12148 SW LANSDOWNE LANE 1 12143 SW LANSDOWNE LANE
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CERTIFICATE OF
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CITY OFT167ARD OCCOPmNCY
cm F ORD
COMMUNITY DEVELOPMENT DEPARTMENT onleoN PERMIT 4F. . . . , . , : MST91-0096
13'259WHWlShed. P.O.8=233Q7,Tip M,0reW 020(66330W4175
ADDRESS. . . t 12148 5W LANSDOdNE L-N PARCELs 0:S103BC-06,400
.BUND IVISION. . . . , FYRIE.STONE ZONINGo
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
MLASE OF WORK. iNEW
TYPE OF USE. . . t8F
ncr,UPANCY ORP. iR3
L)CCIAPANCY LOAD sI23 4
TENAINIT NOME. . .
P f.fil..A r k v -
MICHAEL HUMPHREY
12385 SW 121ST AVE
I* iCARD OR 9*7223
r,hone #: A84-9737
ROSEWOOD DEVFLOr-P,r-NT CO
12,*8*5 SW 121ST AVE
TIGAF40 OR 97PP3
Pl-%( ., - #t 684-413737
Recta #. . I -4656A
OcL.upancy of the abo-�e �,eferpnced building is hereby given, and certifle'u
the compliance with tme State (If Oregon Specialty Codes for the grour,
act-,upancy, and wie under which the referenced permit wis ig'sued.
I -DINC, ,Ltj,."- TOR
FIRE DEPARTMENT
?tBL)I
POST IN CON SPTCUOU�; PLACE
e. . WKaSTAL.w
�NBpBGTIO_N NO:fICE
City of Tigard Building Department
13175 an Ball Blvd, Tigard, Oregon 97223
Inspeetior Line ("Ic-O-Phone): 639-4175 Business Phone: 639-4171
Innpectiont____ -_
Footing Plbg. Underelab Mech. Rough-in Aypr/Sdwlk
Pound. Plbg. Top Out Gas Line FIBALt
Post/Beam Strutt. Sen. Sewar. Framing Bld
Poet/Beam Mech. Rain Uraln Insulation .10 -Plumy,
Plbg. Underfloor nater Line / Gyp. Bd.
' Date RRgIJle 9ted2 /��
�� �d1�_ --Times
Addreset-� �L�� b.c-F ?`- Jr''G�L�n� Pel�.'mitS
Bulldert_y:*::V�dJ�f7 �)
THR FOLLOWIra CORRRCT_ONS An RRQtIIRRD.
Inspector:
Deter
APPROVED DISAPPROVED APFROVRD SUBJECT TO ABOVE
Call For Reinsp.
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INtrPi4CTIgp NO�I_CE
City of Tiqard Building Depart—t
1.3125 811 Ball Blvd. Tiqard, Oregon 97223
Inspection Line (Rec-o-Phont)). 639-4175 euainess Phone: 639-4173.
Inspect ior.s - -----— --�--- ---------- --
Wonting P1bg.. Underelab iiech. Rough-in Appr/Sdwlk
Found. Plbg. 'Top Out Gas Line FINALS
Poet/Beam Struct. dan. Fewer Framing -Bldg.
Post/Beam Mech. RAI^ Orain Insulation -Plumb.
-x3. Underfloor Waiter Line Gyp. Bd. M
-_�
ice Re jueeced:-- _r j_/ �L Time: /1M ✓ �4A
Address _._1 ( -C �l`r�,�/ rmit
Hui l.der:
_--- -..k Z'
THE FOLLOWING CORRECTIONS ARE REQUIREDs
InspectorsDater,G_�— _�_____
Y.
APPROVED DISAPPROVED APPROVED SUBJECT TO AIH.*VE
!- Call For Reirsp.
jpjpj1CTjON NOTICE
city of Tigard Busldl-q Department
17125 811 Ball Blvd. 'jigard, oreyoo 9722.3
Inspection Line (Hec-O-Pho ): 439-4175 Business Phone: 639-4171
� 1
'nspection:
Pibg �nderelab Mach. Rough-in �ygpr/fald-
Footing
Found. P1Lg. Top Out leas Line FINS
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Ream Mech. Rain Drnin Insulit; on -Plumb.
F
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requesteds
Address: ��- �! t�� �01 .�rermit 1eC/L.—_j,_
Builder:__ G =ye�7f7� -THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors .Lt_/tel! Dates
1 �' APPROVED DISAPPPZ9 APPROVED SUBJECT TO ABOVE
Call For Reinap.
MNAR1910 P—TTICF
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec:-O-Phone): 639-4175 Rue neon Phone: 639-4171.
Inspection:-� -----._--_--
Footing Plbg. Under-' ,u Mech. Rougti-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer F:'amtng -Bldg.
Post/Beam Meeh. Rain Drain Insulation -
Plumb.
Pibg. Underfloor Mater Lin:, lyp. Bd. -Koch.
Date Requeeted:_—� __Ti.. __AM PM
Addramat
Builder:_
THE FOLLOWTNG OOtRECTIONS ARE REQUIRED:
w
Inspacto:- ! - �- Date:/
/ APPROVED DISAPPROVED APPROVED SUBJECT TO AROVE
all For R91nep.
.aa � �► ntr +� ts� � eas
I�►�'.ioL.L�arice
City of Tigaz-d Otmilding Department
13125 BA Ball Blvd. Tiolard, Oregon 972.23
Inspection Line (Rec-cr-Phone)t 639-4175 Business Phones b3S-4171
Ine47ection:___
Icoting Plbq. Underalab Me-h. Rough-in(/J Appr/Sdwlk�
Found. Plbg. Top Out Can Line S�1fALt
Poet/,Resta Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Dat9 Requested: ' / Timet 11 AM
Addrsaei 2-1 .ntLV- L lit OI,L I{vermit it_�'1l UU�tCC
1
Auf.l7ert �_
TBE ec t"Wi11G CORRECTIOR9 ARE REQUIRED:
i
It.vPe tor:_ zz,4L /Znatet�.�
_APPROVED -_ DISAPPROVED t/ APPROVRD $[JR7RCT TO ABOVE
Call For Reinsp.
MEN m m m mam m 7
INS.PEECTION NOTICE
City of Tigard Building Departasant
13125 BW Bal„1 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phtvne): 639-4175 Business Phone: 639-4171
Inspect Lon: ----_ �v— --
r. :ting Plbg. Unde:rslab Mech. Rough-in Appr/Sdwl.k
Lound. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framinc -Bldg.
Post/Ream Mech. Rain Drain insulation -Plumb.
Plbq. Underfloor Water Line Gyp �. -Mach.
Date Requested: / I _Timei PN
Address x�OZ��7�� '> > �+ermit 1.
Builor- : � �y, •�� `�
THE FOLLOWING CORRECTIONS ARE PEQUIRED.
Inspector: __ - ----- Date: /e2 '_ - 2
APPROVED �� DT!",RPPROVED APPROVED SUBJECT TO ABOVE
For Rein,p.
INSP��'T.�.D�Nar10E
city or Tigard 9,'i.ldin9 Department
13125 sm Ball Blvd- ri.gard, Oregon 97223
I1:.:pection Line (Rec-^-Phone)s 639-4175 Bueinefla Phone: 639-4171
Inspections
rooting Plbg. Underelab �•—Rough-in Appr/.sdwlk
Pound.
Plbg. Top nut Cas Line^' FINALs
-Bldg. i
post/seam Struct. San. Sewer framing 11!
Poet/Beam Mesh. Rain Drain
Insulation -Plumb.
Plbg. Underfloor
Nater Liffe Oyp. Rd. -Nech.
—�� Timet AK PH
Data Aequeatedf
/ �..�L• Wait f��G/L_-�Ci
Address c
--
Au 11
THE FOLLOWING MRRE-."rIONB ARE REQUIREDs
tnaw.r:•n _=sr% _ _ Dates
APPHWRD DIBAPPROVRD -_ _ APPROVEU 8I113JE('1' TO ABOVE
call For Reivap.
air aBr ow � � awr �►. e-' s�
IMSP6CTION NOTICE
City of Tigard Building r-partwent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Businena Phone: 639-4171
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas
-Line
e FINAL:
Post/Beam Struct. San. Sewer / ` .1 ng -Bldg.
Poet/Beam Meeh. Rain Drain / _--f_n.ulation -Plumb.
.a-
Plbg. Underfloor Water Line, gyp. 8d. --/Hoch.
Date Requested: A) Time: ✓`, AM PH
.s it ,�%—leo C
Address: ��` Ly�/"XC-1T„c Emit �s tF
Builder: ii1'�77)/_� ly d I _ l / 7 -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�9
7'I
;t
F
9'.
4
if
Inspectors) �✓ — Date:_ --
--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
mm A ass A moms A f=1
m
NSFLCTION NOTICE:
city of Tigard Nu:.lding Dep-etment
31125 A Hall Blvd. Tigard, Oregcn 97223
Inspection Lima (Rea-O-Phone): 639-4175 Business Phone: 639-4IJ1
Footing Pl . Underalab Mach. Rough-in Appr/Sdwlk
Found. Plby. Top Out Gas Line FINAL:
Pont/Beam struct. San. Sewer. raminq -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Unlerfloor Nater Line Gyp. Bd. -Nech.
Date Requested:I_/((� � ( _Timst �_AM PN
Address: I `i V l M ��LUVI-C �- Permit #t
Builder: ` 7 L 0 M
THE FOLLOWING CORRECTIONS ARE RBQUIREDs
A �
t>>. ✓
Inspectors Dates
^_APPROVED �� DISAPPROVRD APPROVED SUBJNer TO ABOVE
I V Call For Rsinsp.
x NSPacrlae►__�o�r�
City Of Tigard Building Der '-ent
13125 8N Hall Blvd. Tigard, Oregon ''7223
Inapiction Line (Rec(--O-Phone)s 639-4.175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/sd,alk
Found. P1bj. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewall -Bldg./ Framin4 J
Post/Beam Rech. Rain Drain Insulati(.n -Plumb.
Plbg. Underfl�:)r Water Line Gyp. Bd. -iitech.
?� ` �
Dat- neques10-- 1 ( __
twd: _T1-mss __>/- 11q _, PM
1
Addreest j l k`i O((/ -1-T�.�/�� �(,1.�� L��l�- Permit !J --A-t
P:ilderteLa b4 -r, _-- -- -��___ -----�..
TB= FOLLOWING CORABCTIONS ARE RRQI, ZED:
Inspector: y ,�
nate:
APPROV>eD DISAPPROVED APPP.OVED SaR.h:gT TO AROVE
_-Call Call Po,• Aeinsp.
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1N$?e2TIOl1 NOTICE
City of Tigard Building Department
13125 B!1 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- )-Phone): 539-4175 Business Phone: 639--4171
lnspeccion:_-------- — T—_--
Footing Plhq. UnderslabMMh. Rough-io l Appr/Sdwlk
Found. Plba. Top Out Oas Lina FINAL:
Post/Beam Struet. Sar:. Sewer Framing -Bldg.
Poet/Beam MAch. Rain Drain Insulation -Plunb.
Plbq. U::derfloor Water Line Gyp. Bd. -Mach.
Date Requested:_I Time: — AN _ PN
Address:-� /M�-F �''� i%li �?ermit
Builder: 7,�
TRE FOLLOWING MRVECTIONS ARE RRQUiRF,D::
Qat.:
r
A/PPAOM r� r DISAPPROVED APPROVRD SUBJRCT TO AW.WP
` �G11 For Reinnp.
City of Tigard Building Dex�artment
13125 OW Ball Blvd_ Tlgard. Oregon 97223
Ineoe• Ion Line (Rer_-O-Phone): 639 4175 Business Phone: 639-4171
I:,apect ion:
Footing Mg. Onderelab Mech. Rough-in Appr/Sdwlk
Found.
• Tap Out Gas Line FINAL:
Poet,/Beam Struct. San. Sewer Framing -Bldg.
Mech. Rain Drain Insulation -Plumb.
P1b3. Underfloor Water Line Gyp. 8d. -Meeh.
Date Requestedr�/�� �� Times
r PM
Address: /�.l ���z+-rhi_P.s7mit
Builder:
THE FOLLOWINO ODRRECTIONB AP.R RIWIV",
— I
Inapeotorr
- --
Date:
APPROVED DISAPPROVED -- _
APPROVED SUBJECT ,m A
__ Cell For Relrsr:p_
r'
M PIS
INSPZGTION NOTICE
Cit} of Tigard Building Deportment
125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underslab Hoch. Rough-in �Appt/Sdw1k
Found. Plbg. Top Out Gas Line FINALS
host/Beam Struct. =8—r Framing -Bldg.
Po•t/Ream Meeh. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor (�Nater Line Gyp. Bd. -Hoch.
�
Date Requested: � _Time i I.L ! AM PM
Addreas: , / �1 d rtr < Permit It r / -G2171S
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Triaprr-tc>r: _ --- Data: —�•2
APPROVED DIJAPPROVED APPROVED SUBJECT TO ABOVE
Call For neinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 S# Ball Blvd. TigarO, Oregon 97223
Inspection Line (Ree-o-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plhg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Dine FINALS
Y6t/Been 8tru Ban. Sewer Framing -Bldg.
ost/Beam !tech,; Rain Drain Insuletion -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date RequestedsTla:es _AM PM
Addrams: L r relit f
Builder:T/r ';"�t2.G���+ 1
TAE FOLLOWING CORRRCTIONS ARE REQUIRED:
-E:5Inspector: _ Date: 7—
�APPll011lb DISAPPROVRD APPROVED SUBJECT TO ABOVE
_—call For Reinap.
IKBPZCTION_NOTICE iY
city of T14ard Building Department
13125 ON Ball Blvd. Tigard, Orejon 97223
Inspection Line (Rio-O-Phone)z 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct• Ban. Sewer Framing -Bldg.
Pon'lBeam Mach. Rain Drain Insulation -Plumb.
"l Underfloor water Line Gyp. Bd. -Meeh.
Date Requested:__�. iti 2 i __—Tiros: AM PH
Rddrerns`R��� �C�l;.;;.t�r� ..vim_ Permit #t
Bss i lder z
THE FOLLOWING CORRECTION£ ARE REQUIRED:— 1
i
i
Inspectors --___�._ Date:Z�/�T L
R'PROVRD DISAPPROVED APPROVED SUBJECT TO AGAVE
Call For Reinap.
aw see � sir s� ser wer sees s
INIPECTION M710
—
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rae-O-Phone: 63' -4175 Iluei•tess Phone: 629-4171
Inspections_
�'�ootinq Plbg. Underslab Mer_h. Rough-in Appr/Sdwik
/ o'F und. Plbg. Top Out Gas Line FINAL:
Past/Beam St,ruct. San. Sewer Framing -Bldg.
Pout/Beam Hach. Rain Orrin .nsulation -Plumb.
Plbg. Underfloor Nater Li Gyp. Bd. -Mach.
Date Requested: z C�1 Time: _ AM (. PM
Address: /I 4fe ,ajermit f: —
Builders—
THE FOLLOWING CORRECTIONS ARE REQUIRED.
CL -ZO /S 1'r—
Inspects
GInspectors _ Data
APPROVED DIS.PPROVE� APPROVED SUBJECT TO ABOVE
Call For Retnap.
0LMr=—Mr=—=
SEWER CONNECTION
CITYOFTIOARD PERM I T
CJTYOFIMRD
011110M
COMMUNITY DEVELOPMENT DEPARTMENT 47 P,ERMIT #. . . . . . . . .3W
13125 SW Hall Blvd. P.O.EkIN 23397,TOW,0r1%Fn 9-12M OW)on 175
C,7 7 OWL. it)SUED: EVE7110/1JI
i1 ADDRESS. . . : 12148 SW LANSDOWNE LN PARCEL: 2SI03BC-121640�,"
FYRESTONE ZONING:
j �tt--OrK. . . . . . . . . .
LCI T. . . . . . . . . . . . ..3
-----------1--------------
t--NANT NAME. . .
NO. . . . . . . . . . FIXTURE UNITS. . . I
D14E-1—I NG UNI TS. . : I
Cl.A55 OF WORK. . . NEW NO. OF' BUILDINGS21
TYOK OF' USE. . . . . .. 3F IMPFRV SURFOCE. S f
INSTALL_ TYPE. PUSWR
FEES
IIAIEL HUMPHREY type Amof.tnt by date V-ecp-c
PRMT $ 1500- 00 PLL 06/10/91 —•385 E,W 121ST AVE 00 PLL OL- 110/91 -
I.:,P R 1) Ute 97' '23
#s 684-9737
NOT ON FILE
t535. 00 'TOTAL,
raPi4
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the ruiss and regulatiors Sewer Inspection
of the Unified Sewage Agency. The permit expires 22 days from
the date issued. The total asount paid will be fcrfeittd iF the
oers-.t expires. The Agency does not guarantee the accuracy of tf,t
side sewer laterals, If the sewer is not located at the measurement
,yen, the installer shall oraswt 3 feet in all directions from
try distance given. if nut so locatei, the i"stailer shall purchase
a "Tac and Side Sower" Permit and the A
--M t t e
N1. -----------
1�t ed By
Call fo- inspection 639-4177)
PEA'=0
MASTER PERMIT
Cirf OF TIFA Ic61M 1 T #1 . . . . . , : M aT'9109C�
GTYOi T1sARD
COMMUNITY DEVELOPMENT DEPARTMENT oanoo«
)ATE 1"E I�i S U w~D e 06/4'0/91
13126 SW Hdl Blvd. P.O.Boot 23397,TOW,Oregon 97223(603)6394:76 -_
- - ----- 4.3 SW L ON`:. ,WI'i, — -- - -- I",ARCEL: S 1033 - 06411)0
FYRESTONE ZONING:
. . . . . . • . . . L.0"i.. . . . .. . . . . . . . . .
......_._________.________._________ BUILDING ---___-___ ____
O.1I .I DWELLING UNITS: 1 SASEMFNT. . . . . . . . :0 y f
OF WORD'.. -NEW BE.DRMS:y PATHS:3 GARAGE. . . . . . . . . . :512 s f
I- USE. . :5F FLOOR ARE=AS--__._.._.....__... RFQUIRFD SETBACKS-----
UF CONS' . :5N FIRST. . . . :`338 sf LFFT. . :6 ft RIGHT. :7 ft
,I.IANCY C..P. :R3 SECOND. . . :0 5f FRONT. i-t REAR. . :_-7 f''t
S '11?IES. . . . . . . .. 1 THIRD. . . . -0 s•f REQUIRED-
1E 3 ft TOTAL-.••----•- :2338 sf )MOVIL DETECTORS. :Y
_Uf)R LOAD. :40 ns:f VALUE. . . . . $ : 11f,764 PARKING OPACES. . :0
_________.-_.------_._.__._________-•-- PLUMPING
I6KS. . . . . . . . . . : 1 FLOOR DRAINS. . . •. :OI BACKFLOW PRFVIVTRS. . :0
0,)ATORIES. . . . . .5 WATE=R HEATERS. . . : L TRAPS. . . . . . . . . . . . . . 10
5H0WGRS. . . . -3 LAUNDRY TRAYS. . . : 1 CATCH BA5I NS. . . . . . . .0
n' F P CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
i .i+S3t�IERS. . . . : 1. WATER LINE: (ft ) . • 1 , f)THEIT FIXTURES. . :0
i+e•I-, 4L:iE DISFI. . . : 1 RAIN DRA?N (ft ) . :0
;iJll�l(�
MACH. . . : 1 SF STAIN DRAINS. . : 1
MECHANICAL -__.___. ____.___ ________.___.___ E"E:ES
UNI T HTFS. . -0 type amoLsnt by lot e .-OCIA
VENTS . . . . . ..0 TIF $ 1350. 00 PLL 06/ 10i 91 -
1 hlP IT:0 871,1 VENT FANS. . :4 BPR7 $ 4_ 5. 50 PILL. 06/1 17/91 -
iuKI i 100K . . .0 HOODS. . . . . . . 1 BPLC $ 309. 08 JLH 05/22/91 213513
100K . . : 1. W00DST OVES. 7.0 E35FIC $ r•3. 78 PLL 06/ 10/9t •-
(.01H FURN. . . . 10 CLO DRYERS. : 1 SSDC; $ 375. 00 FILL. 06/ 10/91 -
i iC,M < •f4P-Q1 OTHLR UNI TS: 1 PARK It 500. 00 PLL 06/ 10/91 -
GWS OU rLFTS: 1 MPRT 45. 00 FILL 06,,'10/91 -
MPLC $ 11. 25 PLL. 06/1.0/91 -
4-111F.1.. HUMPHREY MSPC $ 2. 25 FILL. 06/i 0/91 -
)'.` 514 1.2:15T AVE PPR T 1 1 �. 50 PIA. 06/10/91
P5FIC $ 8. 1 : {-ILL 06/1 th -i 1 —
+)I'I7 OR 97;:.23
hr.,rrE #: 684-9737
[+)III) DEVELOPME.N7 (A)
5W 121ST AVE
OP 97R23
#t 6614--9737
it. . 46568
$ 326::. 49 TOTAL_
h s pereit is issued subject to the regulations contained in the ----- - - REOU1 RED 1NtiPLG 1 1 C1NS - -- - -'roa-d 'lunic:cal Code. State of Ore. Sp isity Lodes aro Orli other f-cot /found Insp FireplAce Insp
-r 'lcaole laws. All work will be done it accordance with epuroved Post/Realm St+^I..1ct Gas Line Insp
This permit will exoire if work is not started within 1EIN Post /Seam Mechan Insulation Insp
-,ass el issuance, or if work is g�-rrendet' �� mrY thin/1PP da,s. Plm/undslab Insp Gyp Board Insp
X1f-
1_11/1Jndpt- laoi- Rain drain Insp
r t tete SigrL la` �� ~' l'�ac tl nic_.a1 Insp Water Line ins.p+
�f Plumb Top Cut Appr/Sdwlk Insp
Fv,aminq Insp Mpchanical Final
al fr• rn -rt i.on - 639--4175
CITY OF IIGPRt) RErEIPT OF PAYMENT RECFlPT NO. o9l.—EI4164
CHECK AMOUNT 4696. 91
NAME a UNITED SAVINGS BAN;{ i.ASI-4 AMOUNT IA. Zia
ADDRESS a 376 EAST 400 SOUTH PAYMENT DATE p 06/10/91
SUBDIVISION
SALT LAKE CITY, UTAH 84111— 12148 EW LAND91)OWNE
PURPOSL'. OF PAYMENT 0MOUNT PA 10 PURPOSE OF PAYMENT AMOUNT I.-AAID
ESU HDTW6 PERM M51'91—ooc)i� 475. 00 PLUMS I NQ PERM 50
MECHANICAL PE 45. 00 ST. BUILD PER 34. 16
PLAN CHECK FE 220. 33 SEWER LISA 150a. 00
SEWER INSOF.CT 35. 00 RESIDENTIAL TRAFFIC FEES 1250.00
PARKS ',;f)C ', 500, 00 STORM DRAIN SDC 37.7"o. 00
MOSS TRANSIT TIF FEEI:ij 100. 00
lit-101— P)M('.IIJNT PAID 4696. 1)9