11581 SW SHOREVIEW PLACE w
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11-)J.t SW SHORE.V.'E'W PLACE;
C 1Y OF IFARD AD
COMMUNITY DEVELOPMENT DEPARTMENT 1 '7�
C
131Ni SW HWI Blvd. P Ba:23397,Pgam.or"m 07223 (503)604175 7ERTIFIC1.41E.. tjf
— OCCUPONCY
41-7 A n
I'T'E AL)DREFAL 11581 SW SHORP)I E.W Pj-
-'�'UPVX VISION. . . . . pAfjx PARGEL4 14313JDD---04.300
BLOCK. . . . . . . . . . L01.. . . . . . . . . . . . . R 4. 3
CL-PSIS OF WORK, %NEW .......
T
NC ' Br.". I R3
UCCUPANLY LVAD 1224 4
7(-:NAN F NAME. . . l
PEA?parl�F a PAT14 I
Uwtier -
DON 111ORIBSETTE Bi.jror)p.pci,
15535 Sw mw,f RD. I Nf—
#201
LARL I:)-r"WU'60 OR 970315
Phone
DON
l'55',55 SW BANDY F'tr).
OSWOO OR 97035
.�t ra"'.
_ #I 6s'`"*0-75, 38
fircupArwy of t'll%? ah:lyp f'erellc'ef-1
tri.,'a rUmpli -21)('0 with tl-1,? St-,-at-e . given, Rrid C-oy,tjf-,jv!
and k.1ma wllj.c+,OF Specialty Cut-log fl)), 1,I)e
k-Oferencecl was
DEPARTWNT
1511.1!I I'l
ki 111-D11,11-1it
P057 AN CUNSPICUOUS F*-,I_1-4(_,E
i019T-M 1IOTM-
City of Tigard Build1Ing Department
7.3125 SW Ball blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Pinner 639-4171
Inspection.-_________ _- ----
Footing Plbg. Underslah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top cut Gas line FINALt
Poet/F -am Struct. San. Sewer F.. cming _Uldg.
Poet/Beam Mach. Rain Drain Insulation _Plumb,
Plbq. Underfloor water Lino V.fp. Bd. _Neck
Date Requestedt_ / ` _ Time: AM . PM
s., 1
Addrgset_— _l / �� ��". Permit #t��
THR FOLLOWING OORRECTIONS ARE REQUIREDt
InP;�rtnr• Dates
F/
n• ,nn rrn _ DISAFPROVED APPROVED SUBJECT TO AROVL'
Call For Rainsp.
.Ima:.r
jNSFxGTION�IOTICE
City of Tigard Building Department
13125 K'N Ba11 B vd. Tigard. Oregon 9727.3
Inspection Line ,Roc-O-Ph )':, 639-4441175 Business Phone: 639-4171
Inspection: . S
Footing Plb9 h derslab Mech. Rough-in i Appr/Sdwl
—_�
Plbq�"TOp Out Gas Line _FINAL-
Post/Beam Struct. Sai . Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain InsulatLon -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date RequesteJt�_G L L/aC _ . Time-
Addrees:�..,.? �l.� LCIS _ Permit #t ?,.2
Builder:_ — —
THE POLLOWING CORRECTIONS ARE REQUIRED:
Inspector.-__��t /TIdI S _ Datet�
-L'_t,P1'toVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call Fcr Rei,,ap.
I
I
INSPECTION NOTICE
LCE
of Tiqard BWailding Department
13125 SO Rail Blvd- ."lgard. Oregon 97223
Inslrection Line (Rec-O-Phone): 639-1175 Businaee Phone: 639-4171
Inspect.ion:—��«._a._�--
Footing P1`)q. Underela, Me7h. Rough-in Appr/Sdwlk
Found. Plbq. 'Pop Out Gas L.^e FINAL:
Post/Beam Struct. gen. Sewer Framing -B11g.
///
Poet/BeaInsul.tion Plumb.
m Mach. Rain Drain ( _ �--�
Hoch..
Plbg. Underfloor Water Line Gyp. Bd.
r�L L T ime s AM PM
Data rby:eateat� — –
Addreast r _ I u'- __ Fermit
Builder:_ _ -- —
THE FOLLC'WINO CORRECTIONS ARE REQUIRED:
4
Inspector Date:�L- '�L
YAppROVUD DISAPPROVED APPROVED BUB.IECT To ABOVE
Call I•or Retnap.
NF SPECTLOF: NOTICE
City cof Tigard BuiAdittg Depart m nt
13125 BW Ball Blvd. Tigard, Oregon 97223
I:rapection Line (Rec-O-Phone): 639-4175 nuaineaa Phone: 639-4171
Pcwting Plbg. underalab Mer.ic. Rough-in r' Appr/Sdwlk 1
Found. Plbg Top Out Gae T.lne
Poet/Peam Struct. Sac Sewer Framing
i Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lim Gyp. Bd. -Hoch.
Date Requeetedt Timer YAM _PM
i
Addreae: �!`� _ Permit 1r % --
T� f
Builders '—�--
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
a F C oNCQ Erie- 06.1
snepectort_11 7Y9 / Dater //-L7
APPROVED DISAPPROVED _V APPROVRD SUBJECT TO ABOVE
Call For Reinap.
AGPECTION NOTICE
City of Tigard buildinn Departmnt
13125 SN Hall Blvd. Ti.oyd, Oregon 97223
Inspection Lira (Rec-O-Phone): 639-4175 Buoinens Phor,e! 6?9-4171
Inspection:_ --_�-----.----------- -__.__--
Footing Plbg. Underslab Mech. Rough-i.: Appr/Sdwlk
Founei. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Main InsuInsuuXaation -Plumb.
Pl.bg. Unde-fl:wr
Water Lina .�` O� yp. Bd• - ech•
Date Requeetedr_ z�„ 1 Timst11M --PN
Address:_ �O Permit � Lab/
THE FOLLOWING CORRECTIONS ARE REQUIREDr
Inepe:tort
"PROM DISAPPROVED APPROVED SUBJECT TO ABOVR I
Call For Reinsp.
INSP?9rNOTICE
City of Tlgard Building Department.
1312 1
SW Hall Blvd. T:.gard, Oregon 977.3
Inspection LS.ne (Rec-O-Phone): 6.9 41,5 Busineus lines 639-4171 ,
Inspection:_----_ --
:ooting Plbg. Underalab Mech. Rough-i.t Appr/SdwIk
Found. Plbv. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Baam Koch. Rain Drain Ineuletioa .-Plumb. 1
Plbg. Underfloor Nater Lino �O �
Bd.---- -Mech. 'I
Date Requesteds �� yp* TimMT`r� tet• PM
Address: �_p - JAL '� Peron
Buildera-2&2i
THE FOLLOWING COM ARE RRQUIREDs i
j
Inspectors ,,:�_� Date:
-_APPROVED DISA .'RD APPPOVED SUBJECT TO ABOVE
CA11 For Reinep.
I�PECSION NnSIC$
City of Tigard Building Department
3125 BO Bell Blvd. Tigard, Oregon 97723
Inspection Line (Rec-O-Phoie)c 639-4175 Business Phone: 639-4171
I vapect ions
Fo4)ti.ng Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poe' /Boam Struct. San. Sewer Framing -Bldg.
Post,'Beam Mach. Rain Drain Insulation -Plumb.
Flbq. Underfloor Nater Line ayp. ed. ) -Mach.
Late Requested:_ I D Timei _ F.M PM
hd:iress:._1.1�_'�1_ _� Y� v ` �•1 Permst fs_
Builder:
THS-)FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors / t v Date: 4"')
APPROIrED DISAPPROVED APPROVED VED SUBiaCf To ABOVE
Call For Reinep.
�gSFLS6E"1'IOy NOTIrE
City of Tigard Bol.lding Depertaent
13125 SM Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-41.75 Business Phone: 639•-4171
Irispection e_—_.-� — --- ---
1'�oting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Ferond. Plbg. Top Out Gas Lina FINPL:
poet/Beam :trlrt. San. Sewer �` Fr g.) -Bldg.
Poet/Beam Mach. Pain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina GGyp. Rd. -Hoch.
nate Requouted: ��G� / �_ __-Tiara! _.. AM PM
.J ,�'0 �
Address: paretic #t
Builders — `?976
`
TME FOLLOWING ootRECTICNS ARE REQUIRED:
Inspector: ____�---�---! -- Date V 2- y
DISAPPROVED APPROVED SUBJECT TO AJOVR
Call For Reinap.
JNSPBCIION NOTICE
City of Tigard Building Department
13125 BN Hall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phono): 639-4175/( Business Phunes 639-4171
Inspection:
Footing Plbg. Underelab`r/T Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out can L1116 FINAL-
Post/Seam Struct. Son. Sewer Fr::m+ng -Bldg.
Poet/Beam Mach. Rnin Drain Insulation `Pluasb.
Plhg. Urdatfloor Water Line Gyp. Bd. -Meeh.
Date Requested:r to ` Tides AM PM
Addrese:_ I/ O r- Pa> iE2 -
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
tnepectors `���_�_ Dates__ / �
AL-APpPOVED DISAPPROVED -� AppROVED SUBJECT TO ABOVE
Call For Reinsp.
I�AL4g NOTICE
City of Tigard Building Department
1.1!25 SW Ball Blvd. Tigard, oregon 97223
Inspection Line (R:)c-0-Phone): 639-4175 Business Phone: 639-4177.
Inspection: r --
hooting pibg. Unders .o Hoch. Rough-in Appr/edwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Deem Struct. San. sewer .`alsing� -Bldg.
post/Beam Mech. Rain Drair Insulation -plumb.
Plbg. Underfloor Water Line Cyp• Bd. %ech'
Times 71►! ��PN
Date Requested: `� T
Address -
�� �� �� ��� Permit is
+ y ..�
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors ' Date:
APPROVED 4/DI/SAOVE
APPPROVED APPROVED SUBJECT TO AB
v Call For Reinsp.
INSpEcTIo+LNOTYc,E
Ctty of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection line (Rec-O-Phone): 639-4175 Bueineea Phone: 619-4171
Inspection:_-- --_.-- - ----- —
Footing
plbg. Underelab Mech. Rough-in Appr/Sdwlk
'�--�
Found. plbg. Top Out aaa FINAL:
Lint
/
Poet/Beam Struct. San. Sewer Fr"in 9 -Bldg.
Poet/Beam Mech. Rain DLAi
Insulation -Plumb.
n
Plbq. Undes,floo!
Water Line Gyp. B1. -Rech.
_Time - AM PM
Date Requceteds 7�-----
r Permit
Address: _
� 7
Builder:
TFE FOLLGWING CORPECTIONS ARE RZOIRED: —
APPROVED �_- DISAPPROVED — APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSP$CTION NOTICE
City of Tigard Building Department -f
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 619-4175 Bcsineus Ph -ne: 639-4171
inspectior.:
Footing Plbg. Underslab Mach. Rough in Appr/Sdwlk
Found. rl. . Top Out Oae L L1e FINAL.
Poet/Beam Struct. San. Sewer Framing -Bldg. ;+
Poet/Beam Mech. Gain Drain Insulatl.on _^lumb.
Plbq. Underfloor Mater Dine Gyp. Bd. -Mer•h.
Date Requented:—_�` — � __Time: __AM PM
Address: �1S d I ��M,�1! .—! Permit /t� _y��_
Builder: /
THE FOLLOWING CORRECTIONS ARE REQUI
✓!nh � L �—
G� _LA-t /- s1 - -----
Inspector: —__ _ Dater —^
__APPROVED__� DISAPPROVED �— APPROVED SUBM TO ABOVE
Call For Reinep.
jw&P&CT�ON NOTICE
City of Tigard Building Department.
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Pnone): 63S-4175 Buoinase Phone: 639-4171
Inspection: _ --
i
Footing Plhg. Underelab Mech. Rough-in Appr/sdwlk
Found. Plbg. -op Our. Gas Line F114AL:
Post/Beam struat:' San. Sewer d'raming -Bldg.
!�a/t/Beam Mho Rain Drair Insulation -Plumb.
Plbq. Underfloor G water Line/ Gyp. Bd. -Mech.
Date Requestedt 0 - l a1 Time: AM�JT � 1M
Address, - Permr.t a?:�� -t✓v/J
THE FOLLOWING CORRECTIONS ARE REQUIREDt
Y
Inspector:��_ Datex.—�z�� _
APPROVED DISAPPROVED APPROVED SUBJECT TC ABOVE
Call For Reinsp.
INOPECTION_NOTICE
City of Tigard Building Department
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Husinim s Phone: 639-4171
Inspections^--_-- ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gap Line FINAL%
Pnet/Beam St n%ct. San. Sewer Framing
/Post/heam Mach. Rain Drain insulation -Piumb. �
o jq. ifn%lBsllooC 1 Water tine Gyp. Bd. Mech.
Date Request AM
Addrees%�Sv Permit f i ,I- -
BuildersCj
_,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0
r^
Inspectorsi .��_ --—__ v Date r
APPROVED DISAPPROVED APPROVP':) SUBJECT TO ABOVE
Call For Rralnsp.
�s��
�NSF6CTIQN Ncrr,�cE
City of Tigard Buildinq neparAw-nt.
13125 ON Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-•Phone): 639-4375 Buninean Phone: 639-4171
inspection'---
footing
nspection:_Pouting
Plbg. Underelab Mach. Rc-:gh-in Ai.2r/Sdwlk
Found.
Plbg. Top Out Gas Line FINALS
pati/Beam Stru) -Bid San. Sewer Framing g•
—�\ -Plumb.
Pbst/Beam Mach. Rain Drain insulation
Plbg. Underfloor Water Line Gyp. Bd.
-Mach.
' -
el-
2 Time: _� AN --PM
Date Requested: // ///] /
Addresn t—/- � / _ aJ PermitG��-�L L `
Builder: L/ - _ , y ^---
THE FOLLOWING OORr-RcPIONB ARE REQUIRED:
i
: -
I
Inspec art -� a` 9 - -------- Date. 8
NPPROVID `D i SAPPROVRD _ APPR:3VFn SUB.TRCT To ABOVR
Call For Reinap.
11 1
�NSP4!L lOK nOTICE
City of
13125 SN Tigard Building �Pri. e..t
ae
Ins Ball Blvd.. Tigard, Oregon 9'7223
Faction Line {Ree-O-phone): 639-4175 Business Phone: 639-4171
Inspecci.on:
Footing `-.- - -_--��--------
Found. _--
1bg. Underelab Mach. Rough-in
Appr/Sdwlk
P'bg. Top Out Gas Line FINALt
Poet/Beam Struct. '--�
Framing
-Bldg.
Poet/B"am Koch.
Rain Dr \ Inoulat:on
,J -Plumb,
Plbg. Underfloor ater Line
Off' �' -Koch.
Date Re(p:est:ed. Z _
/ Time:la-AM PM
Address:-//
__ Permit f 60) 7 t.
Builder: `
THE FOLLOWING CORRECTIONS ARE REQUIRED:-
-----
--------- ----- ------ - -------
Inspector:_
Date:
-_-_-APPROVED DISAPPROVED ---�
— APPROVED
SUBJECT TO ABOVIC
_`Call For Reinep.
INSPECTION NOTIOE
City of Tigard Building Deportment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line ,Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ —�--�- - ---_._-_� ---- ---
C,,ing Plbg. Underslal. Mech. Rough-in Appr/Sdwlk
Fo•And. Plhg. Top Out Gas Fine FINAL:
Poet/Beam St-ruct. San. Sewer Framiny -Bldg.
Post/Beam Mech. Rain Drain Inculation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested: _`1Time: A�M,�7'/e-PM
Address: (1-� .. �-7��c{.�I�-- Permit #:
/
Builder: Ll"tea? 3,Cdr ---- -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
KZ
Inspector:_ d �( — --_ __ Date: �-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rpin"p.
MASIER PERMIl 11�
P I-.--RM I I' T+. . . . . . . : MS T 1)02--012115
CITY OF' TIGr,��R--, D CITYOFTMRD —
COMMUNITY DEVELOPMENT DEPARTMENT i)ATIF ISS ULD: 08/ 13/92'
-4176 T4
13125 SW Holt 8W. P.O.B o MV,T4PW.OM9Dn 97223 (SM)639 ��77
A ;jVO - I Y' I ZONING: R-4. 5
V �. .1GF AT ql,)MMFR LAKE PARK. 3
.oi.)I V I S I ON. . . . : LOT. . . . . . . . . . . . *82
Bi.-ULK. . . . . . . . . . ..
....... BUILDING
551JE» DWELLING UNTTS: 1 BASEMENT. . . . . . . . 30
..
:'LASS OF WORK. :NEW TAEDRMS: 3 BA THS:3 3 GnRAGF. . . . . . 390 5 f
YPE OF USE . :SF FLOOR REQUIRED SETBACKS—----
F I RST- - - 1.659 5 f L,EF T. 5 ft RIGH I'. : tO t I
yi_j�_ 0. CONS f - 5N
ULLUPANLY BRP. SECOND. . . :448 sf FRONT. -.28 f t R E(74 R. 5 ft
"S *L RE0UlRFD-----
,il`ORI� 2 THIRD- - A
HEIGHT. . . . . . . . 924 ft s SMOKE DL-*-'(EG''!UHS,
J_OOR LOAD. . . . :40 PS, f VALUE. . . . . Lein,,, PARKING GPACFz--,'3'- lb
femavks: PATH I ----- PLUMBING
:INKS. .. . . . . . FL-OC.R D RAI NG '0 BACKFt-nw PREVNTRS. ZO
AVATORiES- - - - - !3 WATER HEATERS.. TRAPS. . . . . . . . . . . . . . .0
:3 LOUNI)HY IRf-'IYS- UPTC-H BAINS. . . . . . . "0
LJI3/SHOWL . . .0
JATER CLOSETS. - :3 SEWER L,INE (ft ) - *0 GREASE TRAPS. . . . . . . :0
01 SHWASHER9. . . . 91 WATER LINE (ft ) -, ! I fAO OTHER FIXTURES. 0
'.iH11k44UE DISP- - . : 1 ROIN DRAIN (ft ) - :0
AASHING MACH. . . : t 5F' RAIN DLe
141IN - FEES
MECHANICAL
UNIT HTR'3., . -0 type r.3e Am e u nt by data )-**(--Pt
/GA5/ VENTS . . . . . ..0 TIF• s 1180. 00 JH #AS/13/92 0
�3 I LJ _(4N' BPHI $ 14-
,�jiA. 50 08/13/92 0
1AX INPUT :@ V E.N T F' 8. - * 4
1=URN ( 10@K - 10 HOODS. . . . » . 11 BPLC $ 292- 83 JLH 02/1G/92 r!C'40ki)L
_URN '-100K -' I WOODSTOVES. V! B5PCI ;;,2. 53 1"H 08/ 13/92 0
;
II.'LOOR F URN. . . . -0 CLO DRYERS. I SS0C 280. 00 JH OE 13/9's, 0
130I1_/CMP ( 3HPtV1 OTHF.R 1Jj'\JT'T"i90 M P RT 40. 50 J11 08/ .1 ',i/9t:' 0
GAS OUTLFTSv I MPI-C fi 10. 13 _'H 08/13/92 0
OwnerM5PC ;x. 03 JH 08/.13/9 : 0
DON MORISSETIE BUILDERS, INC. PP RT $ 140. LAO JH 08/13/9 LA
1555t- !:;W StINGY RD. WbP(." $ '7.50.1. 00 J H
#201 PARK $ 00 JH 08/13/9P 0
i_.{)KF-. 0SWV_.GO OR '470' `,
bV-0-1538
DON MORIF.32SETTE TAU11-DER'_ INC—
15555 SW BANDY RD—
#;::0 I
LAKE: OSWEGO OR 97035
Phort; #^ 620-753A
Req 3553.3 JOTnL
This pereit iE issued subject to t1je requiations contained in theREQUJRFD INSr-"F'r.TT INS
Tinard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp j.r-eplilce Insp
applicable laws. All work will be done in accordance with approved post/Reale Strtwt Gas Line Insp
plans. This pol,eit will thpire if wore is not started wit *n Igo post/Ream Met,hc%n 1risulation Insp
days of issuance, or if work is vjw
PHP,4 fm., P'�-* thin 1p�& days. pjm/t.tndsliib Insp (.,;yp Bomv-d Insp
ow- Pain drain Insp
irlsp Water [..irle Insp
—
t P P St un�4 L 1-o-o Plumb Top Out Ar-,pr,/Sdw1k Ins;)
Ft Amir-ill Insp MechAri i,',l I F i n a I
Lal -I for inspection — 639-4175
CIIYOFTIFARD .6'c`w� RD :WL-R CONNECII'ION
COMMUNITY DEVELOPMENT DEPARTMENT 041110001 PERM11
13125 SW Hell 8tvd. P.O.Sm 23397,TlgaM,Oregon 97223 ISM)&VAI 75 P:'ERP IT 41. . . . . . . : SWRgi?.- I?"', c.
DOIR ISSUED: 08113192*
ITE 7
— ADDRESS. . . : 11581 SW SHO PL PARCEL- IS133,131)--O/i
13UHIJIVISION. VILU-4GE AT SUMMER LAKE PARK 3, 7..ONIN6: R--4. ,moi
BLOCK. . . . . . . . . . a pig'
T ENAN I- NAME.
USA NO. . . . . . . . . . a FIXTURE UNITS. . . :
'LtsSS OF WORK. . . :NE 14 DWRA.A..I NG UN T TIS. I
OF USE. . . . . :SF NO. OF BUILDINGS ti
IN19TAI,L TYPE. . . . :BIJSWR IMPE14V 5URFACE. 5
Heirtarks . PATH I
Ut-ji-ter: FEES
DON MORI(.-)SFTTE BUILDERS, INC. tvpe amr)k.irit by date I.,e L)t.
15b55 SW BA146Y RD. VIRMT $ 2100. 00 JH 013/13/92 0230
#;Z.10 I INSP $ x,`5. 00 JH 03/ 13/4i?
LAKE OSWEC0 OR 97035
Vhorie 4: 620--7538
ON T'RO(7 T'OR NOT' ON F I.J7
2135. 00 TnTAL
Rf!.UUIRED INSPECTIONS
is Applicant agrees to comply with all the rules and regulatiing Sewer- Inspect ion
n" the Unified Sewage Agency. The permit expires 180 days frOir
c',e date issued. The total amount paid will be forfeited it the
r-rtit expires. The Agency does not ouarantee the accuracy of the
side sewer latvil;. If the sewer^ is not located at the measurement
oiverl, the inst;,11er 6ia)l prospect 3 feet in all dirertion,i from
the 01stance given. If net so located. the installer ,-J ` !- hasp
'Tap and Side Sewer" Permit and the OvPnry will iret I feral.
,-rMittae
cii.ied TAY
frir irispec--tian 63-9-4 175
i
� � w
v
ar
i CITY OF T IGARD - RECEIPT PT OF KIWYMGN'f F7E:C;v I;,T i\io. s�l '_�".',r,3r �6
CHECK AMOUN 00 I
NAME MOs I ssu'rTi , !SON L".ACGI; AMOUNT a 0. kdo
(at)i)Ftk.l3S i PAYMENT IaitT c Qui' 12/92
aUBD I V 19 10 1 a
i
1''URi 0SF OF PAYME W1 AMOUN T' PC)T U PURPUSE OFF' P(4YMI:NT• AMOUNT t.A I I)
1=II_AN CHECK E=E 251a. 171 _.__.._ ..__....__.._._.
1 14-581 SW %. i0REV I1zW 1'i_
,:k i 11.AG AT SUMMEPLAKE 3 MAE
1 0TAl- AI,01(t,IT P."A I h - -> p5o. ,0®