11625 11627 SW LOMITA AVENUE 11625 b 11.627 SW LOMITA AVENUE
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INSPECTION NOTICE
City of '-igard Building Department
P O. Box ?3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested 7 Time � A.M._ P.M.
Address /, "25_'��22rn1 Permit
Owner _— __ __ Lot #
The following Building Core deficiencies are required to he corrected:
Presented +o ___ — �'1 Approved
Inspector �— -- -- — -- Disapproved 4
Date
CALL FOR REINSPECTION
❑ YES U NO
CITYOFTIGARDPERMT114(.) mk.:814011101
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�CITY OF T;WARWD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639A*175
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This permit is issued subject to the regulations contained In Title 14
.7
of the TMC. State of Oregon Speclalt-Codes,zoning regulations
and all other applicable codes and ordinances, and It is herety I (;)I.! t:11. I' (I'.)11:.1. '1 1 1. 11
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and !j I I-If: I
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 110 assure
all required inspections are requested and approved
Pe,trilttee Signature
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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Address L �� Permit No.
Name of Occupantcf'L�� l°rk, Permit charge _
Connection
Conneciian fee
Ppid by (/--7 Cy� / r
— -------- -- --- ----- Date connected
T;pe of Building .L .� l.�spection fee � e"n
¢¢ no
Service Rate 9v Paid by 4G _Date
Contractor-� .� Assessment /- kA�e,_Paid _
Size of connection
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OF TIGAi%U
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same mal be im-
:_-1 from time to time when due and before such charges become delinquent.
I fully understand ►hat all unpaid sewer servic- charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/'or
bonded and licensed plumbers.
Owner
APPROVED BY
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S oerintendent -- ---- —
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
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PERMIT TO CONNECT
Tigard Sanitary District
rW- l)' WATT N° 717 DATE �`' , • .. r� +4
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PERMIT I8 GIVEN TO `-L',r ^WT%y� '
OF C.J
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TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
l ,} //477
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIt CON-
#NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED. 0-
PERMIT
PERMIT FEE PAID -. ...........................TIGARD SANITARY DISTRICT
BY
CONNECTION INSPECTFJ AND APPROVED
ice.
'JatC Supe endent
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