11227 SW SUMMER LAKE DRIVE i
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11227 SW Sumner Lake Dr.
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CITY OF rIGARD
,
OREGON ! � '
Don Korissette -?- <
Owner: PermitNo. �t�i ,a
Address Box 19524 Portland Or 972, �` •
Building Address: 11227 Surmie1
W Sr aka r r r
Occupancy: 3 Land Use Zone: R7Pn Bldg. Type -,N
j Comments: i \
Cer*-ifieate is herebygiven This ?:s9 e day of tar
i ^ C that said building may be occupied and that it complies with all
• requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council. x3 /
ry,-
t I ire Dept. �3 ilding Ins
a1 x
£ui_diu Official
'i Post Certificate in Conspicuous Place
— - - --- —I. a
C
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'� � '•'7�:.��� .�� ..-. a- �r ���y r , � r��� r �P:'1 .K°a�,.�, r sy'a•':'��v1vt,,�,K ���a#�,yrr - x3�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone` 639-4175
_ l
Type of Inspection --
Date Requested Time---A.M.
Address _/ i <- S s. �. y w ,AEO— brPermit
Owner Y Lot #^ —_
Builder
The following Building Code deficiencies are required to be corrected:
n r��/7 1(- c� ,1 1- y( 6V C�
Vim- JA' lam./M 7I�(.t
Z_Ict
�e 6� k 7 P Ski
—— —� —
i�
Presented to ❑ Approved
Inspector — D Disapproved
VDat
b
CALL TOR REINSPECTION
0 YES L] NO
INSPECT' N--N0-!CF-
City
0-!CcCity of Tigard Buildinq Dehartmert
P O Box 23397
Tigarcl, Oregon 97223
Phone: 639-4115
Type -f Inspection 1 Ads e.--_ _
Date Requested _ `?_�y'?" Time 1,e -AA..+M. P.M.
Address
Owner_ Lot #
Builder -i--�
The following Building Code deficiencies ere required to tie corrected:
�� . ..
6 9 el s '
t �-
6l
'LCI-�-��`�j,�tFt� L' ...L-,�1' •. ,,�¢L i.fr _
J
Presented to _ P Approved
Inspector '� disapproved
Date
CALL FOUR REINSPECTION
Li YES ❑ No
INSPECTION NOTICE n_
City of Tigard Building Department
P.O. Box 23397 (I I
Tigard, Oregon 972.2.3
Phone 639 4175
Tvpe of Inspection r1 e
Date Requested I / Tina �� A.M. P.M.
Address - Q.,�F�1-I7U_2c r— Permk 7,1-
Owner
`�.
Owner L.ot M
BuilderThe foilowin.j Building Coda deficiencies are required to be corrected:
Presented tt --- �__ F] Ap ouF ved
Inspector -- L] Disapproved
Date -- f
CALL FOR REINSPECTION
❑ YES ❑ NO
WS'PECTION NOTICE i 1
City of Tigard b gilding Department J
P.O. Box 23397 �l .
T igard, Oregon 97223
S Phone/: 639-4171)p5\� 1 u
Type of Inspection
Date Requested —
/ (c _ Time Y_A.M._ P.M.
f-, L
Address /�c� 7 GL'�21�J P {' — pormit
Lot #�
Owner. 1
BuilderThe following Building Code deficiencies ara required to be corrected:
Presented to _ Approved
Inspector ❑ Dlapproved
--
Date —
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Tim, A.M.-----P.M.
Permit -3
Address
Lot
Owner
Builder
The following Building code deficiencies are required to be corrected:
rill-S
Presented to ZLAwroved
Inspector ., I- i Disapprosed
00
Oatp
CALL FOR REINSPECTION
ED YES 1� NO
INSPECTION NOTICE
City of Tigard Building Department 11
P O Box 23397
Tigard, Oregon 97223
Phone 539-4175
l
Type of Inspection
Gate Requested
�_– Cay Time_ A.M. P.M.
- —
(LieL.- Permit #.�!
Address ( ZL C L 1 Yl \ Y�R..
Lot
Owner
#__
Builder -- — --- ---
The following Building (:ode deficiencies are required to be corrected:
Presented to _ _ _ Approved
Inspector Disapproved
Date ___ " .----- REINSPECTION
CALL FOR REINS
[] YES ❑ NO
INSPECTION NOTICE
J
City of Tigard Building Department A
P.O. Box 23397
Tigard, Oregon 97223
l
Phone: 639-4175
i'ype of Inspection —�� ��.J�,Q �. } `-� I�Lr a 1 o y L
Date Requested X Z 4-1 Time A.M._ P.M.
Address t i �,� / r x 6 /r
� Lc Permit #_.,L3!�_�_
Owner Lot #
c
Builder ------
The following Building Code deficiencies are required to be corrected!
1-70
Presented to ��] Approved
--------- ---- ---------------
Inspector _ fi— �_� Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
NV Ali o� INSPECTION NOTICE
r lJyr ty of Tigard Building Department (�
P.O. Box 23397
J 22'� I, a Tigard, Oregon 97223 �-
Phone: 639-4175
Type of Inspection J'L LL 1 l ( �� i(�J
Date Requested I C 9 - Time V, A.M.__ P.M.
Address I/1 LL- r-( <<'K t.. Permit # U -7 C
Owner Lot #_
JJ
Builder The following Building Code deficiencies are required to be corrected:
Presented to _ L; Approved
Inspector Di,.aproved
Date 2-
-�7 `� ��
CALL FOl? REINSPECTION
0 YES El NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 632- 175
Type of Inspection _.- t '-'"� �1"' r,I _
Date Requested_ `� A.M. P.M.
Address "1`� 1\ L�Y}7/7'LC' Y permit # _
Owner Lot
Builder �✓ T_/}/'(�G�/��... (__..J ---�
The following Building Code deficiencies are required to be corrected:
Presented to / �� Approved
Inspector P—T Disapproved
Date
CALL FOR REINSPECTION
L1 YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6\339-4175
Type of Inspection _�„ rrl < J �f c,-,
YP _
Date Requested /9 Time A.M.__ P.M.
Address __/L3 '3 %/ 7 u r C. Permit #
! ?
Owner __ Lot # _
Builder C_I 1 CY-�—L.�'S
The
following Building Code deficiencies are required to be corrected:
Presented to _ (� Aprdved
Inspector ( Dlsepproved
Gate _1 Z
CALL FOR REINSPECTION
LYES ONO
INSPECTION NOTICE
City of Tigard Building Department ~
P.O Box 23397 �' 1
Tigard, Oregon 97223 \\\�
Phone: 639-4175
Type of Inspection _ \�• '��Ll L 1 f) r f u ���.
Date Requested Time _ A.M. P.M.
Address 112-2:7- Permit #
Owner < < f J L 'Let # I C,( C{-C_uE-7
Builder
The following Building Code deficiencies are required to be corrected:
r
e__.
02
Presented to Wpp
ed
Inspector ' hepproved
Date `
CALL �F�ORR REINSPECTION
l� YEf ❑ 110
UUTJM��1-
i
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
igard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested //- x Time.---- A.M._ _ P.M.
Address �� � . =»^~v..c ti_ =� Permit
Owner_ _ . Lot # 7 7
Builder» Y _ ____._�_. _-_ — --- / -7 X -�
The following Building Code deficiencies are required to be corrected:
Pres •ed to _ Approved
Inspect.,- Disapproved
'1 � � Disapproved
Date / - z 94-
CALL FOR REINSPECTION
YES 11 NO
`I
I
1 W IIP IN .Its! t INM W E
11.0o p Y1 INSPECTION NOTICE "
City of Tigard Building Department
P.O. Box 23397 r
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —..—_—
} _,_
Date Requested __ LJ Time �_ A.M._ P.M.
Addeo;s i�1�� ��L '�'�'j J- Ljf /
F l Cc'Kms:. Permit #.4 J `7
Owner Lot #,
Builds
The following Building Code deficiencies are required to be corrected:
Presented to __ t Approved
Inspector Disapproved
Date ,. Z_
CALL FOR REINSPECTION
❑ YES I:1 NO
- M . ] ' . - I ..
CITY OF TIGA RD I
PIPMI
ET NO � DIA381 134
Crim
COMMUNITY DEVELOPMENT DEPARTMENT DATE 155(JLD I.J. / 1.0/09
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard.Oregon 97i23 (503)6394175 PPIM V,Ml' NO Of 3 I. 13 ZI
,.W]F; ADIIJAE:SS : 15W SOMMER LAKEK DA
fl"%X MAP/I OT `151JE'4: 15LIMMIEP L.ol<L. L'I :38 SK :
I. AND LIUE : ITIPI)
I. ITI, !iIZE.' : VALLIATION : 6'el 'E111. SELTHAKIKS
F'NONT '2 0 PEA14
WORK C.I ASS : NF*.:W DWEII L . UNI.T'i I L EF T 'w Ax.c.I-i'r
TYPE: : S1'N(*..*I.,+.' I*:oMJA..Y NO. ElEED1,40011,15 : E*.X 1' . WAI I It'.11ONG1
C'UNST . T'YPI:-- : VN NO. DA I I-15 i-2 N: 15 : F.:: : W
0C"L'LJI::' . Gpp . : PZ5 MOT .Of'ZN:I:NC;G .
TOTAL APEA : VIM$
'OWT :
NO . S RIP 11 5 : I. G FTPF: RE'A"?
HEV'.111-4*11 1411 PNIJ: APE A
V
PAi!5I;.:MV-'.N T"? :3671:) 1:46 T"iii
MI:'-.ZZANTNk*:'? RASUIVI' 'I
V 1..•(:0A I (JAIJ: 1140 f A R A G E: XV40 FIRE ITAL.Apml?
F;L.Ow 11 G PM YES
111VAT TYPE- G,AS I-IDCF'
1,t HAPWR :
PEE ISSUE OF ND.
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AN PE 13 c2' 0
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C li-II-IONE (503) PA41- 9311
T
0 :35 5 3"'1 ITITAL. 11''I. ,15.57
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14ETWI6IT NO . /C)ILI "34
This permit Is issued subject to the regulations contained in Title 14 .•'•"•"""••'""""'•""""•''•""'"'""""""'...
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby F DOTING, SLIAIEP
agreed that the work will be done In accordance with the plans and FOUNDATION WAL.I... AAIN UPATNii
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive 11:-TIST & MEOW WATUP L.'.I.Nr-.::
covenants Contractor and subcontractors Shall have current city PI E4 LINDF-EPSLA13 111w1'1'y APPKIII/Sw
business tax permits. This permit will expire and become null and SI A 8 F T NAL
void if work Is not started within 180 days.or if work is suspended or 1:111-41 . TOPOUT
abandoned for a period of 180 days any time after work has I*1.4 A M T N L",
commenced It shall be the responsihi I I the permittee to assure
T,
Fill required i lionsa are requeste and pproved F 1 131-ACAF
GW5 L IN F:
TN901 Al :1 ON
G y P, CIDAPL)
Permittee Signature
1--tied Ry ILALL, I. UP, INSIoL.LTION 63Y....4172i
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWE-4) Pri.Allil. T'
I NO SEScil.707
CITY OF T IGA RD OF, fro
COMMUNITY DEVELOPMENT DEPARTMENT 11/10/88
C4-i
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 91223,(503)639-4175 C_ P P 3:M. ISM T ,NO . ast'73A
JOB AIA7I:','L'Ki5 T 5W !:01MNVA:l 1. 11111:: 1.4" USA NUME)Ell : 03 6 A ra 8
TAX MAP/1._17'1 LAKE. L T : i"rK :
LAND 11511:: : R'71::'17
I,wl::, . nw.
W(:)PK NEU
1P-A:1 TYI--.,E-.' : E."UNGLE 1::"^M.1'1..Y
:0,20 frril" thwa clatte :1.1114m(eti . T'he tc)t4s.l.
m in(:)I I I It p Ilvi.(:I W.1 T 1 1.)v -111:11•-It Q:d. 1.*-a(.1 :1.f the j-)erm:I.t axr)J.rvmn . I'he Aclfwrit.-y ciciem ricit jAt.illtl
c) r i'he? tiv.-M.1—till-i 'Cif thf'a 91J.cle Ineweir 1aterm.J."I . 1: 11 0-le, lilewe'l, :!.%
lat t'I)e I'lle 3 -Ffi�lrilt J.1.1
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1:)o r c ti at m v mi m 1:) ot n(:I ci-1 (.1 S ew(;.!r in:I I. at I i(1 -1,I'l IF.! A 9 e 1-1 c'y W J :1.T :1. .1.3. al, 'I ilt t'c.)r lit 1.
TYPE: �&.1XIEF4 J:MIA-:'PV:RA-J5 APEA :
FIXTURE UN11*5 TMPP0VEMF:N'Y
DWEL.L.ING UNITS)
NO . OF E311. OGS I.
.............
DON PE."DIVITT
1: Ht'.)X 1.932,14 CONNI: CAAA141(*.;E.: IU 1. 1 C'0 0
rd
1�(.11 1,1411110 I.A.N14. TAP T.NSIAL.I... ,
11()1:4 3: L y 11: DON
N DON M0111155EATE" RUTI DEW5 114C
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R Feta DOX 1.9111)2/1
A 97�.?19
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0 PF:(3T.5Tr1A'r1ON NO . r(:)1' 41 1. {I9:'1 Op
This permit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 14EQUY114-0 TISISPECT1ONS
and all other applicable codes and ordinances, and it is hereby I N
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this perm,t does not waive restrictive
covenants Contractor and Subcontractors shall have current city
business tax permits This permit will expire and become null and
void It work is not started within 180 days,or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all reiluired inspections are requested and approved.
Fermin , -4gn
re
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OFTIFARD C��6 PERMIT NO - ME'.00:1.786
Cff�Y4�0
COMMUNITY DEVELOPMENT DEPARTMENT 11/10/08
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 NO 0:1431.7 3 ZI
JUIA ALWPECOi . Lli"N21 $w SUMME:
A! I..AKI'r*: Oil'?
I'AX MAP/I SUR: SUMMI::11:4 I Al<l;:. I I
I AND USE: PIPID
L.01, SIZE. :
ITEM W.) N
W(:)PK C'A.,ASS : Nl-.:t4 F1114NACE <1001< 1. AIP HANDI—P <11.0
USE TYPIF : 15J:NGLA.:.* F'AMIL..Y F-1JIVIINACE: :1.001< 1. HANDI 1:1 :1.0 K
CONS T , TYPE : VN F1.001:4 F I.JPNA(*F-.: Ii:VAIN. C10011.1J.4
VICCUP . 131:11P. : 1-1:3 I-IFEATEP
..:N'Y* F0
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<31HP HU1011.)
NO , KFTOPIES: 1. TN(:':1:NFPATI"1rh(D0M
DWEI. I... . UNT'T'So . :1. T N(.',:I:NE PAT014(COM
1:tWA.. 'I YPEE GAS DLAWCOMP Z.50-50HP WF.PATP UNITS
MAX . I N PU T' 1?1L..R/(:10MP 50 +14P c).1,11-1EP
I IPE' DMPPS'. (.'-)AS PIPING OUT1 E_*TS I.
1_0141 PAESS,
1.MA H K S
F:.ES :
0 MOR I SSE.11'r-_' $10 . 00
W 0 X J 9 15 R lei
N 1:4.-AN PIF"VIEW 11119 . .'40
E P cl I.-t 3.ill I-)d Ll r, FTX*T1JPVG *e,r .!50
R STATE TAX $ Ss
('11THE14
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N UE:11.1. 111EATT.W., INC,
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R rLAZZA f)vFr
A It'I ACKAMN1
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T 1-11-4(11SILK (.1503)
0 1:41!*'t.'-,:I*!:i'Yrlf)'I 'rt:)N 140. 1,17
R 01,AL..: $18
L-A
IIF I(AH"UPT N(J . 1614 Y
This permit is Issued subject'o the regulations contained in Title 14 .................
of the TMC, State of Oregon"Pecialty Codes,zoning regulations PF:Q1 IPE".1) TONS
and all other applicable codes and ordinances, and It Is hereby (;;(tri 1 :1 NE
agreed that the work will be done in accordance with the plans and mni T 9
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POUGH
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 days.or it work is suspended or
abandoned for a period of 180 days imp after work has
commenced. It shall be the responsibili of th permittee to assure
all required ins ctions are requested nd ap toved
Permittee Sign tur
Issued By- I. I Uk I.NSPLUTILIN 632-31 75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY'OF TIGA RD I'LUMBING, PEPM1 I
V'IERMT F NO, : PIA301.785
C"YOF'"M
COMMUNITY DEVELOPMENT DEPARTMENT ORMN :1.1 /10/1:18
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 11 P.T.M PM T .NO . 80173141
0 H 0 1.)D A E'.S G . JAP�.?f !:JW SUMME-34 LAKE DH
TAX MAP)/I_.OT SUE-3: SUMME34 LAK ' LT : 38 HK
I AND USE : P71:10
LATT SiTZEK:
T TF-M NO W.)
WORK 0 ASS : NEW WAIII-14 CILOSE'.1 TPAP
USE" TYPF : $INc..A..l;:' P AMIll Y UPINAI., BI<F'I._0W 1:14VINI 14,1
CONST . TYU'Ll' VN 1 AVU111:4101 f(111.4y le.'! TPA V., I:)I.",J:MI::.j:4
C.,PI1 . P.3 TTJIi 5iIAOWEA:4 c*-,1.4 E, 1'1.1 A V,
DISHWASHEP J.
NO . STOPIE5 I WASHIN(I MACIAINE:. 1.
OWEA.J... I.INT T'!:i J. LAUNI)PY I*PAY R1 I)GIA)PAIN
FL.00141 DROIN
SINK
WA*1'1: 1.-4 IAI-.*A'T1-::P :1. !:1 f'01"M PA 1:N (I I 1.
0 tic)"I S U T I F LK.11"I PEAMIT $1 1, I 1130
'N p f3 EAU 1,95i'll
N
c. P c,r-t.I at ri r1l
R STATE: TAX 130
CITI N
0 C SI-Ic .A
KAKER 11-410111:4(:11 1.)
N 15HOEMAKEA' S PLAIMBING
T
R p 13 FAM P50
A e.!otw.c�adm. til, 970F?"3
C 7
T PHONE. (.1503) 630 7728
0 NO 39P!'P i um 1.., $10'3. 3R
ni-"c.Exr)'r NO . &)ILI v-
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations PF;:QLJJJ1F,:.*D T NS (INS
and all other applicable codes and ordinances, and it Is hereby IuI. D I.I N DE.P 5L.A8
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and POS T a BE Am
ordinances The issuance of this permit does not waive restrictive WAI IT.P L 'I NL
covenants. Contractor and subcontractors shall have current city III_8 . IT)POUT
business tax permits This permit will expire and become null and PATN DDA IN5'
void If work is not started within 180 days,or if work is suspended or F'11 NAL
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibik of the permittee to assim,
Ire ections are request a
all require F:7papproved
permitto _'�l
ETION 639.-Aly-ri
Issm'd By ui'll I I'CJR INSF2W
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17YOFTIGARD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT CriY0t�T1G.4RD PLAN CHECK # `
»12S SW HM Blvd. P.o,eor r3Js7 ORES PERMIT #
.a yon 3(50 )879-„75 DATE ISSUED
JOB ADDRESS: UTAX MAP/LOT
SUB: `w6VIVA& C Ice LOT: LAND USE:
VALUATION: 1 y�.;�
OWNER SPECIAL NOTES
NAME: 3� I ► ID _ I �' L a ' REISSUE OF:
ADDRESS: .` LAST REISSUE`
L ` FLOOD PLAIN/
1 —
PHONE: q/-� -
_ SENSITIVE LAND:
� -cJ Ste_._ .--
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:
ADDRESS: _ FIRE DEPT
OTHER: — ---
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ CALCULATIONS: —
ADDRFSS: _ TRUSS DETAILS: -
-- —�_— — PARKING PLAN: _
Pt�ONE: --- --- LANDSCAPE PLAN:
--___ OTHER:
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees 3 ,;Y,
10-431 00 Plumbing Permit Feeszz.,p
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building / , 0 (3 —" - —3
Plumbing _
Mech
10-433 00 Plans Check Fee
Building --
Plumbing
88i7�7Mech
30--2.02 00 Sewer Connection �Lr--
30--444 00 Sewer Inspection 3S ►'�"'
51-448 00 Street System Dev Charge (SDC) /Q O
52--449 01 Parks I ^ystem Dev Charge (PDC) --
52-449 02 Parks I1 S,fstem Dev Charge (rDC) ---- -r`
31-450 00 Storm Drain,ige Syst Dev Chr•g (SEDC)
10-230 09 TRFD
10-230 06 Washington County Fire #1 (95X,)
. 0--220 00 Amart-Nedgewood
TOTAL Uzi S2
3`7
APPLICANT SIGNATURE - -
Received By: L�
ht/3587P/18P Date Received: