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12663 SW SPRINGWOOD DRIVE , I i '— 12663 SW Springwood Dr. M., .aa� t.:'�. . ` tea• •3�"� / t }Sy "�7.'/ r r 3x ....:.��'z..,,,�{�d� '�z��°°yr'��sc ,J�'�-x. ��p,.;�:.r7�"�v=•�t,.J���, � 4� '., Y r• + e.:�;�y�')CF.'�'...>���'r��W�' f�b \rosy 'Y ' .y�"'.�''sS•�. t�_ -� ;��'7��j •,. ,.q..�� _ ��. ^wl t,7��1 �� xr'ry�• F.,..,x).�-a.�s r. .L Vii: ► '` ` lA{�'e #r-t {"��r` �-r=•-ti ►w''�l+tt�V,�"r,+� ,r '�C }i � � �•;�•� --,,,�� �t-� '� e ' ". �: �j �- \...: �a.r{ti,}f'` 't7��i.rj+- 11�, Z'�r'N:' :J'-•11�j 13 �, "'qK- .. �y OC , mss Iy �� LVCY TIGARD CITY O_r pRkS J TG 4 Owner: _ Don Mo-issette Permit No. 890799 Address. PO Box 19524, Portland, OR 97219 - Building Address: 12663 SW Springwood Dr. iz Occupancy: R3 Land Use 2 ne: R7 PD Bldg. 'TypeVN ►'„ s _ Comments: '_" Certificate is hereby given this 29th day o f September . 19 89 ;v that said building may be occupied and that it complies with all requirements of the BuLding Code for the City of Tigard, as approved � y % by the Tigard City Council. ••, v,.�� ` �: �L� 111 �,j., 7 \\ Fire Dept. g Ins�.c>tef ` �s Building Official Post Certificate in Conspicuous Place _ ............ .gip• Jt.. ....: - _ _ _ r �L+y� + �' �` ...�a��..-_u�`y� •'Wi� � s�f�,,��}'tf�yf�ly7�-.� ��1�] �t��� .t\���}p`�{�- i"i' �{:( ��'� ��Ujy,�•_��[�������`{Yy1��� ;�:.1 V i . -•..tky'�7, J"y Jt;a `.!`7;11�cs:.-F•./�:��,'.!T.`� �t! \,/al:o+ 'i'�' ' �'VJ�..z¢' rr`Wylyaa� '`?."di'r U �`'..� �'.. t .,�fi �' '�.r ,„ 4a 1 `��Yy Mligs�i °Tp_'+e1�� rM�b�•✓t +! , s yq > + iyra� ��INBn� tt ++ aA� 4,t� +..y\ i�:'�_���—uc X9hW�`?t�'- iT�'-iY���°+ '�!sr �M+�,,,, u'{r4'r'+L-n� .�t8�.^f s s�fi"•�5� t . �.A..tY�i ��, , $ .,y''�y,�.L W-+rM1 �'`� e��'_7"��►�p ��•"i��rt��� Il�,. �•w� ..f�Jpp�"'4* V•�j/ -I �pp_q�-,�r,",�t`i� .''¢," � '�". �'-���'xsx$.L�s+a s, Y*�.'V.�'t't1F�" � `s•'�aA'r����������'' .� � t�s � iy$�� ��r...� ...gy` „�_;�o-.gf'.:'Tr� '-.s: _.,,,d`.Trry',a �� -��� 1��b"�. :$9,=.'• ' �jb^�•w-rT.• 'Y'+ �f` prY.3ALa� ,�' ����, 'i INSPECTWIN NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date RegUested�� _= - --- Time_—_—_ A.M.__ P.M. Address _-�� r ��t _&V gf±L"-t__— Permit # – Owner ---- ___— _ -- _ Lot #__ Builder w` ,r --- _The following Building Code deficiencies are required to be corrected: ----- ---- - Presented to Inspector __ � � Dispdproved Date -- - -- — CALL FOR REINS ECTION ❑ YES ❑ 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. P. Address .04%- Permit Owner Lot Builder The following Building Code deficiencie! are required to be corrected: y- L-2-1 L( Presented to Approved Inspector 1C isai�proved Date CALL FOR REINSPECTION ED YES F-I NO WLW-i�W-LW-l-m E 0 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. pp��P.M. Permit #ALL ' Address _ Owner ._ Lot # Builder -� � The following Building Code deficiencies are required to be corrected: d i Presented to Inspector / ~_.` Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building 03partment P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Tvpe of Inspect +n 'c � • Date Requester!_ ' P.M. Address _ �� - _ �2'T 6 '� Permit # Z�1 Owner _ Lot # Builder _____The following Building Code deficiencies are required to he corrected: Presented to —__ -- —r- — ❑ Approved Inspector ._ — L1 Disapproved Date --- -----— C'ALL FO i REINSPECTION 0 YES ll NO INSPECTION NOTICE City of Tigard Building Department P.O. B.x 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection /A. L�� � mate RequestedTime A.M.___—__P.M. Address _._..�� ?� 0"— Permit Owner_- ca Lot Builder ------------ The fallowing Buildiog Code deficiencies are required to he corrected: Presorted to 0 Approved inspector _. __ El Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oiegor 97223 Phone 639-4175 Type of Inspection r �c ___< /:-: tL tlt Date Requested / -.- d Time_ A.M.Y P.M. Ac!dress ��,c� �� t Permit i Own it v Lot # Builder The following Building Code de°iciencies are ►eqi,; ^d to be corr"c—': Presented to ,_— _ __ __-- �{ Approved Inspector - Disapproved Date --- CALL FOR REINSPECTION ❑ YES 0 NO .ir INSPECTION NOTICE City of Tigard Building Department P.O. box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time 6i \ Address _ r'G— Permit # Ow ier-- Lot # The following Building Code deficiencies are required to b,e correctod: Presented to _ ?J Approved Inspector __- ❑ 01upproved Date CALL FOR REINSPECTION ❑ YES 0 NO W I M - -- - I INSPECTION NOTICIL City of Tigard Building Department P.O. Sox 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Ilaquested � 7ime_. 'A.M. �" .P.M. Address permit # Owner _ Lot # Builde The following Building Code deficiencies are required to be corrected: zt , 4 -12 f / Presented to ❑ Awed Inspector (�niapproved Date CALL POR REINSPECTION L.Ij Yea O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested /1�—/ o Time_ ___ A.M. P.M. r Address __ �"3 s�1 ^!rmit # Owner _ — — —_---_ Lot # Builder,_ --- .- •_J/�1,•-- The following Building Code rieficiencies are required to be corrected: Presented •o —_------------...--- - ----- roved Inspector _ _ - -.-- Disapproved Date �- CALL FOR REINSPECTION �J yin O No e. INSPECTION NOTICE City of Tigard Bui'ding Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requested , Q Time_p_A.M. P.M. Address _-- °� 0K Permit Owner -- Lot # Builderi_ G ---- The following Building Code deficiencies are required to be corrected: Presented to _ I-7 Approved Inst)ector _ ❑ Disapproved Date � CALL FOR REINSPECTION ❑ YEB ❑ NO May 30, 1989 CITY OF TWA RD Don Morissette OREGON PO Box 19524 / Portland, Or 97219 >,E: AMART Charges Dear Don, Our records Show that AMART has been paid in full. The following projects reflect an over payment to this account, and subsequently a refund has been requested. Building Permit 12650 SW Springwood Dr. 260.00 890403 11209 SW Summer Lake Dr. 360.00 890177 12778 SW Sorrel Dock Ct. 360.00 890398 12665 SW Sorrel Dock Ct. 360.00 x90402 12654 SW Sorrel. Dock Ct. 360.00 890803 13270 SW Laurmont. Dr. 360.00 890404 13045 SW Tamera Ln. 360.JO 890364 12756 SW Sorrel Dock Ct. 360.00 890401 1.:.701 SW Sorrel Dock Ct. 360.00 881733 1.1312 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, Clr, f ancy B White Building ,Iermits Clerk 13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ----- - --- INSPECTION NOTICE " �Yr City of Tigard Building Department 2 rn P.O Box 23397 4 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ 9L-LL i 1 - `Gt M� Date Requested -� Time A.M�11�,P.M. Address _ " ( . ���f/_Yl�Gr-)DQ Permit # Owner \ _. Lot # Builder ALL The following Building Codp deficiencies are required to he corrected: Presented to _______ , Rhprove f Inspector _._-_ LI Disapprov,d Date -- CALL FOR REINSPECTION VES 1.7 NO i M Mail a r NO . : RIL1890,799 CITY OF T'��RDE:lJ1:L..D:I:NG;CC"�YO F ttOM 11010 COMMUNITY DEVL-!.CPi.1ENT DEPARTMENT 00110014 13125 S.W.Hall Blvd..0 0 Pc,.23397.Tigard, 1 iOregon 97223.(603)639-4175 1:14t" ' PM**T' .NO. 090799 J018. 1.2663 51-4 LsI:-1P.1:N(.'PW00D DW TAX MAP/1 OT 1.S1 33-MD 1.2900 SLID : SUMMI::J*,' I AKE LA, 1.0 F:K LAND Ur;E" : R7PD IATT !'.;1Zk:- - VAI UATION: tb 6A ,II 5E'1*8A(*,Kr-5 F14IONT : (20 PI".-'AR : W(:)Pl( GLASS : NEW DWELL.,UNITS : L I E-FT : '7 P'.I'Gl-1,r . 33 USE. -l'YPF.:. : 51' 1--6M.1'1..Y NE) . BEOPOOMS : 3 EX'T .WAII I O(:)INST : CXIINST . TYPE: VN NO. EWTHS ! 2 N: G : F-.*. W OC(*IJP.GI"41:*, . : P3 PPO'T . OPENINGS : Ductip .LOAD N S 1H* W 1*01'ol A A EA 1.d101113 NO . ST011TES : 1 1 1,408 POOF CONST : C, FIPE PI-:1*7 APLA SRPAP7 PAI'LD: BASE.Mk 3RD: XJP. SEPAP7 PA'T'ED: MEZZANJ*.Nl::'."t FA-00N LOAD: A0 GAPAG(n. : A1A10 1-"IPk*.. SPAKLP? AL.APM'? F1 OW(GPM) YES 11-11E.AT TYPE: ('.AS A('X'ESS'? C,0 1:1 P 7 P1 AN (''HE(: K UY: r1t 11IFt.'MARKS : $30 fmr red :1 extry OF NO . 1301-73el A51* PF-.15SUE 0 DON $*:3 P-0 . 0 0 W N W1:1 DOX 195�?/l PI AN ;lk:-'VTr-*W $1010 . 00 E p o I--t 1.Ilk ri d C1 P F: AE: DEVT R S'PA'TE: 1'A X $1.6 . /I() $39 . 00 Cll:)MF*-.:N*I* CI•-I A 14 LAK L 0 M(:)I:I:[SSF:Tl'l:: WIN SIX,(S*T(:)PM) $12 r.5 0 . 00 N DON M0P:r.St:'jE'j-T'r-*.: DU1:1-DC:AS INC. SIX (STPEEI') $600 . 00 T R p cl 0 0 X 1.W-.2,ell $121*50 . 00 A C p ci r,t:l.of,n d 97P1.9 PpFr"A'I'D < $40 . 00> T 1:)1-4(]Nr.-*.' (503) '244-931-1 0 R PI:-*:C4,'T.S1*PA'T*J.(')N NO. 35533 10 T All— ILII r 417'e1 d-10 ;...::CEIPI' NO . This permit is Issued subject to the regulations contained in I elle 14 of the TMC, State of Oregon Specialty Codes,zoning regulations INSPEC"fJONS and all other applicable codes and ordinances, and It Is hereby F:1JUTT.NG 5LWEP agreed that the work will be done in accordance with the plans and specifications and In compliance with all :applicable codes and FOUNDATION Wr-4.1— PAIN UPAINS ordinances The issuance of this permit does not waive restrictive P051 & W::AM WAIF. 14 LINIt.". rovenants Contractor and subcontractors shall have current city 1*31.8. UNDEAtill A P ("11'Y A. l-.,PA(,H SW business tax permits. This permit will expire and become null and cal AFI FT N Al void it work Is.lot started within 180 days.or if work is susperidej or abLndoned for a period of 180 days any time after worn has 1:4-14. F(JPOUT commenced hall be the responsibility of the permittee to assure F—PAM I NG all required 3p tions are requestqd an oved ll'�J.PE IN ACE: required t, GAS LINki. INSUI A'TION GYP . W.)AND a Permiltee n a Issued By . . 'I,-;A�)(AU FtAl l.. F SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE R CITY OFTIGARD PI UMBING PEAMYT I:.-1r.-;-F1M1'T NO . : PI-89004141 c1,7YOFIWARD COMMUNITY DEVELOPMENT DEPARTMENT 001GO" 13125 S W Hal,Blvd-P.O.Box 23397,Tigard.Oregon 97223.1503)639-4175 1:411.'M PMY' .N0 . 090i'99 JOR ADI)NIESS : U.2'663 5W 5PPIN(3,WOOD 131:4 .T.A X MAI"'/1 01 1S13 . 3AD :i.P900 SUMMEF4 I 01<1 LV ' : 10 9K : I.-AND USIE : 1:47PI7 1-01, S 1.ZE: NO : NIO: WUPK NEW I' P USE: *T'Yl:)E: : SING0 I-*. FAM'.11A. UP I.NAL. BKI-:*L0W I:1:1lVNTn CONST . VN PAIMER 1:43 YUB SI.-IDWEH 2 GREASEE 'TRAPS I)T'5HWASH1:;-'P 1. GAR1301111,31-.: DISPOSAL 1. NO. S11:111-411ES : :1. WASHY.W3 MACHINE, 1. DWELL. UNITS" : I I-ALINDPY TPAY ISILD0 . D14AI.N ( DTA VLUUP DPAIN INK !:11:;,WF.:,P (F1' Wf)T'I;:'P HEA1114 1. S-1.OPM/PAIN (F-'T PEMANKS : F'EJES 01 MORI S S*1I:-::,T1T-:,. DUN PEP11,1A W 19OX R u r,t I it.n d F :11:X T 1.)PES S*TATF. T*(-*NX $ C 0 HOKMA KE 11 HAPOI 1) N T SHOFMAKET.-- !il li�L.UINIPIN(.-, R P(1 BOX E!50 A C • fs 1,Ilix,ut cl a cir• 970P.3 T PHONE (503) 6,30-77213 0 R AEG:I:L.'i1PA'1A:(*)N NO. 39K� TD*I*Al-.: 111.£3.38 NO . I o3FIZ 5 This permit is issued subject to the regulations contaii, n Title 14 of the TMC, State of Oregon Specialty Codes. zoning 4gulations and all other applicable codes and ordinances, and i is hereby agreed that the work will be done In nrcordance with the plans Find specifications and In compliance with all applicable codes and POS F i• 0IF"AM ordinances The issuance of this permit does not waive restrictive WA1*F.:.j4 1..'rNI:: 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 PAIN DRAINS abandoned for a period of 180 days any time after work has F I NAL commenced It shall be the responsibility of the permittee to assure all reqLlired_W-3pectiona are requested and approved. -7 - - C, ,f) Permltt" nature e C, Issued By- (IR 75 SEPARATE PERMITS PE:UUIRED FO'; WORK OTHER THAN Da SCRIBED ABOVE CITY OF TI�� NO . ME-*k:)900-1.*.) RD C IT(OF MA 0 COMMUNITY DEVELOPMENT DEPARTME14T DAIF. Tc.('ULD : 1.5/:11.P/09 13125 S.W.Hall Blvd..P.0 Hoy'23397.Tigard,Oregon 97221.(503)6394175 1-4.1.M , PI'l 1' .NO. H90 799 ADI)PEESS : 1,,-663 SW 511FUNGWOO11) DP T A X MAP/LOT 151 *330)1) 1,21900 Sift. R . 51.11M. !:I I I ('I'<I:. LT: 10 81< : L.AND USE : P*rpl) I OT 5 IZE : UVEM , NO: NO: WORK CA-ASS : Nl:..'W FUNNACE. K 1. AIP HANDI P <:L0 USE: I,yl:)I-,. : STN A-E FAMIL.Y F'UPISIACE 1.001<4- Al!*i HANDI 1:4 1.01< -UNST . TYPEE : VN F LOnP Ft.JRNA('.'E. EVAP . ('30'Cup .GAP. - P3 1-4 E.*.ATE.1:1 VENT FAN VF,::N'I* VENT SYSTEM OL.R/COMP <3HP HOOD NO . STORIES: 1. 81-R/C.Ump 3-3-51-1111P, INCINEPATUR(DOM DWEELL '.11NITS : I BI IAMOMP 15 30HP :[:N(,I NP-.41AT(7A MOM F:'UE':.L '1'Yi:.11::: GAS Bil-W/11*10111"IF) 30-50HP PEKPAIP UNITS MOX . INPUT* HI..P/(.(3MP .504-11-11P OTHEIZI F-IRE DHIPP9117 GAS PIPING OUTLETS .1 L.Ow PPLss-? 0 MORISSETTE: DON 11111.0 . 00 W N 130 SOX J"95PZI PLAN RE.'VIEW 419 E partlmnd 43 1*1 F'IXTUIPIES *e'.!I STATE TAX q..I 1:3t:3 C 0 N SELI HEA'I'I:N(., INC . T R 11:'.5150SE PIAZZA AkKLE A C 0-ALAIAMA5 0P 197 0:1 "'i r PHONE (503) P-413-1.1EVI 0 R G'I REG' NO. A147 TOTAL..: 11111/1114 7 6 L-J — RE:(7F.:Ip*y* NO . This permit is issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes.zoning regulationsr1!E-QU:[r.4IL.:D INSPE.CTIONS and all other applicable codes and ordinances, and It is hereby agreed that the work will be done in accordance with the plans and GAS LINE"- specifications and in compliance with all applicable codes and POST & 91-.'Am ordinances. The issuance of this permit does not waive restrictive POL1G'H----IN covenants Contractor and suhr.ontractors shall have current city FINAL husiness tax permits This permit will expire and become null and ,,old if work Is not started within 180 days.cr if work Is suspended or abandoned for a period of 180 days any time after work has ci-mmenced It shok-3 the responsibility oft oermittee to assure at required Insp Ho are request, -'.4a�n pp ved. Permittee Signature C Issued By Al Rt.f5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T 167ARD I* I NO aryoftwAtim COMMUNITY DEVELOPMENT DEPARTMENT I:)A t I t.COAJI:. D: 13125 S.W.Hall Blvd.,P.O.Box 23391.Tigard,Oregon 97223,(50J)6394175 mj . 13907199 , A00PESi : I.P663 SW I-jPPIN(.'-',W(X')D DP TAX MAP/L.07' ISI. 33AL) 12.9 0 0 SUB: SUMMFM I A K E".. 1-AND USE : L-OT SIZE: Sl CTI(IN: 33 RN(.; . 1w WORK L;LASS : NF-W 1.1411 'T'Yl*-',IL" : S:I:N(:.',l E-. Y iILCIl*'1VrVV; til COMPly W.I.th iall. vkIld I:)+ tile Ageilcy . 120 datyiii 'Pl"111101 tile (IRtO it.51ILled . T1-1e t Ij t in.1, pild'd WJAJ bei expi.1"t....?w 'Tile 0^19,--incy driev.; ricit the ammirms-.11 cilf Ille Of the siticle !:iewer latti.-lirkal.:l . If llI:)t Icical.te4d i;kt tile qj.vell ' 1,11V %hatl]. l:)r:,fapeczt 3 Teelt i.n frclln th(.-., (.13.14itakric'e 5j:iven , If ncit mci Icicat.e(j , tile jI-j%tjj:I_jel, at " I'l;LP atild ':)J.de !:iewel-" mrd th...-! Agency will I.Instimll. at lallteriit]. . INSTALL . TYPE : RUIL.17 4G, SEWER IMPIERVIOUG APEA: l::*:l:X7'UI--4I::: UNITS : T'ENAN'T' IMPPOVEME.N't' : ING UNITS : :1. i10- 01::' EM DOS . M C)1:4 1.s s[::,T*,I*F:.' DON PE11141111, - W W *35 N lata BOX 19!524 (70NNE-KC-TION (."I-1APGP.:.' $1. 1.00 . 00 R E p C)r t 1.ilk Il d INLSTAI L. . 111360 00 C 0 M U WE SiG E TTE'. DON N T DON MURISSETTI-i* R I')cl Box 1.9.52el A C P(i r t.l.a il d (:Ir 97 P 19 T PHONE (!.)03) p-jel 9;31./1 NU. '35.1533 $1. '4'w5 . 0() PE-CF-IP-1- NO. 25 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 ap�llcable codes and ordinances, and It Is hereby PIEWUME'M INSPEC.'I'TONS agreed that the work will be done In accordance with the plans and I N specifications and in complisnce 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 abandoned for Ft period of 180 days any time after work has commenced.Y-s4all be the responsibility of the oermittee to assure. all required1p e ions are requested a roved. t Permittee Signature Issued By 1- OR SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIGA RDPLAN C11CCK APP1_ICAI ION \ CrTy Of DGAR)D PLAN CHECK N �.. COMMMITY DEVELOPII'ENT' DEPARTMENT'`, u\ PERMTT H 131255.W.Ito Bvd_P.O.Flom 73N7.71gentOmV(xi (:iuj16394175 DATE ISSUED JOB ADDRESS: IZ�� ` �" SP'`'17 TAX MAP/LOT 151--3349 1a!Zoo SUB: LOT: O LAND USL: VALUATION: OWNER ff,,,, SPECIAL NOTES NAME: _ L ,ry / 0 (S[?/ 4S�C�i S N C . �._ REISSUE OF LAST REISSUE: ADDRESS: _ - o ,('�O l _. — ,.nc7 FLOOD PLAIN/ SENSITIVE LAND: PHONE: 2 L� - "2 - APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: ENGINEERING: _ ADDRESS: FIRE DEPT OTHER: PHONE: ITEMS REQUIRED LIST/SUBCONTRACTORS: - ARC11/ENGINEER BUS TAX: _ NAME: T 12-( ` 1 T - CALCULATIONS: ADDRESS: TRUSS DETAILS: PARKING PLAN: _ --- _ LANDSCAPE PLAN: PHONE: - C cl .3 1 OTHER: COMMENTS- ��lJ:i ����T7�r� i C± * T3" _ PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees _ — 10-431 00 Plumbing Permit Fees �! 10-•431 01 Mechanical Permit Fees �� 10-230 01 State Building Tax. (5X) Building A( Plumbing Mech 10--433 00 Plans Check Fee Build ing Plumbing Mech 30-202 00 Sewer Connection v 30-444 00 Sewer Inspection 51--448 00 Street System Oev Charge (SOC) 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Orainagr Syst Dev Chrg (SSOC) 10-230 09 TRFD 10- 30 OG Washington County Iire N1 (95X) 1 2 0 00 VarWedgwood 101 Al R1 H APPIICANI SIGNATURE Received By: 1 Date Received: `"'►" -IO- �j , cn/3587P/18P