13081 SW LAURMONT DRIVE 13081 SW LAURM NT DRIVE
I
N
A
41
O
1i
ro
a
I ,
3
r�
JQ �`yi. 4� ih ,t ►.�+�4 �. J�,�y���rtn i q r� 1„'�.,,ppv ` , yr 4� �./s
, ��M�f � ! � � U w l i �wh t•'t t c��y r/��t, ,. w W� �",,��t,��` Y .ta'.' f
R
I/ t`�r'�i'!
'7fit•`''1{� ... �l �jt :i,tt rrh�1�' �/le ti.�F� t t � JR � }t• ;ti � "' ' = ► �,.A1.Al�"1,�
yi�a � t i. -fly
.�: r• � I' iii �.ty!
i C=
7CO 411 .
rrn
yA i
l L'�
it
co fh
cc
r fa H q (� tE
E CA ro V w �, do t m
A w +'5 V
P'A0 V) ►'� u� too c�
[ p, N •r+
Jrm
�. •� ' + N O
N in M
1 ,� h0 '
,,ka. ,, u n a a l tt 1
XV
(fi d �i 0 D4 .. .,w .O {� ..N~., �,•�1 t - ,l!
41
V 0y) F" i y�y;?
l l,' Hip b O ~
t
,ark
a 9th
' .xA*T
,l
AA
;I
s� s� sew s sse s � ass
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tiq,4rd. Oregon 97223
Phone 639 4175
Type of Inspection
Date Requested Time A.M. P.M.
Address L� ---L.-tld ='�` �-- Permit # �
Owner— �- �:- Lot # _—
Builder_The following Building Code deficiencies are required to be corrected:
-------------------
Presented to
' �} pproved
Inspector Disapproved
Date
CALL FOR REINSI'^CTION
❑ yet 0 NO
INSPECTION NOTICE
City of Tigard Building Department ,1
P.O. Box 23397 G
Tigard, Oregon 97223
Phone: 639-41/75
Type of Inspection - L--' - ----.__.__----
Date Requested r:;) �/ Time_�_ A.M. P.M.
Address _L�1 C I �� U_�C(V`?'t Permit *-S
4
Owner nn nn --�— Lot #_
Builder ----
'i he folio-sing Building Code deficiencies are required to be corrected:
Presented to _-- __ ,r'f Approved
Inspector - -- ^ � � �_� Disapproved
A--
Dote -- --
CALL FOR REINSPECTION
❑ YES ❑ No
INSPECTION NOTICE
G.ty r,; Tigard Building Department
P.O. Box 2.3397
Tigard. Oregon 972.23
Phone: 639-4175 J�
Type of Inspection
Date Requested
`�, ,/,_ __,_ r_�'I !(�T�i:na—__—_ A.M.._._.__r P.M. /'►��'�
Addre s j J
A.,
Permit Permit
Ownf r — --— ti � __._ Lot
Buildt
'The folly wing Building Code deficiencies are required to be corrected:
i
i
f
Presented to -� [ AfJm`oved R
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
F] YES (_] NO
air � aaR 'w aiw � .sn aav � we
INSPECTION NOTICE
City of Tigard Building Department t
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
% f
Type of Inspection
Date Requested �- me._..-,_— A.M. P.M.
Address l.c__ I Per-nit
�h
Owner ( ' _ CC l-liliti"Ylff,rl? ►.�!L� Lot #T4_
Builder
The following Building Code deficiencies are required to be corrected:
ice r
Presented to Approved
Inspecto.// r 'r`ti —__ 4-0 PProved
Date —`
CALL FOR REINSPECTION
❑ YE! ❑ NO
INSPECTION NOTICE
2 . C) 01 City of Tigard Building Department
F.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C� at
Date Requested Time-A.M. / SAV
Address Pr -it Q_�3
Owner Lot
Builder
The following Buildina Code deficiencies are required to be corrected:
Presented to 0- Approved
Inspector LIDisapproved
Date
CALL FOR REINSPECTION
DYES 0, No
E3f.lILDJ:NC PF::f41411'
CITY OF TIFA
RD ��� I'1eRih12 r NC1. : h3lJf3'70;i;J�6
TC a nGAfm
COMMUNITY DEVELOPMENT DEPARTMENT °"°°" UATE 'L`►fit 11:tS . 1, 88
13125 S W Hall Blvd.,P O box 2339r Tigard,Oregon 97223.(503)639-4115 i:)P x M. Pm'r .. NO 0,703.56
--- - og 0. p�-7
101:1 A00PES S : 1.X01 4 SW L.AL.IWMON r UP �'" 37 v 3 3'1
11,1'.41 r•IAfJ%I (T] 11 ,0 i,SO.; 38400 !.,I IH VILLAGE A', Sit IMMFi:FyLAKE: I. r •.,49 HK
1.-AND i.ISE ; AILIIPO
I fl'f M I.)1. VALA1101 1.CIN 111 Ah ,000 5ki,1+1AC:K5r
FRiUNT : 20 RALAW : :1
WORK C:t...ASS , NEW OWEL..L .UNITS : I I...EFT : ai? ATUH'T' : 36
I F-111 . 1 ,141r:, 5;7 Nt:;l...0 1 1AfHT1..'i NO G1F;.'gl?OOMS :
1:0NS T . '1'YI-''E. VN NO,BATHS : N: S : i:::: W
(':T.w P3 i:1FIOT C1f�1:;P1:LNC:S
C:1C:C.;up t.oAG1 N: S : E: W:
T OTAL_ 1ARIF'A 1 -108
NO 15rOP IES . 1, 1ST : 1.4013 ROOF C;ONGT : C: FIRE PET7
I(':I I I 1 A r14u /11+14 6 5F.PA14 D A-1 I::1:1
HASk ME N 177 3R0 . C)CC:f.w .. SEPAR7 RA T M.0
r:L.00R 1._OAU : 40 U.ARAGF- 4.10 PIPE SR)PKI-.R'7 ALARM?
1''1..C)W 1 C PH) DE f LC:1'7 YES
I-I AT• TYPE. : (::AS HDCP . AC:CESS 7 (0AR7
Ili 1141 (-:I IU.C:K BY : 1•.1 A.
f2M,Ml•AHW 5
Mr..l;SY.11k: 01-0 No 6S106
LAST PET 551-11E
M(. PttT GC.T,rlt;: MA4 i°t.)lM.f l' 11112,31 00
N I,e1 MIX 'I 95Pel 111 ,'11.1 PEA)I t::W 113
,
E pr.1r•tIa1.1.1c1 rrr "i 1 F T11IE: DIF,PT
R 111 11]1,.11. ("10:3) Pell 1,1l 1: I AX 1M 1.Ei 5.15
r.)If F IH P
--" I)f;;:VC.1..C,)f')MI .N'T' rl•IAF1t::F::f;
C
0 M0Rr.G111 VIE DON SDC;STORM) 11f'"' 3 . 00
N I: 11:1M x•11:111:+f lh%ll� T' I I�i. 01.1"1.1...DEJ:15i JN(-, ti 0C,( S'T REC:1 00
T PO PDX 1.+i+3r. A R)f1(,t 1 ) 1111250 . 00
A 1.:131 i 'l a111r1 1:11 >''%'I PFIFP A1.0
T I:'JFICINF 1'Sp:.K) E?44 5+:31,4
•' T
O 1,4:1;1 5i'C 1"01 11IN NO .3101".13-'5 T fITAl. *I , ,46a, !•A
R j
This permit is issued subject to the regulations contained in Title 14 -
of the TMC, State of Oregon Specialty Codes,zoning regulations FIE(4111(44L 1 'L'Nf'J1,71F ;T TDNS
and all other applicable codes and ordinances, and It is hereby I-0(:)T I NI:: SKWU44
agreed that the work will be done In accordance with the plans and
specifica+Ions and in compliance with all applicable codes and F'L)l JNOA r LIJN WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive Prll l K tilm"AM W0*T f, P L,7.NU:
covenants. Contractor and subcontractors shall have current city PLO, CINDERISL..1AS Cx r Y APPR(:'1.1/Ci W
business tax permits This permit will expire and become null and L)L.,6D F 1-NAl.
void if work is riot started within 180 days,or If work is suspended or
1,01:1111111
abandoned for a period of 180 days any time after work has M 1.H
1 1Jf.;
commenced It shall be the responsibility of the permittee to assure I I Il111
all require inspections are requested and approved
11.1",M I. TW
-
I tial It A r:G1,)N
Pei
Issued By — - 1:• . :I V TON -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CA
ok-
CITY OF T167A RD !iEUEA Plil...*141MI 1*
ClT4§LRD E PM IT NO. i SE870339
011100"
COMMUNITY DEVELOPMENT DEPARTMENT C�4(
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639AI75 DA*71.' 7Sj$LJVA I I P.6 I as
P
PRIM. PM I F10 Ell r 0 33 6
J08 AIJOUPI ,SS : 1:3O" SW L.AtJRM(:)N T' UP USA NUMBER 34923
'I AX 1150. '331JC, 1W400 �Altj: VIA I AGE. A'I FiLIMMER11 AKE L'T : ;39 PK
LANK USE:
1-01 1151ZE. :
!ii EC;y*1ON: 33 I'WP: 1.111 RNG; 1w
WORK ("A.0S. S ! NEW
I.PiE TYPNE: SINGLE FAMII .Y
f 141:)111:1.:1 c::m.n t. 4091-e*110 t With 41113 1-1.11vilitl 11111d
limiwer-ago Agetic!y . 'The Permit expirem I.VO days -Fr•rim the dukto imist.ied . The t(.)toLl
oncit.1111. 1:)1nicl wJ1.1 boo I -F the per'InJI, 4i.-XI:)JI,"1n . The c1clein licil,
ntl—t(mv the af thirit of thO f8i(1611 (6T?W*7f-- bill,tVI"40:111111 . T-F 010 100W011" iM
111: 1, 0-1. 1,110.:il giverl , t'hove :1.Olin tINI "I fipl- !111-1141.1 I'll
I&).). dirnertlonio -Frain the distance given . 1-F not ma :Lac�alted , the irintaller inhaL11
Po1-1111t li'll-10 111-1er. 0(4*)J-J4.-9 W:11.:1 :'LJJJ`.iJ1JIJ.'[1 OR
INSTALL- TYPE : E.A.111-01:NC." 511:-WER IMPEAVIOUS APEA:
I 1XILIPF 1.11W."irs : Il Nwl 1WIPOVEMEWT :
DWELA.ANG UNITS : 1.
NO 011-
0 F*:Es :
W MCI PT xi S L I I C: DON PF-1.4m]''T $35 00
N
E PC BOX 1y.52-1 CC)NiR.-*.'.CT1Ol`41 C'.1--lARGEE $1. 11.00 . 00
P ri r,1A.at I I d ci 1-, 97 P.I.1? IAP INS'lAI.A.
PHONE (303) PAA 931.41
f"ITI-11UP 1111,360 , 00
C
0
N MC)p 1:ro SETTE: DON
T
R OCIN 1`1101:41CISA: I' ll:K DUDFA,
TL ,!:, It)'
C A PC "OX 195e4
T 1-11-11,1-1 M I I cl cii, 91PI.9
0 PIAC)NE: 11503) VA-41-931-1
I CIIIAL. "I 1. /119 1111 . CI 0
This permit is issued subject to the regulations contained In Title 14 PECEAPT NO g C85/
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby 1:11F.I(AWERED TNSPECIJONS
agreed that the work will be done In accordance with the plans and
specifications and in compliance .with all applicable codes and POLI(A.-I-1.N
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall howt. 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 roque ed
and approved.
Permittee S nature
Issued By:
FOP TNISPECI"TON 6,39-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PlAJIMEA"INIC;
CITY OF T IGA Ra �CC4"YOF�TWA�10 PEPMIT NO . : Fit 070337
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13 125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 U111-ILK 1551.111%-U : 1. 68
FJ 1-4 L M PM T NO El 70,536
JOW ADDAE-."Gs : 140(;10-514 LAUPMON'T DR
TAX MAP111 CIT .1.45:11. 33E)C. lcvloo 51.lr.3 : VIL.L.A.-C3F.' Al' 51AMM1:;:Pl-,.AKE I T :39 RK;
LAND USE :
LUF F51ZF.-: :
XTEM: NO: NO:
W(')r1K CLASS : Nl;.:W WA'11 ER CLOSET I pAli",
U51r.: TYPE: S3:N(.v'LE FAMILY UR1NAL. 101107LOW PPVN'T'R
CONST TYPE - VN L AVOPAITsPy P. TPAV, PD1M1:::P
0(','Ct 1P . GRP . TUS SHOWER k! CVr-41.;::ASE TRAPS
D1511-1WASHUP J.
GAPBIAGA"
NO . ti'f 0 V41 E S W0 514119C; MACHINE L
DWELL .UNITS : I L.AUNDRY 'TRAY UL.DG DRAIN (DIA
F I DOP L)FIAIIN
51 N k
WAI'F-11 HCATI-J-4
OTHER
I I:MAPKS !
F'F.;'ES
W
N 1*10 P 3.FiS F:1 11'K D0114 L'.1:�M.1 11'
E Pa BOX 11.93FA
R r.)a i,t: n ri d 1:71' 97'r',19 1 1.X 11.1 R EF.S
PHONE (!50*,'3) i,!.eI-eI.-931.d1 STATE TAX
0,111 U-1:P
C
G
N S
T .11-10EMAKER HAPOLD
R SHOLMOKU.P' !�- 1:1-UMHING
IS A PC BOX E250
7 *3 V1 t fit t::in d n n 1 9 7 0 PJ5
0 PHONE (501) 630 7 7 V F3
R 1:411iKCIS'114013 UN NU 39PP. 01,111 1.P.3
This permit is issued subject to the regulations contained in Title 14 PECK'T.PT NO .
of the TMC, State of Coon Specialty Codes,zoning regulations ........ .................. S
and all other applicable codes and ordinances, and It is hereby PEQUIPED INS!'ECTUINS
agreed that the work will be done in accorda,ice with the plans and 1j)1.-H 1.11NDEPtil-AS
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive r*,(:)s*r & BEAM
covenants Contractor and subcontractors shall have current city WOT11134 LINE
business tax permits. This permit will expire and become null and 1-4-8. I'LIP111"UT
void if work Is not started within 180 days,or It work is suspended or PAIN DNA INS
abandoned for a period of 180 days any ,.me after work has
commenced. It shall be the responsibility of the permittee to assure FINAL
all required ;ppctions are requested Find approved.
P
Permittee Signature
Issued By q��
N%F7I;-i*C-1 T.ON 6,119—A
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WAN.
--- -- Mh:GHAN 1:CAL. PEIC+t41:.r
CITY OF TIGA RD
I�ERM:r T' N(] Mlr.tl7Q:3w1k1
uTrMeow I�A•rr�: 1.SSLIE:Doc n6Atm
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hell Blvd.,P.O.Box 23397,Tigard,Omgon 97223.(503)639-4175 ✓� PRIM . PMT' NO . 0,10336
JOS ADDRESS 1-, 00" 'a"W LAUPMON'T' OR
1A MAP/1-01* 7.511. '33 Dc' 5.".00 S;UD: V11-1-AGEi: A•T S;I.IMME:AL.AKE:
I...AND USE::
I O'l' S:C"L.F.: NO: NO
I'T'Ei:M ;
WNW CI..,AS;S : ll F 34NACE. (1,00K i A1'n HANDI...W (1-0
RISE: TYPE: SINGI-Ei: FAMIL,.Y F:'I.1RNACF. 100K•1• AIR HANDL..R 101(
C,'JNS'I• '1'Yl::rl:i: : VN I'l-001'') F t.1RNl1C;iii: E»VAKy C:OOL..E:R
OCCUP GRP. 173 HE:A'1'C'.FI VEN'T FAN
VL-N 1 VE:N I' SY51'E:M
I-,hJ.iI/CX)MP ( 311P HOOD 1.
NO . s'C'ann.,:S; : :I 01-F2/L;OM6a , :I.�1FII•-1 INC::I:tJE'R�1'Tt7F2(DOM
Ul TS : 1, 14I...R/COMP 1.5•••1:30HP I NCI llPAT on(com
! 11U.,L. TYTar»: GA5 111-PlIGOMP ;30•-C R., PEKPA:I:R (.)N:I: TEi
MAX . :I:NPt.l'T BL.R/COMP no-14'll, OTHER
F"1611::: I)MPPI-i! (:vA£i PIPING OLITI...CT'S i.
HIGH PPESS?
I Ow PI-1117.:`411157
O M(:IR:C!:,Sfw t"T'h% U(.)N f;l'PMI ll1111.I.0 . O()
W I)0 nQX 19".12/1 6N PI:-0.11:::W Ak ) La
N r M1.H . 51O
E I:tor•t,:harlcl or, 97219 FIX111RE.S
R PHONE' (,503) 2/14 9*41.1 51(YTE I AX 111 1. 13
tl T'F4k:{'1
_ C
O
N E3E:1.1.. Hr"A'T':r it :I'NC .
T
R 1.55.505iE:: PIAZZA AVE::
A �,,1 .�r. It w In 0114 n r- 97 01.3
C Ia1IrlPdl::: (503) 2-141-•11,N4
O I ', ! 130'1'1:C)N NO n4f 101 Al- : Al 37 . 0)5
C.
PF.CE I P T' NO.
,,This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations PiEQU I RE D INSPEi C-TI ONS
and all other applicable codes and ordinances, and it is hereby t.;AS L. NE'
agreed that the work will be done in accordance with the plans and POST t3 E)E:'AM
specifications and In compliance wit''1 all applicable codes and 11011.11011-1 1 N
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city r=INAt.
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 dans any time after work has
commenced It shall be the responsibility of the permittee to assure
all required n,spections are requested and approved.
t
Perrnittee Signature
n�
I � f X11
Issued By \ -- 41 75
SEPARATE 'PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
'3 9Z ti 14
CITYOFTIVARD 0FTl6'4RD PLAN CHECK APPLICATION
CfiY /
COMMUNITY DEVELOPMENT DEPARTMENT oeeoow PLAN CHECK # /2. 2
13+25 SW HdI abd P.O.am 23307,Tip id,awm vrm(503)M4175 PERMIT # g7o �.
DATE ISSUED
JOB ADDRESS: _ '� Q_ 5 W •L AU t7 �MM1 T �(� TAX MAP/LOT /j
SUB: U LLI s�mr►��L.wIcQ fAa LOT: �1 LAND USE: Z P
VALUATION: �� G'i'...> SETBACKS: FRONT: ate_ R.EAR: ! LEFT: t RIGHT: 4-
WORK
WORK CLASS: HEIGHT: TOTAL AREA: 1'J Ub
USE TYPE: FLOOR LOAD: IST:
CONSTR TYPE: HEAT TYPE: ,�,�:,� 2ND:
OCCUP GROUP: — DWELL/UNITS: 3RD:
OCCUP LOAD: NO BEDROOMS:_ BASEMENT:
NO STORIES: �_ NO BATHS: 2_ GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: 96 LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS:
OTHER: _ SEN LND.: TRUSS DETAILS.
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
ACCT I DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees
N MfE: Dnw M! C'EL _ 10-431-600 Plumbing Permit Fees
ADDR �Z10-431-601 Mechanic.-/.I Permit Fees
T1 Va, 01 c 1�_ 10-230-501 State Building Tax (5%) 0.111-
10-433
,yL10-433 Plans Check .Fee ' y 7, lZ
PHONE: 2 4 sl 30-443 Sewer Connection (20x) ,
30-202 Sewer Connection (80X) 'q h.,0 p �
CONTRACTOR 30-444 Sewer Inspection
NAME: .51-448 Street System Dev. Charge (SDC)
ADDRESS: '52-449--610 Parks I System Dev. Charge (PDC) S ?S u.
52-449-620 Parks 11 System Dev. Charge (PDC) 3 —
31-450 Storm Drainage Syst Dev Chrg(SSDC) S 3 S U. v i
PHONE: 10-230-505 TRFD (95x)
M 10-435 TRFD (5%)
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X)
NAME: - _ 10-435 Washington Country Fire 11 (5%)
ADDRESS:_ 10-220 Amarr/Wedgewood
TOTAL �_ '`a Io ,
PHONE:
17 G 3 3 ' PREPAID
3Pw ft? 3q r3-,a�1
r
L
BALANCE DUE1,30 D,,', _
APPL ANT SIGNATURE / /Ga 47
Received By: ` �6 Date Received:
w w ti w M M M w"
I
it
I
c.
CITYOFTIGARD � PLAN CHECK APPLICAT
CtTYOFTLARD PLAN CHECK
COMMUNITY DEVELOPMENT DEPARTMENT olmooN
13125 SW HMI Blvd P.O.Bat 23397,Tlp W,Oregnn 9=(M)SM4176 PERMIT
DATE ISSUED_
JOB ADDRESS: " 1n n� TAX L T
0 S `a �,,, L a U t�-i' u T A MAP/LOT
SUB: llACn(3141 SQr, i (.i)K.X LOT: LAND USE:
VALUATION: -2tt3vd _�' .-moo VV-1- SETBACKS: FRONT: REAR: � LEFT: RIGHT:
WORK CLASS: , ,,.. HEIGHT: ti O TOTAL AREA:
USE TYPE: Si FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS: 3RD: _
OCCUP LOAD: NO BEDROOMS:__ hASEMENT:
NO STORIES: — NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: _ REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX: _
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: _ SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: 7 `- OTHER:
_6 �J
COMMENTS: ;7-,- •�•<r - _ .� i
ACCT f DESCRIPTION AMOUNT
OWNER ].0-432 Building Permit Fees 3 y
NAME: rJ 11'IOR ISS S 10-431-600 Plumbing Permit Fees
ADDRESS: 0 - 2 10-•431-601 Mechanical Permit Fees
� k2 IL_ p 10-230-501 State Building Tax (5X) t .c 0/_
10-4.33 Plans Check Fee
PHONE: - <4r 30-443 Sewer Connection (20X)
30-202 Sewer Connection (80x) 3 r? �•
CONTRACTOR 30-444 Sewer Inspection
NAME: .51-448 Street System Dev. Charge (SDC) $ (, o
ADDRESS: - 52-449-610 Parks I System Dev. Charge (PDC) 1 St.�
52-449-620 Parks II System Dev. Charge (PDC) $
�. 31-450 Storm Drainhge. Syst Dev Chrg(SSDC)
PHONE: 10-230-505 TRFD (95X)
10-435 TRFD (5%) 4
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X) s
NAME: 10-435 Washington County Fire #1 (5X)
ADDRESS: 10-220 Amart/Wedgewood ^�z,._ L2
Tom
PHONE:_
PREPAID y �
REC
}' BALANCE DUE $ -34a-
APPLICAN GNATU
\cived By: jj�� Date Received:
I
i,
L i
d
C
7