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I;ERTIF1f:.AT"- OF .
CITY OF TIGARD PERMI f #,1CGUPA. :YMST93-9606
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDt 07/27/94
13125 8W Hall Blvd.Tigard,Oregon 07223.6199 (503)634-4171
PARCEL. t rr 104CA-0 '400
`ITF- ADDRIEGG. . . t 13607 SW LAUREN LNSUBDIVISION. . . . a HILLSHIRE ZONINGPR- 7 F'0
p L3L OCM(. . . . . . . . . . t LOT. . . . . . . . . . . . . t 0.;.4 �
CLASS+ OF�WORK. sNEW+�...______�___.__.__.,.__:_.-_.__.__.____._..._..__._._..w.....,.__.:._... __._._._....._.»_.___.,...__.._____._:.__..._
TYPE: OF U aE. . . s SF
OCCUPANCY GRP. t R3
OCCUPANCY LOA0t228 4
F ENfaN'T NAME, . . t
Uemarks t PAo-I I
Owner:
SCOTT W I LL I AM13
x;367 SW LOMSPRA AV #56
BEAVERTON OR 97005
Phone Ot 626-2650
CONTRACTOR NOT ON FII...E
f hnne #t
Req fit. . t
i [his Certificate certifies that: the agave ref,?renced building or portioTr
1 theti-eofhas been inspected for cordpl iranc e with thca Tigard I31..li lding Code
for the group and division of occi.!r)ancy and use for which the abovcr
referenced permit was i+gsued, And cic:cupancy is hlet. el:.jy yranted.
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BUILDING INSPECTOR B(l11...1)1NG OFFICIAL
PCi5'T IN CONSPICUOUS PL.ACE
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INSPECTION NOTICE
city or Tigard Bukidiog Depa txment �Y
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections— — ------ s�/L..�_---U.n e
Footing Pl.bg. Underelab Hech. Rough-in Appr/Sdwlk
i Found. Plbg. Top Out Gas Line /FINl1I,t
t _
Poet/Ream Struct. San. Sewer Framing ( -Bldg.
Poet/Beam Mech. R Drain Insulation / Plumb.
Plbg. Underfloor Nater L!.ne Gyp. ed. \ -geoh,
Date Reques-gads ._-2- 3Tyim�et� (] AM _�PN
Addrese: `7 �� r�,, pp' Ca Lt n� in _ Perml IIt_l3- 1 q�0 O I
Builder:�� .f� _Ck �X.JL
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h THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins store
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APPROVED _- DISAPPROVED � APPROVED 3URJECT TO AROVR � !�H�•1i��4�?r
__Call For Reinsp.
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•; ....,, INSPECTION NOTICE ;
City of Tigard Building Departaent
3.3325 SM Ball Blvd. Tigard, Oregon 97223
Inepect_ion Line (Rec-v-Phone): 639-4175 4usiness Phone: 639-4171
Inspection:����__.
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Found. / Plbg. Top Out Gas Line MAL:
Poet/Beam Btruot , Ban. Sewer Framing
Post/Beam Mech. Rain Drain Insula0an -Plumb.
Plbg. Underfloor water Line Gyp. Bd.
Date Requested.//`/ ____L/ -C' L� / _TL1ruet Q`- AM PM
Address: fJ`�([i C.' 1 /(/ t,Li-Azo L LJ<!-/1_. �CFt�O(L
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B,tilder:_�CZ lel 1. YC/YS 41 T PI j 'xw M-O �S-'
1 THE IrOLLOWING CORRECTIONS ARF. REQUIRED:
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Inspectors �f /V
APPROVED t/ DISAPPROVED APPROVED SUPMEM TO ABOVE
Vn ✓ Call For Reinap.
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:INSPECTION NOTi!E "Z
City oil Tigard llulloing Department
13125 SR 1ia]1 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspect Lon:
rooting rlbg. Undiiralab Mech. Rough-in Appr/8dw1k
Pound. Plbg. Top Out Gas LineFINAL
Poet/Beam Struct. San. Sewer Framing -Bldg. ,
Poet/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Drcn neguested! / /5 _-Times AM _VI-PH 1
Addreea:__R' ��U 1 ��/ (L Zf �L tom--/L � Permit f t /J G
Builder: ZCy5L4
THE FOLLOWING CORRECTIONS ARE RF.QUIREDs
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Inspectors
_APPROVED DI,SAPAPPROVED APPROVED SUBJECT To ABOVE
:�^Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Bled. Tigard, Oregon 97223
Inelxaction Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underalab Mech. Rough-in (,--Appr/.^,dwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strict. San. Sewer Framing -Bldg, f
Pont/Beam Mech. Rain Drain Insulation _ply,
Plbg. Uneerfloor Water Line Gyp. Bd. _Mech,
Date Requestadty_ ■
/O o Time: AM � pM
Address: L! C 1 / —1 <"C L L_ Lei I /( l /P�)itsf s 73
Builder:_jeQ t')Cl(c f
TNF. FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
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APPROVED DTSAPPROVSD
4 AF`PROVRn BtlBJECT TO
l For Reinep.
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,LNSPECTION NOTICE
City of Tigard Building Deparioent
13125 SW Ball Blvd. Tigard, Oregon 9722.1
Inspection Line (Rec-O-Phone)a 639-4175 Business Phone: 639-41i1
Inapection:
Footing Plbg. Undernlab Hech. Rough-in Appr/Sdwlk 1
Found. Plhg. Top Out Gnu Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. I
Post/Beam Hoch. Rain Drain Insulation -Plumb.
P1bg. Underfloor Water Line Gyp. Ed. -Hoch.
Date Requested:,-_ D .. cY ] L� __TLmes AH — PH
Address P
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Builder: r ; Y7�LLl� ✓SL1J/! /� `� 17r� C��/.�"` d���
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THF FOLLOWING CORRECTIONS ARE REQUIRED:
—_ A Ln�tJ�s C�,e� AT zQ/F '�.q�14
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} Inspector: f•1ZYl45LS / �T_..Datol G-
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t. APPROVED DISAPPROVED APPROVED SUBJECT To
i_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building D.-partsent
13125 SA Hall. Blvd. Tigard, OLegon 97223
Inspection Line (Rec-C>-Phone): 639-4175 Bujiness Phone: 639-41.11
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Inspection:__ ( '( - 4�
Footing Pibg. Underslab Mech. Rough-in Appr/Sdwlk ,
Found. Plbq. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Jewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line ] Gyp. Bd. -Hoch.
Date Requested: 1-3- (/ - J Tlmet AM PM 4"a
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Address: �� �L/ / Z. Cl�il �l r�^+�Ad �t�r
PeCei! /t - 9Q d
Bulkier.:
THE FOLLOWING CORRS:,TIONS AI`*• pgQUIRED:
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Inspector: 45
APPROVED DISAPPROVED APPROVED SL'B7ECT TO ABOVF.
--Call For. Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection: �r�sSu2P lr' ,,
Footing Plbg. Underalab Neth. Rotes -in APpr/Sdwlk
Found. ;�ibq. Top Out Gee Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Meeh. 4
Date� Requested: / Times AM PM/ / ^^7 J / 7 / /
fi Address: 1�3G C'/ ('[�(.za I C'/I /L.l� ' Permit 11 �J 26 0�/
Builder= Lc lL
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Lv7�5,4)F c. - Y z rc'ed_Lo M,`*x Q.Q/'rad(
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Inspectors _ Dates
APPROVED _ DISAPPROVED D SUBJECT TO ABOVE
-----Call Por Reinsp.
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LNSPECTION NOTICE \f
city of Tk7ard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underalab Mach. Rough-in Appr/3dw)k
Pound. v Plbg. Top Out Cas Line FINAL:
et/Beam S�truct� Z San. Sewer Framing -d).dg.
oat/Beam Mech. �� Rain Drain Int kion -Plumb.
Plbg. Underfloor Water Line �Gyp. Rd. IV -Mach.
Date Requested: 7 Time: _PM 4
Address:
Builder: 0 i")C;1r-t_C( / L7r 5�1 �JC)I n'C'-)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�„�'i2�uuA��I �� Vit .� t 1.2•�.�.�.,., �._____.
— 2•� /�'Dc-ice c� �l`j� S_ W�_Q_..r-e_
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Inspector:
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APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
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INRPECTION NOTICF.
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Phone): 639-4175 Businena Phone: 639-4171
Inspection:-------
Footing
nspection: ----Footing Plbg.. Undnrslab Mach. Rough-in Appr/.,dwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Unterfloor Water Lina Gyp Od.� -Mach. w :
Date Requested: _ / Time: A!1 PN
Address: 1340 ? Permit It
Builders
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i°i l�yri��tb4+yl r+ THE ■OLLOWING OORRECTION8 ARE REQUIRED s
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Inspector:(- ------ _ _ _ Dates
APPROVED V DISAPPROVF,n APPROVED SUBJEM, TO ABOVE
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✓call For Refnnp.
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INSPECTION NOTICE
city of Tigard Building pcpartment
13325 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639�-4171 fj
inspection: -- _-�r^__-�.� -------- ----
,ot i ng
Plbg. Underslab Mach. Rough-in Appr/Sdwlk
PINAL:
Pound. Plbq. Top Out Gas Line �0(•/
Post/uaam Struct. San. Sewer
�-i Bldg.
poet/Beam Mach. Raln Drainion -Plumb.
Plbq. Underfloor Water Line GYP• Bd.
-Mach.
I Date Requested: -��•=-
11
Pe it
Address: is
Builders1�n ►7�CC-�C / 2 c3 C-fJn►�-Q7 LCL_
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THE FOLLOWING CORRECTIONS ARE
REQUIRED:
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Inspector: Date: 1;_7
t `APFHo`/F.D DISAPPROVED _ APPROVED SUBJECT TO ABOVE
call For Reinsp.
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INSPLeCTIONN SCE
City of Tigard Building DapartMent•
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13175 SII Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-P?.onw;t 639^4175 Business Phone: 639-4171
I%apection: ---------- --- - — ---- --
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Ca.i Line FINAL:
Poet/Beram strict. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. .
l bo. Ondocfloor) water Line Gyp. Bd. -Hoch.
Date Requested: q,"' /• _Time: AM PM
i
Address: 1 a �s �l � ►' at a .__ Permit
Builder: i`�. �1 :(_ l-,\ 'c %' —�I..— l i I
THE FOLLOWING CORRECTIONS APE REQUIRED:
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Inspector: ! f: / ` 1 -- -------------- Date:��T_ / ;f
PROVED —�` DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinnp.
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INSPECTION NOTICE �/
City of Tigard Building Departmmt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Pho.;e: 639-4171
Inspection:_ —
Footing Plbg. Underslab Meeh-!n i Appr/Sdwlk
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Found. Plbg. Top Out Cas :.ins FINAL:
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Poet/Beam Struct. San. Hewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Line Qyp. Ed. -Mech.
Date Requested: G� C
Address: J6, C/ f /n� ,�__ 1,&06-
guilders C�C
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THE 11nLLOWINO CORRECTIONS ARE REQUIRED:
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Inepec-tor:_ �� '�-�...� `—^2 `-._i_
�.� Dates
-----APPROVED DIS"7OVED / APPROVP.D SUBJECT TO ABOVE
� Call For Rei.n,ip. O L'ec_.
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INSPECTION NOTICE
City of Tigard Building DepartMmt
13125 8si Ball Blued. Tigard, Oregon 97223 �
Inspection Line (Rec-O-Phone): 639-4375 Business Phone: 639-4171
Inspection:_
Footing Plbg. UnderalabHoch. Rough-in Appr/sdwlk ,
Found. Plbg. Top Out Gas Line FINAL:
Po %/Beam Struct. San. Sewer Framing � -Bldg. ,
Porz/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line G1'r• Rd. -Meeh.
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Date Requested: `f1S -Time: AM ___PH
/] n7/
Address: l' C—(_!�fl /7 Pe �.__f
euildere_�[y��C;J����� - ZMV'��
Till FOLLGWING CORRECTIONS ARE REQUIRED:
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! Inspector: / n, Date:
_.___ APPROVED 1 DISAPPROVED APPROVED SUBJECT TO ABOVEE
�` L-"Call For Reinap.
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` INSPECTION NOTICE \U
• City of. Tigard Building Department I
i 13125 BW 3&11 Blvd. Tigard, Oregon 97223
i Inspection Line (Rec-O-Phone): 639-4175 Business Phona: 639-4171
'.ate
Inspections --_ _-- _--_--
Footing P)bg. Underslat Mecn. Rough-in Appr/Sdwlk .
Found. Plbg. Top Out Gas Line FINALS
I
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. •
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: , Time: AM PM
q ■
Address:1 �lC T- l c' l �J`�_ Permit
Builder:
THE FOLLOWING CORRECTIONS B REQUIRED: ` �7 _ 4
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io. Inspector: ���L� t Date: l�
bpj APPROVED --✓DISAPPROVED APPROVED SUR.IECT TO ABOVE
__Call For Reinep.
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INSPECTION NOTICE I �j
City of Tigard Building Departmunt
13125 BA Ball Blued. Tigard, Oregon 97223 ,
Inspection Line (Rec-O-phone): 639-4375 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mwch. Rough-in Appr/sdwlk ■
Found. Plbg. Top Out Gas Vne FINALS
Post/Beam Struet. San. Sewer Framing -81.1g.
Post/Beam Mech. Rain Drain Insulation -Plumb. •
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested/s -7 "�I ' - 'l `i T�• AM _PM
Address: Permit f:.� �=�7
Builder: / J
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspector•_---- �- C/�
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Date: !�- �_ —t-1_
_-�APPROVED —DISAPPROVED APPROVED SUBJkCT TO AL •rg
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■
c�iNSPBCTION NOTICE
city of Tigard Building Depart=Mt
13125 tial Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone)s 639-4175 Businesm Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top Out Can Line FINAL: ,
Post/Beam Struct. San. Sewer Praming -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb. ` ■
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requesteds Time: AM __ PM
Addrass:12 — Permit It 1 ��...G U
Builder `
TBE FOLLOWING OORRECTIONS ARB RBQUIREDs V el C
/�1 1 7 -/A `V �-.c_l�� I I I K '�Jam-. I "�•7 _) � tl J i"`
Inspector:.—_- ""Li1/l nate:
_—._.__--------
-"-_-,APPi'7VRD ISAPPROVBD -_ APPROVED SURJECT TO ABOVE
_l 1 For Reinsp•
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INSPECTION NOTICE
City of Tigard Building Deparksent
1312S 8W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phono)t 639-4175 Business Phone: 639-4171 a; ,
Inspections
Footing Mg. Underslab Mach. Rouqh-in Appr/Sdwlk ■
Found. Pug. Top out Gas Lino fIMALi
Post/Beam Struct. NSB. sower--,) Framing -Bldg. ;
Post/Beam Mach. Rain Drain Insulation -Plumb. •
Plbg. Underfloor Mater Line Gyp. Bd. -Mech.
7 . c�
Date Roquosteds it 6 Timat AM a A, 1/ PM �
Addreass� �tp(J", Permit Ii ��1
Builder: /(!'I 'H12 C zl)�' 13 Q`�LZ
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THE FOLLOWING CORRECTIOMS ARE REQUIRED:
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Inspectors Z ,
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v_APPROVED DISAPPROVRD APPROVRD SUBJECT TO ABOVE
-"-Call For Retnsp.
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INSPECTION NOTICE
! City of Tigard Building Department
23125 M Ball Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phona)e 639-4176 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Hoch. Agin Drain) Insulation -Plumb. IJ ?
Plbg. Underfloor it L Gyp. Bd. --Meeh. /
Date Requestedr �� L/' jq Times \ /1; PM
Address a Permit
Builders,' �I`� � -76'_
TM FOLLOWING CORRECTIONS ARE MUIREDt
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Inspcctor _ Date:PROVED DISAPPROVEL APPROVED SUBJECT TO ABOVE�-
-Call Fcr Reinsr..
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INSPECTION NOTIC4
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223 ,
Inspection Line (Rec-O-Phones 639-4175 Businesu Phones 639-4171
Inspections 1
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk ,
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Ban. Sewer Framing -Bldg,
1
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line on. 8d. -Meeh.
Date Requesteds 1 I ' 0 Times �11f) AM PM d
Addreass ' LQ UV(f V tA.y\_(2.. Permit 1s 1�'-3C�i3-�4C11'
Builders
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TRE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors_ Dates /^ / 7V
_APPROVED , DISAPPROVEDf APPROVED SUBJECT lO ABOVE
Call For Reinsp.
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INaracT�oN NOTICE
City of Tigard BuildUM Dwpartarnt -
13125 sH Hall Blvd. Tigard, Oregon 97223 wow
Inspection Line (Roc-O-Phone: 639-4175 Business Phone, 639-4171
Inspection:
4
(�ooting Plbg. Underslab Moch. Rough-in Appr/Sdwlk .
Found. Plbg. Top Out Can Line FINAL:
� Post/Beam 8truct. sane Sewer Framing -Bldg.
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I
Post/Beam Hoch. Rain Drain Insulation _pleb,
IDatePlbg. Underfloor Mater Line gyp. Rd. -Noc:h. -/
Requested,
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-_
Tme, AM "4 f lM •
Address, ,z j C1C,tlln /LJ . i.
Builder:
THE FOLLOWING OORRE^TION ARE REQUIRED:
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Inspector:___ ��— lam' Date:_�I_
APPROV1VD DISAPPROVED \- AVPRONRD SUBJECT TO ABOVE
Call For Reinsp.
Update action dates, notes for selected item
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• :MST93-96061 PROJECTtHILLSHIRE : STATUS:I UPD:12/31/93: :JH :
• PBRMITTEE:SCOTT WILLIAMS PRIM. . :MST93-9606:
• SITE ADDRESS:13607 SW LAUREN LN
[ UPDATE ACTION NOTE fibfibfifi[[fi[fifi[[[[ [b[[[[[[b[[bbbbbfifibbbbbbb[bfibbbfi4b� t
'T HD BRACKETS W/SHEATHING- SHEAR WALLS; 60 &=0-iH VA011PMwMq&-4tP14T-" •-•
' +Q�OSITIVE CONNECTIONS.
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i A726 Framing <REINSP> 04/22/94 RB< FAIL M
A730 Fireplace Insp
M A735 Gas Line Inep 04/22/94 RB PASS K '
A740 Insule4-ton Insp
A745 Gyp Board Insp / / •
A755 Rain drain Inep 02/04/94 MNS PASS
A760 Water Line Insp 02/04/94 MS PASS
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CITY OF TIGARD
1 COMMUNITY DEVELOPMENT DEPARTMENT PLUMB I NG P'E RM I T
13125 8W Hall Blvd.Tigard,Oregon 97223.9199 (503)639.4171 PERMIT #. . . . . . . MST93-•9606
DA-rE ISSUED: 12/21/93
f P'ARCF_A_: 2S 104CA--02400
SITE ADDRESS. . . : 13607 SW LAUREN LN
SUBDIVISION. . . . . HILLSHIRE: ZONING: R 7 PID ■
BLOCK . LUT_____. . . . . . . . . . . . .
02'+___..___._._.__._______.___________.._____._.__._ ._
i CLASS OF WORK. . :NEW GARBAGE DISP'OSALS. . : t
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNTRS. . :0
OCCUPANCY GRP,. . : R3 FLOUR DRAINS. . . . . . . :0 TRAF,S. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . i CATCH BASINS. . . . . . . :0
FI X TURES___.__.______.__.._._. LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREAbE TRAP'S. . . . . . . :0
i
LAVATORIES. . . . . :4 OTHEF: FIXTURES. . . » . :id
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOGETS. . :3 WATER LINE (ft ) . . . . : 100
LISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I e•
ir
OWNER:
SCOTT WILLIAMS TIF: $ 1,520. 00 JF 12/21/93 -
6367 S;•1 LOMBARA AV #56 BF'RT $ 435. 50 JF 12/21/93 -
BP'1_C $ 283. 08 JLH 12/09/93 93-246531
BEAVER'TON OR 97005 B5PC $ 21. 78 JF 12/21/93
Phone #: 626---E650 SSDC $ 280. 00 JF 12/21/93 --
F'ARK $ 500. 00 JF 12/21/93 -
P'1.+_lmbing Contractor ------ MP'RT $ 45. 00 JF 12/21/93 -
1 MF'LC $ 11. 25 ,JF 12/21/93 -
IVame `-L ----- M`aP'C $ - . 25 JF 12:,/21/93 -
Address:.JCt�-S__`5u.) gN!§C1kQkk_ /I 1�7- - P'PRT $ 155. 00 JF 12/21/93
-
City :-ALQ J4/ r State : �Q� F'5 F-C $ 7. 75 JF 12/21/93 -
Zip:��_S'rQ.ZP'hone#; w1Q42
Reg #:
---•---- REOU I RED INSPECTIONS --•------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all F'ost /Beam Struct Water Line Insp
other applicable laws. All work will be done F'ost/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Pllm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended far- more than 180 days. P'lumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp J._.___...
Insulation Insp
x G v p Board I nn p
Authoriz F'11_Imbirlg Contractor 5it�nature
Call far inspection - 639-4175
Contractor- Notes :
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MASTER PERMIT
CITY OF TIGARD PERMIT #. . . . . . . : MST93--9606
COMMUNITY DEVELOPMENT DOAR`I MMSIT DATE ISSUED: 12/21/93
13126 SW Hall Blvd.Tigard,Oman 07223.8100 (503)830-4171
PARCEL: 23 104 C A--02400
SIZE ADDRESS. . . : 13601 SW LAUREN LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 FID
BLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . :024
BUILDING - __.__..____.---.-_.--.--------------------_
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :530 sf
TYPE OF USE. . . :SF FLOOR F1REf=iS --- -- -- - REQUIRED
TYPE OF CONST. :SN FIRST. . . . : 1135 sf LEFT. . :21 1**t R I GHT. : 10 ft
OCCUPANCY GRP. :R3 SECON9. . . :642 sf FRONT. :20 ft REAR, . :4(3 f
4 STORIES. . . . . . . :2 THIRD. . . . :0 sf REOUIREli--_._..____
HEIGHT. . . . . . . . :213 ft 'TOTAL--------: 19.77 s f SMOVNE DF_TECTURS. :'r
FLOOR LOAD. . . . -.40 psf VALUE. . . . . $ : 100462:: PARKING SPACES. . : 1
Remarrl{s : PATH I t
-.____._.__._-------•------.________._._._..-_ PLUMBING --
SI Nl-',S. . . . . . . . . . : I
SINI-,S. . . . . . . . . . : I FLOUR DRAINS. . . . :0 BACKFLOW PRE:VNTRS. . :0
WATER HEATERS TRAPS. . . . . . . . . . . . . . :0
LAVATORIES
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE ( ft ) . :0 GREASE TRAPS. . . . . . . :0 A
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN URAINS. . : 1
_._.._.-------------. MECHANICAL - -- -..__.___..-------._.----______...-.------_-----___-.-- FEES f
FUEL TYG'ES - - UNIT HTRS. . :0 type amoo_tnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JF 12/21/93
MAX INPUT :O BTIJ VENT FANS. . :4 BPRT $ 435. 50 JF 12/21/93 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 263. 06 JLH 12/09/93 93-246531
FURN ) =100K . . : 1 WOODSTOVES. :0 B5PC % 21. 78 JF 12/21/93 --
Fl_.00R FURN. . . . -0 CLO DRYERS. : 1 S S D C $ 260. 00 JF 12/21,'93 -
BOIL/CMP ( :3FTP':0 OTHER UNI-TG: l PARK $ 500. 00 JF' 12/21/9:3 -
GAS OUTLETS: 1 MF'RT $ 45. 00 JF 12/21/93 -
Owner-: _.._.._.__.. ._......__.___.__._._.._.___._.__._________--_MF'LC $ 11. 25 JF 12/21 /93
SCOTT WILLIAMS M5PC $ 2. 25 JF 12/21/9,.3 -
6367 SW LOMBARA AV #56 PPRT' $ 155. 00 JF 12/21./9.3 -
P51"C $ 7. 75 JF 12/21/93 -
i, BE'AVERTON OR 97005
Phone #: 626•--2650
Contractor : ---____.-----__.___.________...___..._._.........
RANDALL FORSYTHH HOME5
11665 SW TUALATIN RD tP'
',3U I TE 94
TUALATIN OR 97062
Phone #: 769---0616
Reg #. . : 62436 _ ...___•.__-----__.____...----__._----____------_.___.- ----
$ 3'2`61. 61 TOTAL
(his permit is issued subject to the regulations contained in the ------ REQUIRED INSP'ECT'IONS - - ---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace In,p
applicable laws. Al'. work will be done in accordance with approved Past/Beam Stri_trt Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mer-hear Ins>P_tlati.on Insp
days of issuance, or if work is suspended for more than 180 days. F'lm/Ltndslab Insp Gyp Board Insp
FILM/Under-floor Rain drain Insp
Permittee Signat+_ire : Mechanical. Insp Water Line Insp
F'1P_tmb Top 01_tt 0ppy/Sdw1k Insp
Is �_ ed
By : _._�..-...____._._.._..__ F"r'aming Insp Mechanical Fina
Call for inspection - 639-4175
RON 1- 111:
•
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT L1U I LD I NCS PERMIT
13125 BW Hall Blvd.Tigard,Oregon 07223.8199 (503)539-4171
PERMIT t#. . . . . . . : MST93-•9606
DATE ISSUED: 12/21/93
639-4171
PARCEL: 2S104CA-02400
SITE ADDRESS. . . : 13607 SW LAUREN LN �
SUBDIVISION. . . . : HILLSiHIRE ZONING: R-7 PD
BLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . :024
REISSUE 1 1 1 0 FLOOR AREAS--------•-------•-• EXTERIOR Wnl_.L CONSTRUCTION—
CLASS OF K. :NEW FIRST. . . . 0 s f N: / q:, E: W:001
TYPE OF USE. . :SF SECOND. . . :77 s f PROTEC? OPEN I NGS?-_-_._---_-._
TYPE OF CONST'. : TH I RD. . . . :0 530 s f N:0. S:0 E:0 W:
OCCUPANCY GRP. : R3 TOTAL--.• --- --: 1211 Or-' s f R00F CONST :0 FIRE RET? : �
OCCUPANCY LOAD:ci 8 BASEMENT. :048Y s f hREA SEP. RATED:4 1
GTOR. :O HT. : 1 3 ft GARAGE. . . : sf OCCU SEP. RATED:O 1
BSMT'? : 1 MEZ Z? :9 READ SETBACKS.- REQU I RED-
FLOOR LOAD. . . . : 3 psf LEFT:S/ ft RGHT: ft FIR SPKL: SMOK DET. . :3
DWELLING UNITS: 113 NT: / ft REAR:, ft FIR ALRM: HNDICP ACC:
BEDRMS:5 BATHS:842: I M SURFACE: i 1,. 1 4 F'RO CORR: PARK I NC;. /GA x
VALUE. 3 : 100482:
Remarks : PATH I \
Uwnar; _._._..___.--•-_-_--.________________ _ _.__..____.____._________ FEES -_.__-_-___--_-
SCO'TT WILLIAMS �/ type amoUnt by date recpt a
6367 SW LOMBARA AV #56TIF t 1520. 00 JF 12/='1193 -
'RT $ 435. 50 JF 12/21/93 --
BEAVERTON OR 97005 BP :83. 08 JLH 12/09/93 93-246531
Phone #: C�26- 2650 B5F'C� 2:1 . 78 JF 12/2'1/93 -
SSDC $\,\ 280. 00 JF 12/21/9:3 -
Contract or: _______._.__._. ._____.__._.______.___.__._..PARK t,00. 00 JF 12:12 1/9 3
RANDALL FORSYTH HOMES/ MPRT f 4c. 00 JF 12/21/93 -
11855 SW TUALATIN Ru'• MG'LC $ 11` ,25 JF 12/21/93
j SUITE 94 Additional fels. not shown here. . . . . . . . .
TUALATIN OR 97062
Phone #: 789-018 f 3261. 61 TOTAL
Req #. . : 824' s
_.. ........_____ REQUIRED INSPECTIONS
This permit is i ued suhject to the regulations contained in the Foot/foo_ind Insp Rain drain Insp
Tigard Municipaf Code, State of Ore. Specialty Codes and all other Post/Deam Struct Water- Lina Insp
applicable laws. All Mork will be done in accordance with F'ost/Beam Meehan Appr /SdwIk Insp
approved pians. This permit will expire if work is not started F1lm/1_md,1ab Insp Mechanical Final
within 198 days of issuance, or if work is suspended for more 1='LM/Ur.derf loer P1 Limb Final
than 188 days. Mechanical Insp Building Final
17111_imb Top Oi_It Erosion Control
Framing Insp Crawl Drain
F:: i r e p l a c e Insp
Permi.ttee Si lgnati_ir-e : Gas Line Insp
. s�tlation Insp
I s s i.t e d B y : - ..� - --..._..._.._.. - -- - ---— - Gyp Board Insp
Call for inspection - 639- 41.75
, i
9
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER COIVIVECTION
13126 8W Hall Blvd.Tigard,Oregon 07223.8100 (603)830.4171 PIE RM I T
PERMIT #. . . . . . . . SWR93-121522
639-4171 DATE ISSUED: 12/21/93
PARCEL: 2S104CA-0 400
SITE ADDRESS. . . : 13607 SW LAUREN LN •
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :024
_-----_---_-----------------_-----___-_._---.-.--._.._________.._.___._
TENANT NAME. . . . . : •
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF' WORK. . . :NEW DWELI..I NG UN I TS. . : 1 h
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BLJSWR I MPERV SURFACE. . : : s f
Remarks . FIATH I
Owner: --_._.___.___.____._.___._.______.___.____._._._.__._.__.__.._.___.___
FEES
SCOTT WILLIAMS type amount by date recpt
6367 SW LOMHARA AV #56 F'RMT $ 2200. 00 JF 12/21/93 --
INSF, t 35. 00 .JF 12/21/93 --
BEAVERTON OR 97005
r Phone #: 626-2650
Contractor:
CONTRACTOR NOT ON FILE
Phone #: t 22.35. X10 TOTAL--._ _ •----_.__ ._.
Reg #. . :
--- - --- REQUIRED I NSFIE:CT I ONS - ------
T;lis Applicant agrees to comply with all ;he rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement �—
given, the installer shall prospect 3 feet in all directions from _
the distance given. If not so located, inst r shall purchase
lit a 'Tap and Side Sewer" Per iit and the ge y 11 ns tall a lat
Permittee Si gnature:
Call for inspection 639-4175
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Residential Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: - {L�� /_� �.Qir / i
Subdivision: Ifi L-6 Ah R-E Lot# a4
Otfica Use Only
■
w° Planck/Rec#
Valuation: v/_�. / ,
Permit#�•� "`� 'i-- �,��'
■
Owner: xtsR LkXU-I NAAS Reissue of
Address: (c3 lo-i 50-J (-OAA0 A-W AQ S So
{ =►w 00 Mtj cqz- 9-70Ds APP._v[2 als.Rcqulred
Phone: 6 - a�Sa wk Planning
L�a-� - 4 ZU 3
�n�1it1@Cring
Contractor: Rr4N'Oku- FO(2--,Ll t /N� Other
A \ ddress: I I (0 5 's W LUA2.R'f7 f1 R.L�,
T� "�N C`�. �I 70loa Items Required
Sttbcon idl. rs
Phone: -7 —CjF3 r H •<" $. }< :Y: >>: <>. , fx f
Contractor',s Wense # mrD 8ztt.f6 ^jam#
V
(attach copy of current Oregon fioense) ,; • ; ; <:»>::>a>:. a::>z: .
Subcontractors:
Plu"�np: ac-s tF Curu (31,\1G INC
MechVi6al: - OW J ADRR4 s fti✓1,p N(- 4I L
(attach copy of current OR Contractors License)
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Architect/Engineer- mAsc_c( N 63 i�-JS '
i
Addi ass: /6 is- amu/ 23 i�D A vc _
C
Phone: 2 z S - 71 Ip/
COMMENTS:
Applicant Signature & Phone number
Received by: ___ Date Received:
1
f
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) %/ �� •�,
Bldg: T/• ' �' l
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: /J• Z y
✓ ?J-D SZ Z Sewer Connection (SWUSA) G'U
_5 ✓'J
� Sewer Inspection (SWINSP) �
Parks Dev Charge (PKSDC) _Sv _ 6 0
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _ It
Fire District (FIRE)
TOTALS:
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I 1 Y OF 1 1 GAFlIa - Rl:..l.t .1 t I l;f F:'IaYMI"IUT RECEIPT F''C NO. 19,S-.'46843
CHECK AMCILIN r a 5t:'.46. 61
LAME, : RANDALL F='(:RSYTHE INC CAIiN AMUIIN 1 II 1111. (AW
IDDRESS a 11665 SW 1LIFIV ArIN RD PAYMF NI DATE:. s 1i?/PJ/93 t
rUNI.ATIN, OR F3UFIDIV.r.!31(hU 1
UF2G'f]F3F.:' OF VAYMF:N7 AMI:II.,INI L!FdiFI F'III+tF'O1 A: OF V'AYMENT VIMMINT PAID
R)IL.DING F FIM MS19:11-»-9606 435. 50 F•'I.A ME3MI PVRM
l .C:HANIC:AL PE4`i. 00 b'r. F Bit..[) PER 51. Ib 1
,I AN CHECK FL. 44—K-, F+F::WF:_R USA r,'°er'110. 00
;1.WF::•H INSP .CT 3b. 00 PORW3 SDC ola
, 11IRM DR 1.N SOC' i:ll,00. 00 FtESIDLN1 :[Fal.. TROFF IC: F=E:Vh 1410. 00
tr t' F 4itaNEi F:T 1 1 F 1.:1=F:.!a i. 1.0» 00
i
t M..:,07 SW L.AUHEN I..N
M.-SHIREv LOT 2,4
• 1 1 TAI-. AMOUNT PH,11) _ ) `,+.��1 . 61
1_:1 1 Y C:)1 T I I NkLr I41 l,F !r'1 Ul 1'NYM1-N r Fel L. :1, .1 P I NCS„ a
Cl IF:1;F4 (IMOUN C 3 R V) IA LA 1
t=1DF'1F7f � t'1��•7YTH 10-111101 -1. rl�lr; CASH r•'AYIIl:N1��1UNJ!)R1Fc, � IA. Wo
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9/y4�
F71..1F2PCJF E OF PAYM[':N-r AMOUNT PAID F='I,JRPO!;F: Ur' PAYMF.611' raM11UN I 1-1(i I L
PLAN CHECK F=F. 290 00
i
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1,3607 l�+W L.sli RK.N LN
I 11 I Cal. MIAMI PAID 00
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