11312 SW SUMMER LAKE DRIVE I
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t> CITY OF TIG RDOREGON
t BU890796
k� -s
- Don Morisset�e -Permit No.
Owner:
Box 19524, Portland, OR 97219
Address: - — t �
Building Address: 11312 SW Sunmerlake Dr.
r � 4i
Occupancy: R3 Land Use ZonePD: R7Bldg. Type
Comments:
S einber 9 89
( ;_ ', Certificate is hereby given this 29t'z day of _ept_ , 1
S, u1 p�; � pY1Y
� i �
' that said building may to occupied and that it eorzplies with all Y
.ewairements of the Building Code for the City of Tigard, as approved
i= _ y
by the Tigard r;ty Council. Mi
Fire Dep . Building lnupec
/�
Building Official
q __ ai7 �'e3•rr�'
/ t
(\/ Poet Certificate in Conspicuous Place
`' N�' 'V ¢r fii3�i
� *;t iilJ1.I ~v�� �( 4 ��
... _• T '+-!r$'N'� 'y� _r�� . i.� .,uJf V#�i, fi. ^X ' 1, Y f ,
\ 1 ...: �� � �.�,� ..'-� s _a._ J_.i"i• .,r1s- . r sr'�...•:.r �
E��.i.G_�_. \t... ��'S Y .. � ��",.°ti"i"nil �,�,rw'��r'"�'mn�+i.. ,,,.•ed.�-'
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
v,
rt Type of Inspection
Date. Requested Time x .A.M. P.M. -
Address _ �� 3 f _ i - ,P 2/'� .�! P"'it *-4
Owner Lot #
Builder _ :f�L ��/ 1•f
The following Building Code deficiencies are required to be corrected:
_ I
Presented to
Inspector � � [] diapproved
Date
CALL FOR REINU'PECTION
❑ YES 0 NO
INSPECTION NOTICE
City of 7,gard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
_ A•
Date Requested _�� Time P �
Address Pe.mit # r!
Owner Lot # __
Builderr�1'll- -23d"!� ���
The following Building Code deficiencies are required to be corrected:
Presented to _ 1 pr
poved
Inspector I I Disapproved
F -
Date - -
CALL FOR REINSPF,CTION
C7 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Z,/Jp «C- *�
Date Requested �� Time /•!— A.M. P.M.
Address . �� 3/ Z j fit/tCt m,,11-11 21 Permit #r C,)
Owner Lot #_
Bi,ilder �z/' --- -- —
The following Building Code deficiencies are required to he corrected:
Presented to
– � Approved
InspectorNor[� _._ _ ❑ biapproved
Date
CALL FOR REINSPF,CTION
C7 YES 11 NO
INSPECTION NOTICE
City of Tigard Building Department
P.C. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectionLA
Date Requested fC
q _�.Q Time X A.M. 1�/P.M-.���/
Address _( � � _moi C _ pe mit #f�� 1SL
Owner _�. Lot #
Builder ZtLL( :4yz �
The following Building Code deficiencies are required to be corrected:
Frisentrd to Approved
Inspector �_] Disapproved
Date ( — ----
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 23397
Tigard, Oregon 97223
Fh9ne: 639-4175
Type of Inspection
Date !requested Tuna A.M. �P.M.
Address � � c.— ,�. "'7.gs11� � Pe;mit *-92.0 7 �
Owner _ Lot #
Builder. ,y-� // / l77.l.a.Gd�Cif�'1 _ --' --- .--
The following Building Code deficiencies are required to be corrected:
- - - -- —
Presented to J Approved
Inspector _ [ Disapproved
Date --
CALL FOR REINS;ECTION
0 YES f._1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
-Tigard, Oregun 97223
Phone 639-4175
Type of Inspection
Date Requested �_ (� Time "L- A.M. P.M.
Address __ � L �' -;fir rrtiit # -
Owner _ Lot
Builder _
The following Building Code deficiencies are required to be corrected:
_ / __
1- - -
Presented to
Inspector _- oL'_—� .. Disapproved
Data -- l �f' - ------- -
CALL FOR REINN 'bXT ION
.�'' YEI f_-) Iva
INSPECTION NOTICE
I� City of Tigard Building Department
�J 7v P.O. Box 23397
//T Crflnspection
"v/�'` Tigard, Oregon 97223
(/� Phone: 639-4175
Type _.._._ L��'L-'�----�—__� ��•'t'�" ��// _
Date fiequested� --! —�—__ Time N.M. ,Ga—P.M.
Address
jam' =t—__ Permit
Owner ----— -- -- — Lot ..0 w
i
BuilderThe following Building Code deficiencies are required to he corrected.
'� - .(/�-�_ ..•—fes _ —
t .QClci` .L.,. C/7 //YYt✓
<~ ? , Ct G}f:
Presented to Al roved
Inspector _fib _ W Dlupproved �,�1h��✓`�
Date
CALL FOR REINSPECTIOA
0-�FS ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-n1-5
7
Type of Inspection —
Date Requested Time_ A.M. P.M.
Address �Z—�',e — Permit #
Owner Lot
Builder .The following Building Code deficiencies are required to be corrected:
Presented to
Imcpector __ �J— _ I Dimpproved
Date — - -- —' '
CALL FOR REINSPECTION
0 YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department CP
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- JL�-e y` -
Date RequestedW a _ Time �.M P.M.
Address �.� �v1 %i� z,,� C� Permit -
Owner.* Lot #
Builder
The following Building Code deficiencies err required to be corrected:
Presented to Approved
Inspector ❑ ^�sapproved
Date '"— �'� _
CALL F4 REINSPECTION
0 YES [—J NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
—Phone 639-4175
Type of Inspection —
Date Requested... — Time_ A,M._ .P.M.
Address J Permit # �
Owner —� _! lot #
Builder
The following Building Code deficiencies are required to be corrected: ,
Presented to _ _ Ll Ap roved
Inspector 1 .f __ -_ Disapproved
o —
Date --
CALL FOR REINSPECTION
YES ® NO
May 30, 1989 (T4
A
RD
Don Morissette OREGON
Po Box 19524
Portland, Or 97219
RE: AMART Charges
Dear Don,
Our records show that AMART has been pair] '-n full.. The following projects
reflect an over payment to this account, and subsequently a refund has been
requested.
Building Permit #
12650 SW Springwood Dr. 360.00 890403
11209 SW Summer Lake Dr. 360.00 890177
12778 SW Sorrel Dock Ct. 360.00 890398
12665 SW Sorrel Dock Ct. 360.00 890402
12654 SW Sorrel Dock Ct. 360.00 890803
13270 SW Laurmont Dr. 360.00 890404
13045 SW Tamera Ln. 360.00 890384
12:'56 SW Sorrel Dock Ct. 360.00 890401
3.2701 SW Sorrel Dock Ct. 360.00 881733
11312 SW Summer Lake Dr. 360.00 890796
12621 SW Springwood Dr. 360.00 890798
12663 SW Springwood Dr. 360.00 890799
Total $4,320.00
All pending projects have beEn adjusted to reflect this change. If you have
any questions, regarding this matter, please contact me at 639-4171 Monday
through Friday 8:00 am to 5:00 pm.
Thank you, / n
Nancy B.(/White
Building Permits Clerk
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)6394171 —
— --- -
INSPECTION NOTICE
C O Pin-) City of Tioard Building Department
P O. Box 23397 l
Tigard, Oregon 972.23
Phone: 639-4175 II
Type of Inspection
Date Requested �i l Tlms � A.M. P.M.
Address �.:. �- — �l 1==1 l l ti 1 l.f. Y Lc /t'�. Pormit *E9(279
Owner_ __- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
i Spector r Disapproved
----------
_ ,7
5
CALL FOR REINSPECTION
YES ❑ NQ
Pl—UMBI.M.'], PEPM11
CITY OF T'��RD �CmVIEVIMIA' NO , 1:11 1:1111085V-5"-Wftt, 1.1 ,11IJED: 5/1.4*-�/09
COMMUNITY DEVELOPMENT DEPARTMENT 14110004
1711-41M . PMT' . NO. 0I.P0796
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
J10114 Al')DkEGS . SW SUMPIFALAKE DP
'TAX MAP/1-01, 1.51 331011.) 1.2600 !:;1.113: SUMME!:41 AKV. I Bl<
LAND WiE: 1171:)D
I OT SIZE: :
TEM
NO . NO:
W.44K CLASS : Nf.:'W WATEP CA 0 S U.- 1 2 'THAV.
USE TYPIE' : SIWA III`. FAMIA-Y Ul*41NAI HKF'LOW 1-.)1:4VNT*I!'!
GONE)"T' .TYPE' : VN LAW)PAII)PY 1.141AP PPIME.P
Or.:CUP .GRP. : R"i T 11H SI-40WI:A I'PAPS
D]'C.*)HW0SH1:J4 J.
DISPOSAL 1.
N(J . 1:01)[MES : :1. WAtint-11W., MACHINE 1,
DIAVA—L .UNITS : I I AUNDPY 'T PAY H1 0G . DRAI.N ( L)IA
FLOOP DF4A1N
SINK 1. SIEWEP (F,11
WATE-P 11-111:•:A11:44 .1. STOPIM/PAIN (VA'
PIEMAPI(5 :
FEEF.
0 MOW,SSFAIT: DON f."ERMIT $1.11 .50
W 1:)(3 140X 1.952.11
N put r•t:I in.ri cl c)1" 97219 FIXTURE-i'S
E
R PHONE (503) PA4-9*314 STATE- TAX 5, EW3
OTHEJ-4
C SHOEMAKER HAROLD
0 SHOEMAKEA' S PLUMBING
N
T p(3 IMIX E250
P
A 1:1r• 9702.3
G PHONE (503) 6:30--77 ERR
T
P
0 k.:(.v'1S1PAT1:ON NO , 39P2 TOTAL. : 111111123.38
R PCE -IT 13NU. /038
EZ ---I)
This permit is issued subject to the regulations contained in Title 14 PE.E.QUIREA) TINSPECT'CONG
of the TMC, State of Orego�.Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and It is hereby PI-P . UNDEPS1 AR
agreed that the work will be done In accordance with the plans and POG t & REAM
specifications and in compliance with all applicable codes and WATE44 I I NE
ordinances The issuance of this permit does not waive restrictive PLB . 'TOPOUT
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and PAIN DRAINS
void It work Is not started within 180 days.or if work is suspended or FJ NAI
abandoned for n period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Ti %. clions are requested and approved.
Permittee Signature
(Al I I. OR INSPEX-TJON 639 zi.l. I
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CI7Y OF Tf GA RD F'EPHTT NO . : ME13900'56
CITY01IFTWARD ISSUED : 15/1.P./89
COMMUNITY DEVELOPMENT DEPARTMENT 09190N F'N-I'M PMT .NO . (390*71)6
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 9722.1.(503)639-4175
JOB ADDPIH*!-.i!:i : 1131�2 SV- . 0MMI':-*AF-NRT..--1517� -
TAX MAP/l. CIT *33AD 12600 SUB � SUMMIi:.PL.AKE L T* . 7 UK :
I. AND tJ!5F*.*: 1:47PI)
I.-OT SIZE :
NO : NO:
WOPK C.1 ASS : NEW F-*I.JPNAC.F-' (1.00K I. A'14.4 HANDI-W (10
IJSi;.: 'Y'YPI-::' : SINGLE F*AMILY FURNACE 1.001<-I- AID HANDLP 10K
CONSI . 'T'YPE: VN FLOOP F11PINI A- CE. 1:i'VAP . cool F 14
OCCUP.(:PP. R3 VI T FAN 2
VENT VF.N*T' . SYS11-i'M
1311-14/COMP (3HP 11-41)(11) 1
NO. STOPIES 1 01 P/C,OMP 3 :1.5 H P NEBA'T'OR( DOM
tJN):'T*S : 1. Of P/('.'(:)MI.) 1.5-30HP I.N(IINEPATC)P .('.,('.)M
I I F:L TYFE GAS 30----50HP PEPAT.P UNT Tl'i
MAX . INI-ATT' Cii P/COM101 !--)04.1-11:1
F1114 UMPR51? (.,A!:; PIPING OUT1 li: I-t:i
FITC,1-1 PPES57
PEMARK!:i :
M(:l11 13 S r-*.*.'T'T E DON 1:)E PM:I'*T* $1.0 . 00
0 rm WI...AN 31:3
W
N P(3 1-t I A1-1(1 97 f.?1.9 30
E PH(-.)NE 11,503) P.-till 931.,(l !STATE: TAX
R 00
(31THEP
C
0 IBEI 1- HEATINC, INC.
N
T 15!'550SIi;: PIAZZA AVE
R (::1_.ACKAMA5 OP 9701.5
A
C PHONE ;503)
T NO. 4el-7 TOTAL.. : $Ae . 76
0
R
r-ir-CETP - NO. SZ- 3
This permit Is issued subject to the regulations contained In Title 14 miPECTICINS
of the TMC. State of Oregon Specialty Godes,zoning regulations
and all other applicable codes and ordinances, and It is hereby C.-,AS LINE
agreed that the work will be done in accordance with the plans and UIOST Br-,,,.(.)M
specifications and in compliance with all qlinlicable codes and N
ordinances The Issuance of this permit does not waive restrictive F TNAL
r.overients 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 if work is suspehded or
abandoned for a period of 18J days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required tions are requested and approved
Permillee Signature
Issued By: 516d I CALL POP INSPECTION 639 4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Sl--`�WEP VIELPM]"T
CITY OFTIFARD I:)l::'PM'l'T NO GI:.:'.(390(35 7
WYOFMAN)
2
COMMUNITY DEVELOPMENT DEPARTMENT 04100141 15GIIJUD I 5/1. /09
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 1::'1:4 M . P'M I NO . 890 796
%JOJ ADDRESS : 11.31J? !.iW 5UMMI:::141 AKE DP NUMI--'K.*.P : 03751r'
TAX MAP/1_.01' ISI 33A1:) 12600 S(. B: 5LJMM1:JU A K r-;* L.T : 7 DK :
LAND USE : 1:47PI)
1-01SIZE :
'T*:I:UN: 31*5 TWIP : 1 GiNc. 1.w
WORK CLA55 : NEW
tJSI"-: TYPE: E 1="AM11 Y
The With all 1-mle% arid c3 i' the L40.
Fiewe,rnge ogeiicy . Thr.-.1 U.20 day% fi-(31n thic..? cliatip I.mmue(i . The tl:)tn,.I.
nkinmi.trit piaJ.d wi.11. 1:)vi J.41 the expl.rem . The Aclericy ClOefl; I-1113t (MaLl
iiLntee the (1.1' the c)-r- the sij.(Je merwer 1.41iteraLlm . If tl-1(--:? -sewral, Ji.!ii
ric)t Icicattecl cit the inemil;t1rel"elit JJJ.Vell ' tlllvi± :0-itatial,'Lei- vihia.11 ',3 fviiet :;.rt
ELI 1. d i r(-i?c.,t:1.(:)ri ill, T i-a in t h" (:I J.ill tin. g.i.Ve i-i . I f ri ci t %ri 3.ci c,a t.(-i?(:11 , the. :Lviiiitiallsoi- !fl-1iii.11
vl.ricl the-? Aj4*-.iri(.-.,y w:i '.I.:I. J.uimtial'l. iii, late±r,iikl .
INs rALL. TYPE : BUILMING 15l'rWr.*.:P TMI.-AE.11:11JI1:(AJ!, (1114E.A .
F*1X1'Ul:4E UNVY'S : TIENANT :l:M1::'ROVl.:.MF::NT :
UNIT'S : i
N(a. OF:* L-31LA)GS . J.
0 DON PE111,11T 00
W
N 130 13OX 1.9.52-'1 CONNF-CTION CHARGE. $3. 1.00 . 00
E p 1:1 r t:1.at 11 Cl 13" 97%31(? I.. ]:N[.:' TAP TN!:)T'Al L.
R
Pli-IONE (503) i.it,MAI—9 13:1.dl
O'THE'R $360 00
C
0 MORISSETTE DON
N
T DON MORN:SSIE-1-Ilii: 8LJ11 1:)I:::RS :I:NC', .
11 pa BOX 1.9152-1
A P 1:1 (:1 cir 9721.9
C
T F-11-1101NE (503) 2-414-93141
0
PEGT.SVTRAIA.LIN NO. 33333
PEI:3�'.-TPT NO. I0 c--
This permit is issued subject to the regulations contained In Title 14 ..........
of the TMC, State of Oregon Specialty Codes, zoning regulations REIRLYE111H.:11) IN'51:31H.-J-1-1UNS
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done In accordance with the plans and ROUGH I N
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
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 if work Is suspended or
abaridnned for a period of 180 days any time after work has
cr mmenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
--
Permittee
S nature
Issued By 4—I.A+-4-- 4-014 6:39 qt*f,5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
114:11MIT NO . : 0U090796
C'TYOFTIIFARD
CITY01IFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT
011100" TE1
. 551miu11
): 14 0 9
�
DA
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 P P I.M 1-'M'T'.N0 090796
—OD ADDP[.:.(:,)S : J.:I.,*.JJ.P SW Si OMME.01.3)KE-K 11)[41
1
I AX MAI:.1/[..c.)" ..1 51. 3'.301) 1 ..-2600 'A.Hi! AK L' L.T 7 RK
I.-AND
I SIZE. VAL $ EVI 505 S E.114 A C,K S'
F:'RONT 20 PEAR 7
WORK (:,L-ASS : NEW DWEI L .UN'1*11*15 LEFT 11. P I GHT (21.
U'5E.: TYPE: SINGI V' P'AMILY NO. BEA)POOMS : EXT . Wol I CONST :
(NINST . TYPE: VN NO. BATHS : 14*2 N E : W
O(:',C't-JP.GRP. : A3 PPO T . OPEWING15 :
(H,C'UP .LOAD N W
1*01 AI 1:4 E A. J.19 I.5
NO. STTRIES : 1. 1. 5T : :1.915 AOOF-- CONST : C, FIPI E RET'?
HEAA."HT : 6 2ND : AREA 5E:: PATEJ) :
BASEMIEN'T"? 3PI) : . SLKPAPI? 1:4 A VE 1) .
ME.YZANINE7 BASEM—I
q 0A 1:4 A G I F., '100 I--*Ir4E SPPKLP*? Al..0 RM
1`L..Ow(GPM)
Iii:FAl T*yl:)I:-;* : GAS ACCKSS? conw?
11 AN C'I--IE(. K BY: I-sit
REMARK-i's .
rici,nisuE OF:' NO.
I-AST PEISS(.1I
MORI Ssv.:T*T*F---- DON
0 PERM I T* 1111138f:3 . 00
W F)cl BOX 19t)2/1 PI AN REVIEW
N $10 . 00
E P(.1 r,t I ILL 1-1 d lar 9*7..11.9 F*11417': DEPT
R PHONE.' (303) STATE: TAX 19 . 40
UTI-417.,34
DEVE OPMENT C'HAP(*1I"-_:S :
C M 0 P1.S S EK,TT F: DON C I
0 S,ruom 1111250 . 00
N DUN MURISSU'TTF: 111111 DEPS INC . $600 . 00
T P 1.1 BOX 1.952A
R 41250 . 00
A F)a 97P19 PREPAID < $,q0 . 0()>
C PHONE (303) 2Jq--9',3J.,q
T
0 AE(.*,:I:5TPATI(:)N NO. '35533 T('TToL. : 111113. 113 07 . 411
PEUE I P*T* NO. % 'a-0-33
This permit is issued subject to the regulations contained In TRIP 14
of the TMC. State of Oreon Specialty Codes, zoning regulations PE( I-1331EL) INSI:)FA:,TIONG
and all other applicable codes and ordinances, and it is hereby NO S;EK W I,:,P
agreed that the work will be done in a�cordance with the plans and FOUNDATTON WAl I PA IN I)DA"[W-5
specifications and in compliance with all applicable codes rind
ordinances The Issuance of this permit does not waive restrictive POST & HF.-.:AM WATE r4 1 1:N E*
covenants Contractor and subcontractors shall have current city PLII- . LINDIF.'PSI—AR CITY Ar)Pp(:11.4/!.
.1W
business tax permits. This permit will expire and become null and SLAE) F:':I'.NAL
void if work is not started within 180 days,or if work is suspended or PL.8. TOPOUT
abandoned for a period of 180 days any time after work has F"PAMING
commenced. It shall be the responsibility of the permittee to assure
all requl ons are requested and approved F: 11.1 E-P,L A(:I F.-
GAS LINE
T.NSUI AT I ON
GYP - SOAPD
9 .
Permittee Signature
Issued By CAL.I.- F;*0P INS11E.:CTION A39--il m
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
s
CITY OF TIOA RD PLAW CHECK APPLICATION
cmrarn GARn PLAN CHECK �-
COMMUNITY DEVELOPMENT DEPARTMENT \ PERMIT N _ D
aizss.w.wAnj'aao.aa■2s"y.'ii.na.0KV-S-M.(s03)r,39-4in DATE ISSUED ,-
►Ax MAP/LOT
JOB ADDRESS: 1 1 1 Z- S w SuiMrnCa212
SUB: v,-_� LOT
v�l : 1 LAND USE
VALUATION: -
SPECIAL NOTES �
OWNER 1%l lj ��1 /�,� __ REISSUE OF:
_
� LAST REISSUE:
ADDRESS: U ` FLOOD PLAIN/
{ x172/ (1 —
SENSITIVE '-AND: _
PHONEC y ) APPROVALS REQUIRED
PLANNING:
CONTRACTOR _ ENGINEERING:
NAME: -- FIRE DEPT
ADDRESS: __ OT14ER:
--- ITEMS REQUIRED
PHONE: LIST/SUBCONTRACTORS: _
BUS TAX: -
ARCH/ENGINEER CALCULATIONS:
NAME:
TRUSS DETAILS: _
ADDRESS: PARKING PLAN:
LANDSCAPE PLAN:
OTHER:
C(ftiENTS: - ���L
PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. SIAL. DUE
10--432 00 Building Permit Fees —
� �.LL��-J
10-431 00 Plumbing Permit Fees -13 7.15v ,Sy
r 10--431 01 Mechanical Permit; Fees
10-230 01 State Building_Tax (5X) o)_ 7'/ ---�'-
Building
Plumbing
Mech
10--433 00 Plans Check Fee
Building CJ
Plfimbing
Mech
1 -- / &�-
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Oev Charge (SDC) oD
52-449 00 Parks System Dov Charge (PO(,) �`�� -�''_U
31-450 00 Stone Drainage Syst Oev Chrg (SSDC) __ 1y U
10-230 09 TRFO
10-230 OG Washington County Fire N1 (95X) ` �
10-270 00 Amar•t/Wedgewood - � 5'4
,
REC N
APPI_ICA IGNRTURE
1Received:
Received By:
�� _ Date
cn/3587P/18P