ --_---- -- -- -------- 1 � to-,
7 —v
Inspector: -�-� -- Date:_.%�_
PPROVED DD'ISAPPROVED APPROVED SUBJRCT TO AROVF,
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department �
13125 s11 Ball Blvd. Tigard, Oregon 47223
Inspection Line (Roc-O-Pho1nee)t 639-4175 Business Phones -4171
Inspection:
FootSng Plbg. Underelab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: r
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Insulation -Plumb.
Plbg. Underfloor (� Gyp. Rd. -Meeh.
Date Requnst:eds _Ti.me: AN G�--pH
Addrooas_ lJ . �\ Permit #t
Builder: y\
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
I --
r
Inspectors Dates
" APPROVED DISAPPROVED APPRcMD SUBJECT TO ABOVE
r Call For Reinep.
47ht1�7 y � p�7,'1P'Kp�w'°(w..a..+n:anYidh;Me � i� .lky ,SMneuw
\J ^� INSPECTION NOTICE
J ,r city of Tigard Building Departaent j
13,25 sw hall Blvd. Tigard, Oregon 97223
Inspection Line (pec-0-Phone): 639-4175 Bunineee Phon 9 .171
Inspection:
� Plbq. Underelab Mech. Rough-in Appr/Sdwlk
(�Footiny. ,
FINAL:
Found. Plby. Top Out Gas Line
o
Pont/Beam Strvct. San. Sewer Framing -Bldg.
` t
Poet/Beam Mech. Rain Dralc Insulation -Plumb-
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requesteds_� �� �� _—_—_Time: F' AM — %< PH
! ; L n.ev I,eQ_v� ��� , Permit It M�i
Address: ! ---
Builders ��' ►"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector.- Date:_
V AP^ROVP.D (IISAPPR:IVP.t1 APPROVED SUBJECT TO ABOVE
Call
For Reinsp.
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'ITT 7
PLUMBING
CI Pf OF TIGARD
PERMIT
PERMIT #. .. .. .. .. .. ..
: hIST93•-960:
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED. 03/10/94
13125 SW Hall Blvd.Tigard,Oregon 97223.0199 (503)639-4171
PARCEL: 2S 102CC-FP00'7
SI1l._ ADDRLSS. . . : 0854;x, bW ML--RLYNE C.l..
EaUBUIVISION. . . . : FINLEY PARK ZONINGe R-7 +�
FLOCK. . . . ,. . . . . . . LOT. . . . . . . . . . . . . :007
CLASS-OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF l 3E. . . . :SF WASHING MACH. . . . . . . ! I BACKFLOW PREVNTRS. . :0 •
OCCUPANCY GRP. . :R.3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :c: WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES----------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : ) GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 100
DISHWASHERS, . . . -. 1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I
OWNER: ----------------------------------
_.___________--•_--FEES_______.________.-_
1 IM MILLERT If x 1 c'.ZI. 0;,) JH 03/10/94• -
130,27 SW TIMARA LN BPR'T $ 340. 00 JH 03/10/94 -
BPLC $ 221. 00 .ILH 12/13/9.3 93-246674
TIGARD OR 97 :24 B5PC $ 17. 00 JH 03/10/9+ -
F'hone #: 598--8574 SSDC v 280. 00 JH 03/10/94 -
PARK $ 300. 00 JH 1:33/10/94 -
Plumbing Cantr ar..tor :-- -___.__.__.____._._.__ MPRT $ 43. 50 JH 03/10/94 -
���� / MPLC $ 10. 88 JH03/10/94 -
Name : y_, l'(�'_. M5PL $ 2. 18 JH 0:3!10/94
Address: It;:•,Qi Q�x 1�e7�2 .� PPRT $ 1.132. 50 JH 03/10/94 -
CityState : ._ _. P5RC $ 6. 63 JH 03/10/94
Z i P;_..__��2�fCJ_ _...._._.__Phone#:__ - L 117 _.
Reg #:__g Y'j2c3._.
-- -- REDU I RED INSPECTIONS
— ---- -
'This permit; is issued subject tc1 the reg--
Mations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Lodes and all. Post/Beam Struct Water Line Insp
v
other', applicable laws. All work wi , l be (JuTle Post/Beam Mect•,an Appr/Sdwlk Insp
in atcordance with appraved plans. This Fllm/lands lab Insp Mechanical Final
permit will expire if work is not started PLO/Underfloor Plumb Final
9 within 180 days of issuance, or, if work is Ihectianical Insp Building Final
suspended for- more than 180 days. Plumb Top Out Eosion Control
r
Framing Insp Crawl Drain
Fireplace Insp _
Gas Line Insp _
Insulation Tnsp
'n1 x G Y p Board Insp - ---- ---—____
j, Authorized Plumbing Contractor Signature
Call or- inspection - 639-4175
Contractor Notes :
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CITY OF TIGARD MASTER PERMIT'
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MS193-9603 •
13125 SW Hall Blvd Tigard,Oregon 9722308196.-''{SbnfJ9411171 DATE ISSUED: 03/10/94
PARCEL: 251O2CC--FPOO7
SITE ADDRESS, . , : 08543 SW MF_RLYNE CT •
SUBDIVISION. . . . : FINLEY PARK ZONING: R-7
CLOCK. . . . . . :007
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :O sf •
CLASS OF WORE',. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :384 sf
T IPE OF USE. , . :SF FLOOR F1FREAS-- ---__.--------- REQUIRED --
TYPE OF CONST. :5N FIRST. . . . :708 sf LEF7T. . : 3 ft RIGHT. : !0 ft
OCCUPANCY GRP. :R3 SECOND. . . :632 sf FRONT. :20 ft REAR. . :23 ft ..
STORIES. . . . . . . :2 TH I RD. . . . :0 s f REQUIRED----------------------
HE 161-1 T.. . . . . . . .
EOUIRED--------------------•-
HE161-IT. . . . . . . . '':.^ ft TOTAL--------- : 1 340 sf SMOh E. DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VOLUE. . . . . $ : 68552 PARE I NG SPACES. . : 1
Remark : PATH I
---_.----------..------ PLUMBING
511 ',x5. . . . . . . . . .. . 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVA"F'ORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :O
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE "'RAPS. . . . . . . .0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : tOO OTHER F 1 X i ORES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SFRAIN DRAINS. . : 1
_.______._.._____-• MECHANICAL -.._.__... .--.___ __._._._.__..._._.__....-_._-..__.._...____. FEES - _.._.._.__._.._____..._._...
UNIT HTRS. . :O type amol_rnt by date recPt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 0:3/10/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 340. 00 ,JI-I 03/10/94 -
FURN ( 1O0K . . : 1 HOODS. . . . . . : 1 BF'L.0 A 221. 00 .JLH 12/15/93 93--241:C, Int
FURN ) =1O0K . . :0 WOODSTOVES. :0 BSPC $ 17. 00 JET 03/10/94 -
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC, $ 280. 00 JH 03/10/94 -
BOIL/GMF' ( 3EiP:0 01HER UNITG: 1. PARK $ 500. 00 JFl 03/10/94 -
GAS OUTLETS: 1 MPRT $ 43. 50 JH 03/10/94 -
Owner: ____._-._________.______.._._._----___..---._.-.-IhF'L.C. 1, 10. 88 JH 03/ 10/94
TIM MILLER M5PC $ 2. 18 JH 03/1O/94 -
1302-7 SW TIMARA 1_N Pt'RT $ 132. 50 JH 03/10/94 -
PaPC $ 6. 63 JH 03/10/94
TIGARD OR 97224
Phone #: 598-8574
Contrac+or;
'TIM MIL__ER
13027 C,W TIMARA LN
TIGARD (DR 97c.24
Phone #: 598-6574
. Reg #. . : 6468 7 -------------------------------------
4 3073. 69 TOTAL
This perait is Issued subject to the regulations contained in the -- - REQUIRED INSPECTIONS - --- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi.tnd Insp Fireplace Insp
applicable laws. All work will ti done in accordance with appr ed Post/Beam Strl_1ct Gas Line Insp
plans. This perait will expire if wurk is not starte wit i 81111 Post/Beam Mes_han Insttlat ion Ins[)
days of issuance, or if work is suspended for a t a s. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee• Si gnat1.lre: r._ Mechanical Insp Water Line Insp
/
1-111_tmb Top 01-it Appr/Sdwlk Insp
Issi.ted By : L Framing Insp MechaTlical Final
Call for inspection 639-4175
Ie�WptialwlvW.s.'FVAw.rvmm...nrr....•••, -
_I
SEWER COM'JECTIUN
CITY OF TIGARD PERMIT ,- '
COMMUNITY DEVELOPMENT DEPARTMENT FLRMIT #. . . . . . . .. SWR9s 0519
13125 SW Hall Blvd.Thud,Orapon 97223.8196.-i51 SYSIGe4171 DATE ISSUED: 03/10/94
PARCEL: c S 102CC- P007 �
SITE ADDRESS. . . : 08543 SW MERL_YNE CT
SUBDIVISION. . . . : FINLEY PARK ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :007
--._-.--__..__-_------.__---_-_-_._._.-.-.----.----------------------.-----_---.------------
"TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . , :
CLASS OF WORK. . . :NEW DWELL I NC UNITS. . : 1
TYPE OF USE. . . . . :GF NO. OF BUILDINGS: 1 •o
INSTALL TYPE. . . . :BU SWR IMPERV Si-IRFACE. . : : sf
Remarks : PATH I
Owner: -.___._._____..__.__.____________________._._____________- - FEES
TIM MILLER type amor-Int by date recpt:
1,3027 SW T'II4ARN LN PRMT 2200. 00 JH 03/10/94 -
INSP :35. 00 .JH 03/10/94 -
TIGARD OR 971?24
Phone #: 598-8574
Contractor: ----------------_-----_-__-----_.-
CONTRACTOR NOT ON FILE
$ 2235. 00 TOTAL
pFq #
--- - --- REQUIRED INSPECTIONS) ...._._..____.-..
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion —
oi 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 Allency does not g...arantee the accuracy of the
side sewer laterals. If the sewer is not loc:,ced at the measurement
given, the installer shall prospect 3 fest in all direction from
the distance given, i` nct _u iocated, the inet ler sha.-pu hasp
a "Tap and bide Sewer" Permit and the Age "y w 11 1 ateral.
Pe r m i t t e e S i 13 n a t u r^
I s s r-I e d 9 Y
Cal for inspection - 639-4175
L
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) '39-4171 •
clr�I
Jobsite Address: 4
� _ Oiflr�Use only
Subdivision: ', ^n\. , 'r, r f LootO#_
Valuiatlon:
Y'= _ l`'d �-S Z Ptanrk Rec
�� -
Permit# 94r C? 16
Owner: Reissue of
Address: :SN ave,-con
Approvals Required
Planning _ --
Phone:
Engineering
,
ngineering_,
'
Contractor: r,.y� �; jOther____
-�-
Address:
Items Reghired
Subcontractors
Phone:
1-Piss Details
Contrar's Licen
ctose # l
(attach copy c',;urre t Oregon license) Other _
Subcontractors:
Plumj�tng:
k/
Me ha(ical:
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address: —
Phone-
' COMMENTS: --_.---
Applicant Signature & Phone number
Deceived by: Date Received: _ _
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) D-��
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH
3 10 C/2.
State Tax (TAX)
Bldg: u o
Plumb: G G 3
Mech: �• __�
i
Plan Check (PLANCK)
Bldg: u
Plumb:
Mech: /U, Y�
Sewer Connection (SWUSA) �'� L' ao
Sewer Inspection (SWINSP) � .�. '3
Parks Dev Charge (PKSDC) _ �
` YOU
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) =—
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
i
I
Institutional TIF (TIF-IS) _
Office TIF (TIF-O) _
Water Quality (WQUAL)
Water Quantity (WQUANT) ?
Fire District (FIRE)
TOTALS: ?J
1
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. CITY OF T I GARD - RECEIPT OF PAYMENT RE:C:F I P T NO. s94-2499P7
�
a 5058. 69
(�NF.GK AMOUNT
r JAMF: a M.l i_.L.E R, TIM CASH AMOUNT a (1. 00
DDRE.SS s PAYMENT DATE. a 03/10/94
SUBDIVISION
)''11RPOSE: OF PAYMENT AMf,11.1N 1 PA I f) PURPOSE OF PAYMENT AMOUNT PAID
�liol(_DING PERM 340. 00 PLUMBIN13 PERM t,�r''•• °51n
lF:CF•FAN I CAL. PF-. 43, `51h S Y'. SO I L D PFS R �:'`'• �1 '°"
"t-AN CHECK FE t8. 12 SEWER USA ?c'00. 1A0
.35. 00 V ARK; ` Dl 500, (AIAa :WFR INSPECT
lf'ORM DRAIN SDI", ihN kEc.f3Xf)F:NTIAf. "fN1'•1F=f= .I I;; FEE"' 1�hlVi. 0�d
AFif i 7 RANr3I T T IF FEEL', f 10. 0
r
R I
6t
f NL•E'Y PARK #7
,,' 1:a43 SW ME:RL..YNE CT
TOTAL AMOUNT' PAID - - > 15058. 69
r
'N
CITY OF T I.C:3ARD - REC F.I P1 (IF PAYM1-N T f4 f'F I PT NO. 03i"h6 4
r;F It CK AMOUNT a polio. 00
(AMF. a TOM MI( _Ff R RUILDF•;R, INC:,'. CASH AM(A.1NT a 0. 00
-1DDRE46 a 12454 94 F=DGFWATF=R CT. 11AYME:N'T DATE a 12/15/93
7'I13ARD., OR
,URPOS'E, OF PAYMENT fiM(:II..)Nf PAID PURPC.ISE: (11PAYMF-:NT AMOUNT PAID
i
•(..NW CFfFC:K E"FM
a
i 7R
i
(0 TAL. AMOUNT PAID P50. 00 ' q,
� k r
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