13301 SW SCOTTS BRIDGE COURT w
1
U
h
Ul
i
13301 SW Sco'.ts Bridge Dr.
CERTIF IC:ATE OF
OCCUPANCY
CITYOFTIFARDr,4� PERMIT q. . . . . . . BUF1991701
COMMUNITY DEVELOPMENT DOPAM U 944 Cffy OFT )A� PRIM. PERMIT a.. : 99 �.701
13125 SW Ball Blvd, P.O.Box 23397,Tigard,Cxogw a;Zn(503)e139-4176 , 1111 DATE: ISSUED: 04/09/90
SITE ADDRESS. . . a 13301 SW SCOTTS BRIDGE DR PARCEL.Y 251 4AB- 3200
SUBDIkISIUN. . . . : MORNING HILL 3 ZONINGe R-4.5
H1.00K. . . . . . . . . . t LOT* . . . . . . . . . . . . 965
CLAS6 OF WORK. tNEW
TYPE OF' USE. . . iSF
OCCUPANCY GRP. vR3
OCCUPANCY COAD e
TENANT NAME:. . . a
PifmatrVcm�e
WE"DGWOOFi HOMES
13250 dW FALCON RISE I*
I'IOAFcD OR 97223--0000
Phone No 503--292-2923
Cc ntr*ct:oru
WLDOEWOOD N014ES
13250 SW FALCON RISE DRIVE
TIGARD Ok 97F23
Phone No 5032923563
Pop #. . a 3339
Oreupatncy of the Rbuve! 'ceferernc-vd hUildinp is hereby piven, a"td certifieetea
the r_oeaplianc:e with the States of Oregon Speci.xl.t/, Coders for the group,
occupancy, attic' use under which thea rofmi,enc-ed permit Was issued.
f�
_.._.._..._. _ _._.. J�..IY..r2. 5� A.
FIRE �DE PARTME:NT l,..qUIL INf3 IMS, ' R
BUILDYNd OFFItthL,
...-
I
POST IN CONSPICUOUS PLACE
I
W
_ I
INSPECTION NOTICE
City of Tigard Building Department (�
P.O Box 23397
Tigard, Oregon 97223 ! l
Phone: 639-4175
Type of Inspection -
Date Requested t= Time. A.M.---P.M.
.Address Permit
1_::!ner - --- Lot #
P,uilderThe following Building Code deticiencies are required to be corrected:
Presented to _ ,..— Approved
Inspector _ _.._. _ / ❑,O�sapproved
Datr
CALL FOR REINSPECTION
EJ YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone; 639-4175 �� y
Type of Inspection
Date Requested —11L Time—_,L A.M. P.M.
Address __ :�� �___— - Permit #Sl-/1���
Owner - _- -__— -r Lot #_
Builder > '%`� -��� �
The following Building Code deficiencies are required to he corrected,
Presented to TYApproved
Inspector /
U Disapproved
7
Date
CALL FOR REINSPECTION
❑ 'YES ❑ NO
INSPECTION NOTICE ��1
City of Tigard Building Department ��
P.O. Box 23397
Ticard, Oregon 97223
� Phone: 839-4175
Type of/ni . / ./�� •�_R C 1ti�.
Date Requested J - `� Time A. P.M.
,a
Address _ )� L;! 4L
Owner .__-- — Lot #_ --
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —_ C� Appreved
Inspector
Disapproved
Date
CALL FP� EINSPECTION
LJ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:: 639-4175
Type of Inspection
Date Requested L Time A.M. P.
Address / U / � C�Xe ���- Permit CJ/
Owner - Lot #
Builder
The following Buiidinq .ode deficiencies are required to be corrected:
Presented to _ _ — l`.1 Approved
Inspector � U Dlsepproved
Date I Z r
CALL FOR REINSPECTION
❑ YEs ❑ NO
F
INSPECTION NOTICE I
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97�5
Phone: 639-41175
a
Type of Inspection
Date Requested Tlme_ A.M.� �P.M.
Address Permit E/7 ZO —
i
Owner-- - _ ._ Lot
Builder
The following Building Code deficiencies are required to be corrected:
– -----
Presented to _ �.{
l� Approved
Inspector _-_ --- -- ❑ Disapproved
Date
Z
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE /
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
type of Inspection e��k1471Vs �.mac A/
Ql�
Cate Requested A;2/pb A;2/pTi�m/e V A.M.��P.M.
Address Permit # ��
Oviner_ Lot #._
Builder
The following Building Code deficiencies are required to be corrected:
.-AJ V&P .SIA
Presented to 4pproved
Inspector [J Disapproved
Date _ 12.-2(0_ i
CALL FOR REINSPECTION
L 1 YES F1 NO
INSPECTION NOTICE 1
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Iki
Type of Inspection ----- --- --
Date Requested 1 Time A.M.,.__. --
P.M.
y7�
Address �.-. Permit '2.0
Owner Lo//t #,
Builder •l clnr7ll./..�- ,��T.�--_ Yom__
The following Building Code deficiencies are required to be corrected:
�� kt a4
Presented to _� ❑ Approved
Inspector —_ ❑ Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223 I
Phone: 639-4175
Type of Inspection _ GA-�-..,/ _
Date Requested_. �' TI.. AM P.M.
Aft,ess _ 3 b •'.�4�' 7r it
Owner
/ r1�� Lot-7--e
Builder— 1J\n Vtl � - T117
The following Building Code deficiencies are required to be corrected:
[
Presented to — Approved --`
Inspector— -- �� Disapproved
Date �FORRVNSIPECTION CALL
❑ YES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigarrl, Oregon 97223
Phune: 639-441117h5,
Type of Inspection
'�1� 14
Date Requested � � 2- - Time _ A.M. P.M.
Address �� _ Permit #J�
Owner_ _ Lot # _
Builder
The following Building Code deficiencies are requi d to be corrected:
-- I
Presented to
— -- -- �.I Approved
Inspector / `
D
g
DateDisapproved
Date
�
CALL FOR REINSPECTION
Ct YES ❑ ;;,
INSPECTION NOTICE J�L/
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 3-2 ` ermit #
Owner - - - - ---- - - --- Lot ---
Builder
The following Building Code deficiencies are required to be corrected:
Presented to - --- ----_---- .Approved
Inspector _ _ LJ Disapproved
Date _? -- -• �—
CALL FOR REINSPF,C IYON
DYES U NO
INSPECTION NOTICE
City of Tigard Building Departmr-nt
P - Box 23337
Tigard, Oregon 9722:;
Phone: 639-4 17!)
Type of Inspection �f __= �_J� *�
Date Requested— L �D Time A.M.__ P.M.
Address �r� - Permit # tel
Owner Lot #
Builder
The following Building Code deficiencies a�re�aquuiired to be corrected:
Presented to __ - - ❑ Approved
Inspector _- ._ [� Disapproved
Dati- ---
CALL 1%' REINSPECTION
❑ YE$ ❑ NO
A
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 's =�6/ �.cf s �� -e.' Permit # 7 y/.24V
Owner Lot #
Bailder
The following B41/ding Code deficiencies are required to be corrected:
Presented to _ [Tj Approved
Inspector >{ [j Disapproved
Date L` o
CALL FOR REINSPECTION
❑ YES ❑ NO
811JII.-G'I.'NG PEPM1 I
CITY'OF" TI6A RD *-.9, PEPMT.T NO. : Bt.)891'701
CIIYOFTWAM
04190141
COMMUNITY DEVELii.,"MENT DEPARTMENT
13125 S.W.Halt Blvd-P.O Box 23397.Tigard.Oregon 97223.(503)63941175 DATE 6/2.1./89
L " ,,
P141M P11 T*-.N('.) (391'701
ADDRESS : 1.3301 SW !-)(:"OI'TFi
I`AX MAP/1 UT 251 AAS -13POO SUB: M(*)PN.I'N(*.; 111:1. 1-1,
LANE) USE: A 4. 115
53.ZE : VAI...(.)O'V 1 O : SETBACK5
WORK CLASS : NEW DWEI.A.. .1JN.I TS : I.
FPONT : 17 REAP:
LEFT: 5 Pl('.,I-;r : 1.(3
USE. TYPE : SINGI F F AM]'[ Y NO , BF-A)POOMS : 3 EXT .WALL CONST :
(.A)N5T . TYPE: : VN NO . 13ATHS : N S : W
UC(.:UP (*.,PP. : P3 PIW)I' .(:1PEN I N(.,S :
I OAD IN S W
I 0'(A I A PEJ-) 11. 700
STOPIES : :1.'700 POOF (,(:)NS*T' : C FIPF. PET"?
HE::IA.-,HT : J.a LIND A 1:4 1--'.A S -PAP7 PATEJ.)
OASE-MEN-T 7 OCCUP . SEPAP't P A*T,1H.,D
MF:ZZAN:I:N[.-i-7 BASEM,I
F'LOOR LOAD. W10 GAI:4AGE : 39Y FJ PE SPPKL.P7 ALARM"?
HEAT* T'Yl:)P-': GAS I-IDCP ACLF'.SS-? F LOW GPM DFFTECT7 YF.:.r.i
F-1-AN (:.'HEUK BY : r-It
14F.MARK15 :
PEJ5SUE OF NO .
O
weedgwictcl hoine(.1 PF Pill IT
W
N mw -I14;kJ.c.!ciin i-lmei iiji, W361 . 00
E 1111P,5AI 65
R mr. 97f.,-�P3 FJPE DEPT
PHONE: (.503)
3 5T ATE TAX
$1.H . 0!)
(:)THEA
C E V E L 0 PMEK NT
0 SD(:;f STORM)
N wr-.:DGF:WOOD HOMFL.-, 111112150 . 00
T $600 . 00
0(� 5 TAL E T $600 . 00
R 1*13250FALCON PT511l.- I)P
AOR 97223 q; 15
C PREPAID $1 0
T" PHONE' (P50 3) 292-3563
O PE11,119TRAT.10N NOL 333(3
R )TOL : $.1 613 . o
PECE'(PT NO
This permit is issued subject to the regulations contained in Title, 14 //'77
of the TMC. State of Oregon SPeci;llty Codes.zoning regulations 1EQtj3.pr.-1) 'LNGPE(�'J'XONS
and all other applicable codes and ordinances, and It is hereby FOOT111SIG
agreed that the work will be done in accordance with the plans and S E W V P
specifications and it compliance with all applicable codes and F'OUNDA 1'1.*(:)N WALL PAJ:N DRAINS
ordinances The issuance of this permit does not waive restrictive PDSi'T & BEAM WATER LINE.*
covenants Contractor and subcontractors shall have current city PLB- UNDEPSLA13 (',ITY AI:-'1PR(',1-4/SW
business tax permits This permit will expire and become null and SLAR
oold if work is not started within 180 days.or If work is suspended or Fl.NAL
abandoned for a period of 180 days any time after work has PL8 , TOPOUT
commenced. It shall be the responsibility of the permittee to assure FPAM I NG
all required Inspections are requested and approved I`JPE:PLA(7E
GAS LINF.*
tz/L
) I NS AJI-ATION
(3 Y P BOAPI)
a-mitt e Signature
( t-
Issued By (LAI It
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TWA RD �iN(J FPPEPIVII, VPkt, PF:PHIA, . 5F.891716
CIrYOFnGA
COMMUNITY DEVELOPMENT DEPARTMENT ON
001G 09
13125S.W Hall Blvd,13.0 Box 23397,Tigard.Oregon 97223.(503)639-4175
P141M. PKI ,
OIA.--$ ADDRESS : 1.:.3301 SW SUYTI'S B11110GE7 1*.)P USA NUMPEA: 3190:.5 e?
'1 AX MAP/L.0'7' ti':'51 ZIAFA 3200 SUB: MOPWING" VIJA L. 3 LA' : 6,`3 8W
I AND USE P-1. 115
L.01' S 12:k::
SV*-C7*10N: 44 TWPI : P!I; PM.., . 1w
WORK CA-AGS : NEW
1..KiE 'T'YPE: : GINGLAK FAMILY
I'lliv.i appJAcarit 'tri C1C)InI.)'I.y with 111,11 11"L0.eq aancl irecJua.aita.uns Of
Agepi-ley 1'he r.)erm.i.t exi:)ir-em 120 (Jays -Fr-clm the (latt,# t.cltial
ammunt j:)a:i,d wi.].] be!% fc)r-Tei:i teo if the j:)vr,mJA. expi.r,es . 'The Aqc�riv.y (Jc)em ncit gLIht1--"-
antee thl.--i? nc.-c-ttr-acy (:) F the Iric!ati.on of thl.-a isicle !newf---�r- latti??I-aln; If the !sewer- is
nat at, the ineami.ii-c-iment gi.vcn , the J.nuitall.er, viha].]. F)r-a!:ip"cA 3 feet I.ii
all dir,eatian% fi-,rjir (J:i.%taric-,w (JJ.veri . 'If riot %c) Icic:.iittp.(I , the J.ristis,11er, !4h.0-1
at, "'Tap IIL!-IcI sewer— r)(erm:Lt iii.nd the Aclelrieq w:I '1'I- :1.ristalt a Iatei-ia'.L .
INSTALL.. . TYPE: BUU.131W.v Voli-NEP TMPFAVTOLJ�-', AREA :
F:*.I'Xl*tJ(2r-.'. U11411*5 :
UWEL.LING UNI'T'S 1.
NO . OF B.I.A)GS :1
0 we11
cit wmad lic)mem $35. 00
W .
N 1.3230 %w fal.czni-i r-isio- di- CONNEC'T'ION $1. ,2:50 . 00
R E tA.1;1 iiii,ir,ti mr, 97223 LINEK 'TAP INS*T'Ai
1::+I0NF'-.'. 111,503) 29P....3563
C
0
N
T WEAX;FIA110013 H111:11MEKS
R 1.32f-30FAI-CON 1j21SE: OR
A
C tigar-itJ
T PHONEK. it 503) 2WI-30563
0
R I:1EGT.5'TI-4A'1'T0N NO . 333(4 $1 'C-.H3 . 0o
REMKIPT NO. A05al 7
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, an 4 It Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with trie plans and POLIGI.11-IN
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work Is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
lisued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
V'L.I.-IMPING PEPMA. I
C11�OF "i-47ARD PF'PM'1A* NO. : 11311-09171 A
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125SW Hell Blvd.PO Box 23397.Tigard.Oregon 97223.(503)63q-4175 A.A.: D 8/21./09
tJ1)F I f t)T
JOU AIMPESS : 1.3-501 SW SGOFTS, UPIDG+: Drz
'TAX MAP/LCYT 2SJ, VIAE) 3200 SUR. : M(*.)PN:I:N(.'., H11-1 3 LA' : 6!5 UK :
Llry
ITEM: NO: NO:
WORK C*1-.A$S : NEW WA'TEP CLOSE1' 4*2
(AvE 'T'YPE : 5INCL.U. FAM.11A.-Y 1.1P1NAI BI<Fi OW F)PVNI'14
(:,'C)NS'I* .TYPF.E. VN I AV(')nATUPY 3 'T PAI VPTMV.�:P
U C C U P .C'14 P. A 3 1118 !A4(.')WEP 2
IJ 15 IAW A S F1 I.;:P 1.
GAPHAGE D151'U5AI I
NO . SilORMS : I WAGI-11M.', MOCHIENI:% 1.
DWELL.UNITS I LAUNI)PY 7*14AY BLDG. UPAI.N DTA
F1 OOP 1)14A:I:N
! TNW :1. 5EUEP
WAI'E:P HEA'TEP :1.
OTHER
PI1;.MAr-4K5 :
0
W $
E
P"i 1.3E250 %w faxicaii i-:Lq;a cir-
R 1.igi4l'd ur- 97223 FIXTURES
1:)HONI;--" (503) ("292 3.03 6*3 %"'T'A'T I--: 'T'AX $6.25
C
0
N
T !:;WF.-A;-"T*WA*T'EP PLUMBING
R
A 19"""$SW MUPPHY 071'
C At OHA 014 97007
T
0
1 R 1PF'.:U1S'rRAT10N NO. 37700 TOTAL: *131 .e5
This permit Is Issued subject to the regulations contained In Title 14 PECEIPT NO. /ei 7
of the TMC. State of Oregon Specialty Codes. zoning regulations .........
and all other applicable codes and ordinances, and it is hereby AFEQUI RED INESU'U"tiONS
agreed that the wnrk will be done In accordance with the plans and PLA.UNUE11451—A13
specifications and in compliance with all dpplicFible codes and POS'T & BEAM
ordinances The issuance of this permit does not waive restrictive WA'rEn I-INIti'.
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null andF'L..0 . '1I'OI::'()tA T
void it work Is not started within 180 days.or if work is suspended or PAIN E)I:IA'.I:Nri
abandoned for a period of 180 days any time after work has F XNAL
commenc-A It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
�Orrnitfee Signature
SEPARATE PERNTS REQUIRIED FOR WORK OTHER THAN DESCRIBED ABOVE
W W WAW
AMW
CITY OF TIVA RD CITYAARD IHTH
M " ANIC.'AL. F)EPMINO. : *T*
ME09171.5
COMMUNITY DEVELOPMENT DEPARTMENT 00100"
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
.)A TE 1.!:i!i UE 1) a/V 1./09
F"PIM PMT .NO. 891701
J(7I-il ADDRESS : 1.3301. SW SUIT'S BRIDGF'. UP
'TAX MAP/1 OT 253. AAB 3200 SUD: MORNINL. Fill...L 3 LT : 65 PK :
LAND USE : P-1.5
I-OT SIZE. :
I TEM: NO: NO :
WORK Cl ASS: Nr---'W F7UPNAC.E <100K 1. AIR HANDI-P <1:)
USETypl:.,.:: SING'I E F AM].I Y F*URNACrin". 100K 1• Alk HANDILAI 10K
CONST TYPE-". VN F*L.()OI'4 1:1.ff"N A- CF.. r-'VAI:' .('1A)LER
(R."It,tip GRP . V'13 HF:ATI---:R VI:--:NT F'AN 3
VENT W-..NT . SYSTEM
81...1:1/G OM P If,3 H P H(JOD 1.
NO . SIDRIES 1. BI P/COMP 3—:1.51-1p 3:NLI NE RATUR(DOM
DWIF.'Ll... .UNITS : .1. BLP/COMP 1.5-30HP ]'N(',INEPA*rOR 11 C"IM
F:UEL. 'TYPE GAS BLA/COMP 30-50HP R) PAIR UNITS
MAX . INPUT 81-.R/(.',OMP 50.4-1-11) (ITHEP P
1-114;. DIVIPWil? PIPING OUTLET5
1-FIGH PRESSI?
PLMAPIKS :
0 F:EES
W
N W"d;;iwcic)d fmme!a p1:711MIT $1.0 . 00
F 132150 %w fi:Llc�nn i-iiqe dr, PLAN REVI!KW $10 . 1..:3
cil- 9,7223 $30 . 50
5 T A T I.:, TAX $2. 0;3
OTHER
C
0
N
T
R l"01-111:11 SEASONS Fil-KATING AIP COND
C A P11JF3u x 664109
T P ci I--t'l.rit ri d 0r 97 P 6 6
0 ,75-5919
0HONE. 4 503) 7
1Wr-11Jr-3WA3**MW W11-1 AIIIIMPWA TOTAL: $59.66
This permit is issued subject to the regulations contaii led in Title 14 W-J."LIPT' ISIO. /1) —401/
of the TMC. State of Oregon Specialty Codes.zoning regulations ••_••-••••-•--•-•----•--•- 'S 7
and all other applicable codes and ordinances. and it is hereby EQUIPED INSPECTIONS
agreed that the work will be done In accordance with the plans and GAS LINI::1
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive POST fC BEAM
covenants Contractor and subcontractors shall have current city FTOL11,H1 :CN
business tax permits. This permit will expire and become null and F TNAI
void if work is not aterted within 180 days,or It 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 Inspections are requested and approved
P Signature
12tee
51 (.61 1.. 1:44.t 'I T*'I'(')N 6 39-111 75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
J
i
RDPl_AN Ct{EEK RPPt.ICATION
CITY OF TKA'
QfY2oCrI FM PLAN a{ECIA) 9--i�!� •
COMMUNITY DEVELOPMENT DEPARTMENT' PERMIT K f � ---
srm- �1cw�srs
DATE ISSUED
sisxsw-iaaai.e_e-o.ao.uiv�.t�..aLcMwr+ (� -
p- -i AX MAP/LOT 41413
JOO ADDRESS:
LOT: LAND USE:
SI1B: rVl r)£'iv vk+. C�' R' �/•
VA1 11ATION: -_ `-^��7
SPECIAL NOTES
OWNER REISSUE OF:
NAME: l`]�C tvC t :p f_k'YNNs �-7i1 C - l AST REISSUE:
ADDRESS: z2 «' A t,Cc cam. t� 1�
� ,�� � FLOOD PLAIN/
SENSITIVE LAND:
PI{ONE: APPROVALS REQUIRED
PLANNING:
CONTRACTOR ENGINEERING:
NAME: �.eel' 3 3`� -
-• G 0 FIR[ DEPT
ADORESS: OTHER:
1•. 3
-- ITEMS REQUIRED
PHONE - LIST/SUBCONTRACTORS:
BUS TAX: _
AROI/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS: j
AOORESS: _— PARKING PLAN:
-- - LANDSCAPE PLAN:
OTHER: _
PHONE: _
-- i
o0 MENTS: - --
PERMIT It ACCT Il DESCRIPTION AMOUNT AMOUNT P0. UAL- DUE
10-437 00 Building Permit fees
1 10-431 00 Plumbing Permit. fees
AL ar
I 10-431 01 Mechanical Permit fees
10-730 01 tate Building Tax (57.)
Building
Plumbing
Moch
10--433 00 Plans (heck fee
nuilding ✓
Plumbing
Mech
(/ 30--707 00 Sewer Connection
30-444 00 Sewer Inspection
51_448 00 Street System Dev Charge (SOC)
57_449 00 Parks System Dev Charge (POC) ✓. - -�-�-
31-450 00 Storm Drainage Syst Oev 0'r-9 (SSOC) ✓ _"� :� .0 '� ''
10-7.30 79 TR170 -
10--730 06 Washington County fire 01 (9SX)
10-770 00 nmart/Wedgewood
101-n1-
T � Rft 11
APP C NT S11;IUf1111RE
Received By: Date Received:
cn/3587P/181' -_-7L1---