12701 SW SORREL DOCK COURT n
► ,yt TU I f r r1 r7 Y r ,r r ,
V
I
at I
12701 SW Sorrel Dock Ct.
w... ..�.' V �^ J.♦,V qr�. �`4�y '�'. .oa: �`'Yy�� y-y„yit�t yR's'^ � µ •
OF OCCLrpA-V ,IF
Ctlt C�
>> CITE' OF TIGARD
T (
�. OREGON
�- Owner: Bon Morissette Permit No. 881733
Vit..
. , .
:address: PG Box 19524, Portland, OR 97219
Building Address: 12701 SW Sorrel Dock Ct
Occupancy: R3 Land Use Zone: R7PD Bldg. Type un
s �
Comments:
Y Certificate is heT:by given rhis i4 th day of November , lg 89
may be occupied and that it complies with all
that said building y p P
requirements of the Building Code for the City of Tigsrd, as approved
by the Tigard City Council: ' `
/ - Fire Dept. wilding Inspector ,R;b
Building Official N �
E3
- ` Post Certificate in Conspicuous Place
� 0116.
.�U►. t#� ,�',. cis. '�iliV'. ,tJ4, _ ,11!x' '�� i 'AIS:sTx,�• �'MNI':�z m.r. �;� �',
�/. 'AF = � }l-�3.-. •�' �,���..��� eP'�.a%,� '�D`���'��tc�'u Y'3 ,,,� -.iy-��'1"m'�W,.,.�'a��,..ra"" `''e�'�-2`� _,' 'r'a'
O C �
INSPECTION NOTICE
City of Tiydrd Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
-
7vpe of Inspection
Date Requested - Time A.�/_ .--P•
Address
-Permit #
Owner — - ---r---
Lot #
Builder ...- X121--�
The following Building Code tfeficiencies are required to be corrected:
Presented to _ -__-... --__- — P Approved
Inspector - --_.—.-- D Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
a - —
le lae �► tll► W W
INSPECTION N011 ICE
City of Tigard Building Department
P.O Box 23397 wwww� I
Tigard, Oregon 97223 �J
Phone 639-4175
Type of Inspection
Date Requested— /,/— /3 Time_ _P.M
Address Permit #
Owner _ Lot # _
Builder A zeYl/
The following Building Code deficiencies are required to be corrected: �c
.Ze
1�C
CC-• /T .
x�'",����-L/•� _Gov�G -t/'' „_ __ '
Presented to _ __ _ ❑ AAproved
Inspector •_� _ k- Disapproved
Date
CALL FOR.REINSPECTION
Edi YES ❑ NO
Y
INSPECTION NOTICE
City of Tigard duildin! Department
PO. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection -__— _ _':" ��-SIG _
"-
Date Requested jz�—/ �=Z� �__ Time A.M.- �.
Address 2 A-t e f ��lc� - permit
Gwner Lot #
Builder
The following fwildinj Code deficiencies are required to be corrected:
Presented to 1 pprored ----Y'
In^pector Disapproved
Date
CALL FOR REINSPECTION
C�
Y E 8 1�] NO
IMMILIP
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:X639-4175
Ty n of Inspectiod �
Date Requested y Time_--- _A.M. P.M.
Permit #
Address
I
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector ❑ Disapproved
Gate �G -•��
CALL FOR REWSPECTION
YES ONO
!■r W w I• d ® le s
INGPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectlotr ---
Date Requested A.M. P.M.
Address -- L —�� =1d,,.rr•!...� 'Permit #
3,3
Owner _ _ �� _ Lit # —
RuilJer --/ 7/{ L t11i
The following Bvilding Code deficiencies are required to be corrected:
C VA
or
Presented to __ ___ (] Appr
Inspector `. r Ditiepproved
Date —
CALL FOR RE. VECTION
NO
r
G11w r w— 1 W / M ff
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box ?3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Regretted_ Tuna A.
Address ! k'larntit # 7 33
Owner Lot #
Builder .___ y //21 /� L2e✓�
The following Building Code deficiencies are required to be rorrerted:
Presented to T �C} Approved
Inspector (1or— ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
RIM-
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigan:, Oregon 9722?
Phone: 639-4175
'fyp: n" I ispection ----_- -- ------
Date Requested___r,�_ 1 _��nJme A.M. _P.M.
Address __ U L' ___�lES: — Permit #
Owier _. _ Lot
Buitcler
The t owin Buil�di/nQ/Code deficiencies are required to be corrected:
----- ---
— r
P -
C - ----
Presorted to ��..�- _ — ❑ Approved
Inspector
Date
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
Gity of T"gard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of tnspection �—e f
e—
Date Requested__� __�'� " �� Time A.M. P.M.
Address Z2 L' Permit #
Owner r Lot
Builder
The following Building Code deficiencies are required to be corrected:
P:e:ented to _ - _ [Approved
Inspector _ J _ U Disapproved
Date —
CALL FOR REINSPECTION
C71 YES 0 NO
W t
I--
r,
May 30, 1989 CITYOF TIOA
!A�
OREGON
Don Moriseette
PO Box 19524
Portl.a,id, Or. 97219
RE: AMART Chargee
Dear Dun,
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 t
12.650 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 Doak Ct. 360.00 890402
12654 SW Sorrel Dock Ct. 360.00 8c')803
13276 SW Laurmont Dr. 360.00 BS1404
13045 ';W Tamera Ln. 360.00 890384
12756 SW Sorrel flock Ct. 360.00 890401
12701 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, . egarding this matter, please contact me at 639-4171 Monday
through Friday 8:00 am to 5:00 pm.
Thank yo,i,
Nancy B. Wh`to
Building Permits Clerk
13125 SW Hall Blvd.,P.O.Brix 23397,Tigard,Oregon 97223 (•503)639-4171 ----
AMEE . ���
INSPECTION NOTICE
City of Tiger.-' Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone, 6394175
Type of Inspection �z L4, ) )(-- I(J-11
Date Requested Time )K A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to FT Approved
Inspector Disapproved
Date ;7
CALL FOR REINSPECTION
F-1 YES 0 NO
CIIYOFT167ARD
FAXI:l...D.1 NG F*:PM:LT
ctTrot 1 WA RD
1}Ii:F2M 3 'T' rlr,. L311(i)(:)1'733
COMMUNITY DEVELOPMENT DEPARTMENT epi«'"
13125 S W F1all Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639.4175 I.)A T E:. 3.!a!SUE La . 5/1P/U9
AI]IaF l;;.*S i : 12701 SW S("PPE1.., DOCK (::T
'TAX MAI'•)/I...C)•T• SUET: SUMME P I...AKI'.:: 1-.'T' :20 E)K
I...AN1) USI:-.: : 1:471'I.)
1. t)'r SIZE: VAL..UAT IXIN: 95,000 CSE:'1MCKS
FRUN'T' : 20 PEAR : i
Wt:)IgK (:'11 ASS : NEW L)W1E1».I... .UNITS :: 1. LEFT ; 11 RTGH*T' : :3/1
U!iiEi: "T'YFtla:: S3:N(:.AA*:: FAM3:I...Y NO . BEDROOM') : /, f::XT .WALL C ONS*T :
CONST • 'T'YPE VN NO . BA'T'HS : 3 N: S : IiiK W
UILI- 1UP.CIPP . : 1:43 nl••)01' .OPENINGS :
(7C:CwUP. I—OAD N: S I' : W
AREA : P170
NO . 5T01:4 :l=:S : 21 1.ST : 1,050 14OUF ( ONS'T" : (.". I-3:FTE F2C--'r'?
:. ` 0 li::F�AR ? PA'rED:reNC : 11Fb -
BA5E11I:N'"? 311u: (:)(.".CL1F� . !:ira:C•�AFT'7 F1A'T'Ela
MI:•l.:/:AN1'NE::'? SASiEi.M'T
F'I...t 011 LOAD: Al G;AF1A(.F -,(Il41. N'3:F7E: S1:11KI...R*? ALARM'?
Fl OW((.XIM) IME'rE C;'T"? YES
V'L»AN l:;MiE:C;I< HY : r•:1.t
P1:::MAPK!:i :
FIF::::1:9i5llE' ()1= NO . 6Z193
I..AS'T FIE::I S!:Uk': 0130:330
O
W M(l41SSl:i:'r'T'E. DON PEFTM:I:T" A14121 .00
E Etta DOX :l�i);:l'i!�I P1 AN PE_:VIE:W '$410 . 00
R PI3rt3.M.r1d lar h'3: 4F.: I:EIXT
!iiT A'1'1•.:: 'TAX $x!1. . :`.0
C DE::VE:I...C)PME::NT GFIAR(.LEP :
O MO1:1IS Sl:i:'T"T'I_: DON !:iia(::(!S'T URM) 4i2!Vs0 . U0
N
T L)C1N MOPISSE"IJE E3I.l:L1...DE::F S 3:NC: . !oc"(ST RE::E T' ) 10600 . 00
A Etta BOX t935.2/1 $250 . 00
? Ft tartaal.1-11 ur� 9721.9 PPF.::PA3A) < •40 . 00>
O PHONE (:90;3) 12/1/1 9 1.A
R F7E::(:;3 !ii rFtA'T'3:(:)N NO . :3;5::):3;3 'TOT'AL. : 411. ,541e.50
This permit Is Issued subject to the regulations contained in Title 14 PEC)IF:I Io 1' NO. 16_38
of the TMC, State of Oregon Specialty Codes,zon,ng regulations
and all other applicable codes and ordinances, and it is hereby PEW-13:14F.:1) INSPECTIONS
agreed that the work will be done in accordance with the plans and E (:)C)'1':I:N(:; SE::WE A
specifications and in compliance with all applicable codes and PT)UNPaATAJIN WAI...L» PAIN I)PAINS
ordinances The issuance of this permit does not waive rest rictive PUS'T & 8l:::AM WATEiP 1_:CNEi:
covenants Contractor and subcontractors shall have curitnt city
business tax permits This permit will expire and become null an,' PI 1:1 . 1.1N1)Ei:CTSiLAIa (�3'T'Y APPR(:',H/SW
void if work is n-'started within 180 day:.or If work is suspended or SL..AH F1 NAI...
abandonr J for a period of 180 days any time after work has PL" . 4,01?C LIT
commenced It shall be the r3sponsibility of the permittee to assure F JAM I NC;
all required inspections are requested and approved
1= :f IgE:FtL.A(:a=:
GAS I., THE
Perin itig atiii" BUARI)
Issued By
CALA .. Ti`s :39-,1775_---
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PF.AVI'll T
CITY OF TIGA IW .PMI*T* NO . .
CITYOFTWlib
A'T1:% 15 5 LJ L D 5/:1.c' J 9
COMMUNITY DEVELOPMENT DEPARTMENT 91131. 733
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 9722-1,(503)6394175
Ji"1113 ADDIAIESS : 12701 15W SOPPEA.. DOCK GT USA NUMBEW 036-133
1(AX MAP/L.0'1' SUEZ : 51.11MMEA LAKE LA* : PO BK :
I AND USE: R'71:W
1_01' SIZE:
SECTION: 1UP: RNG :
WOPV CLASS : NEU
USE'. TYPE: SINGI E FAMILY
They iii.Inplic^iiLm, uLGIr-eem tci c.,umj:)1Y witli" r1LI*lJ-??l5 ia.rid ieg4.0.aLtJ.4:m9i a-!' tliet-Ji-iJ.-Fied
Agel-lcy ' 'T'he?' per-mit epxpiretts :1.20 chilLym frc)rn the chntte itami-kop(J . 'Thea tc)tial.
i1111101.1111t j:)&LJ.CI Will 1:)e *F0I'F'e.A.t1F.-)c1 JJ thea rmrmit exj�)J.r-eis . The Acleriey c1clieu; i-Int �!tllikl
A 11 t.Wo +,I 1*0 AQU tA i PnA.kJ ci I' L h a 1.o r.1 i-.L t J.(31.1 pi' t h :Iii d(.1 M C wc.,r- 1.im-t f'1 MR.1 T-F thm InAm-jvar. itq
1'1(:)t *l.CJCl!Lted alt 1,1*le MellikillLil-ellnerit giverl , the irivituiller. 11JIMI.J. pl-compec!t 3 -Feet J.1-1
a0A. dir,ectianm Tr-(3m the diluti!tlw:^e giwarl . I-F vi(Ilt cm lactiated , the invit&llei', nahail
1aLlrc.,hi,mnrw uL "'Tap oixid Side 5e!wer"' atrid tl,v.i Ageiioy wJ1.3.1 irivitaLJA. et
IN5TALL. . TYPE : 13 U 10 1 DINE; r.7-t v T c)0 s A R F r.)
'TENA
I' XXTURL UNI'VS ; N1 TMI::,V4(:)VE:M1!N'1
DWIEl UNI'TS
NO . (.)I::' 1AA)CT*5 I
I EJES
MORI SSEAJE: DON PE-AMIA, $ 35. 0
0
W 1343 BOX i9°.eAl (.,(:INNEE,"YJON UIAq(:E: 1111. ' J.00 . 00
1\1 1:)c)I-%3.at 1.1 d L.TNI::'. 'TAP INS'Y'Al L
E
('lTHEP 11113160 . 00
ME)1:11:G S 111711,E: DON
DON MOA1SSE:T0:--_ BUTLAX145 INE'
N
T 1:) BL)X 1.95,24
R at ii d (:)1- 57,219
A pcii,tl
C PVKJNF� (V*503) 2/11/1
T
1:11H.GISTPAIJON NE). 11I.I. 'elY3 00
This permit is issued subject to the regulations contained in Title 14 '
of the TMC. State of Oregon Specialty Codes,zoning regulation, R1:.i.QLJ1A1.D .1 INSPEA','TVINS
a! d all other applicable codes and ordinances, and it Is hereby PE)LIG'11-4-1 N
aL,reed that the work will he done in accordance with the plans and
specificati, a 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 becrine 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 be the responsibility of the permittee to assure
all required In tions are requested and approved
Permittee Signature
EALL P'Orl! INSI:"FECTION 639 41
Issued By.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL PERMIT
1:)I:-IIM:I:T NO. : ME-EIBL805
CI�'OF TI67A �RD
CITYOFTWARD
DATE'. :I:SSLJEI) : 5/1.2/09
COMMUNi'o'y DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigaid.Oregon 97223,(503)839-4175 P111M . PMT .NO . 88J. 733
JOB A 1)D 1:4 Iii:5 5 : 1.2701 SW SOPPF-1 C,*T
'TAX MAP/11_01' 'A.Jlb . SUMMI: I ii'0 Es K
I.-AND USE : P'7PD
1 01* S1.ZEK:
N(:1 NO
WDAK ',LASS : NEW FURNACE (100K A144 HANDI-P <10
UGE TYI"Al:::: ' I*-"AM:I'l Y FURNACE: 1.00K+ 1. AIR HANDI 1:7 1.01<
CON51' .l'YF"I,;:* : VN V'1_11)014 FUIPINACE. EVAP.C,001 EP
01[:"(~up, 143 HI:A'rF::i-;t VE:N'T FAN
VE:N*Y* VENT' . SYS*Y'F;:m
8LR/COMP <*31.4) 1-1(7011) 1.
NO. STO11:41EKS : 2 F-A-P/ClUmp �31.5111:`
EWELL.UNI'TS : 1. BI IV(:1'OMI:' 15-301-41:) IN(: :ENEPATOP(COM
TYPE (::A5 1-41 R/ClOMP PLPAIJ4 t.JNI*T*!-.)
MAX . ]:Nl:)t.J*T' (.11THEA
1-71111E Dt"w-4s.? UAS PiPiNG (.'KITLEA'S
1-11GH PRESS7
I UW PRE"i Li 7
I.4I:::MAAK9s :
EF:
0 1.iowr s s ii'L-rn".. DON 1:)EPM1,11, $10 . 00
W pil DOX 3.9521011 PI AN PEV1EW $1 P2. 0
N 1.)a r t 1.is,ri d car F I X'T'(J PE'S
E 11111311131. 00
R 51 A'I'L TAX 11112 . 410
C
0
N F. HFAIA:NG :1.*N(:; .
T 1-W-550SE: PIAZZA AVE'.
R
A CI AC*AMAS ('.)A 9 11.5
,70:
C PHONE: (503) E-2/43 1.1.r:iZl
T
0 Pr-::(.;:I:S'11P)ATT(:)N NO. 4-17 62 -110
PECEIV"Y' NO.
This permit Is issued subject to the regulations contained in Title 14 ................
of the TMC, State of Oregcn Specialty Codes,zoning regulations AKWUlAIRED :LN!5I:)E.'(,'T*1(7NS
and all other applicable codes and ordina-ices. and it is hereby UAS LINE:
agreed that the work will be done in arcurclance with the plans and P(:)$T & F)I:-*:AM
specifications and in compliance with all applicable codes and ;IC)L)(:.#H--. N
ordinances The lssu.ince of this permit does not wqlve restrictive
covenants Contractor and subcontractors shall have current city F1 NAL
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 a period of 180 days any time sifter work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections ore requested and approved
Permittee- _V, ,tur,
F:(:)R INSPEUTJON 639--/11.75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N
C'TY OF T'5A RD T NO . F-1 981-00�1
C I TY O�FTWA
01111100N
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd-P-0 Box 23397.Tigard,OMW-17221(503)639-4175
JOB ADI) DC)(',K
I*AX MAP/1 1:111, S011- PEL r;Lffl: SUMMER I AKE I T i:'.0 PK
I ANU LISI- : 1:4 7pu
1...0'1 !.;)TZE'. NO: N('.)
W014K U ASS: NEM WAI :;:p CIL-OnEl, I'RAP
USE *Y'Yl:)I'--" : S:I:NGI...E F'AWEI y UPINM 13i<l::*L..(:)W I--)AVN'T'P
CONI:il' .*TYPE : VN I AVOPAI'OPY 'TRAP PIPIMV.r'.
OCCUP .GRI' . P"-.5 Gr'�F.'ASE Tvw)s
I.Y.I.SIAWASHFI-4 J.
GAI'-1HA(*.;E. EYESPO(ii" I.
NO. 51'0141ES : 2 WASIA11SIG MA('.3.11NE 1
(DI'A
DWELL .UN TS LAUNOPY I'Phy BLOG . DPAIN
1:1 (A')1:4 01:4 A TN
SINK (F-111
WA'T'ER HEATEP 1. 45-TOPI"IMAlN IF T' J
0,T 14 r.-"-P
Pl:.MARKS :
DON PER1,111A $:1*.*r,2 50
0
W pa 4 0 X 1.9!52A
N FIX11-MES
E 0 6 -.)3
R
C !iii.-IOEMAKER HAR01 D
0 ri . .HOFEMAKEIVS
N "
T lata BOX P-150
R
A eflitHLCudck tar 970P3
C PHONE (503) 630- 17M) $139 . 1-'�
T
0
1:4EcEIPT NO . /0 38 "LZ
......................................... ...............
This permit is issued subject to the regulations contained in Title 14 1:1EQUIPEJ) 1NSPI:::(,'1":[ONS
of the TMC, Stale of Oregon Specialty Codes, zoning regulations PI D . UNDFA41:0..As
and all other applicable codes and ordinances, and it is hereby
aqreed that the work will be done in accordance with the plans and 110417 a 131::,.( M
specifications and in compliance with all applicable codes and WA'Y'E:P 1 :1.N E.
ordinances The issuance of this permit c is not waive restrictive 1:11 0 . 'TOPOUT,
covenants Contractor and subcontractors shall have current city rIATN DPAINS
business tax permits Thin permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or FJ NAL,
abandoned for a period of 180 days any time after work has
con menced It ill be the responsibility of the permittee to assure
all required ^ns are requested and approved.
Permittee Signature
t' CAI.1. FOP *I'NL.iPE'C*1'1(:)N 639-417 )
Issued By: -------
SEPARATE PERN;ITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
s
CHLCK A14 iCA)�' �� TIFARD
cr.\ PLAN CHECK N ,�.G�1-/-`----.
CITY Of nGARD PERMIT N -___$_r �. - ---.-__-
COMMUFvi Y DEVELOPMENT DEPARTMEPIT OREoaM DnTF ISSUED
0125SW14091vA 11.0 1v-w23,197.Ivard,OOWI97.''J (.M)G79-WS
/ ]AX MAP/LOT
JOB ADDRESS: �� (�, ��-� vOrY�'1
SUB: a ✓ L.r'f / d./ LOT: ---------2 - L AND USL
/I SPECIAL NOIES
OWNER
NAME : ,�✓� r� /)14,v ��� -�l cl J .T n s._ — REISSUE OF : _
Ll;ST REItiE:
S(J
ADDRESS: _R�, 8aY_� S ?I r -- FLOOD PLAIN/
- — - SENSITT',E LAND: -
APPROVALS REQUIRED
C:rNTRACTOR PLANNING:
N11ME• ENGINEERING:
FIRE DEPT -
ADDRESS: O'HER: -.
PHONE' _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: -
NAME _--__ - CALCULATIONS: _
_ ___ __ TRUSS DETAILS:
ADDRESS:
----- PARKING PLAN:
-- ------ - —__ __ LANDS''APE PLAN: _
PHONE
OTHER:
COMMENTS: _ --- - —
PFRMII N ACCT N DESCRIPTION AIMOUNT AMOUNT PD. DA�L�. �DUL
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 __ U
Plumbing
Much10- 433 00 Plans Check Fee
Building „l1
tat Plumbing _...
Mech
30-443 00 Sewer Connection (20%) __ ---- J]U �._
30-202 00 Sewer Connection (80%) . -••----
30-444 UO Sewer inspection -
51-448 00 Street System Dev Charge (SDG)
52- 449 01 Parks 1 System Dev Charge (PUC)
52--449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chr-9 (SSD(:) _-------
10-230 09 TRFD (QS%)
10-435 00 TRFD (5X)
10-230 06 Washington County Fire N1 (95X) _ --
10-435 00 Washington County Fire N1 (5%) --
10-220 00 Amart/Wedgewood
IOTAL
REC N
APPLICANT SIGNATURE --
Received By : .....___ - _ ___._ _
Dmte Revvived