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9730 SW WASHINGTON SQUARE S • ' '.:#11Miiimise-Wissiiirita tilmismeir7 . F 1 1 ka F t i� * t 1 rll ';Y ��t1{+ A, "��"s WHITE Inopoctor Copy 1 8 �/ YELLOW Pardtea 1 i; 1 Jl3 /7" mPINK COthler GOLDENROD Cr+ L.•11on °ERM" NO APPLICATION FOR BUILDING PERMIT GREEN T.mporory File ' DuILDINc 9'/J �C-44)L'),.2TC7 •4 All WASHINGTON COUNTY A__DRess // jj' R DEPARTMENT Of PLANNING oculfT t•. • BUILDING DIVISION �6 NEAREST 1 CROSS ST r '' i.'+ BUILDING COOS USE ICONELAND s /J r'RU1 ' ST • FOR APPLICANT TO FILL IN .LCONSTU l`+ S STATISTIC,-CI •Sl1/ICA TION ZONE r. BUILDING i ADDRESS '-) CL137 NO .7_:=:-.DWELL ll NI 73 _ 7 LEGAL DESCRIPTION I I - , ) 4 ( SPECIAL CONDITIONS C . CA H - _ , NG O tG.. — 1 HF 1 JF Lo MC=ON.Ov �t� ' / ,, /_ 2nNING APPRJYED fIy - UAlE(L (`' `kAFlT NO ALD C /!J LIC't /i/ TTTT TJ7--TTT"' l TEL c /2? TYPE OF SANITATION DIST. OWNER �=�/J/4I/-T/ NQ . // ', "` •T- f` WAILN SUPPLT DiSr, ADDRESS 5 �— -(- L•f .LGE Ilf SACS IROM ,/ / 'PONT PROP LINE Or 1 I ARCHITECT GB TEL T•rl or mewl MI SN WAv 4 TARO = TOTAL ENGINEER NO RINNWA' RIOT. PROM C l T _ ADDRESS r TEL SLOG IIT5ACN 0501A • CONTRACTOR NO 15101 050• LINE OP — !T`R!!TI ?Tr( o1 ELASTINS SITSACS NISNWA0 } TARO -- TOTAL ADDRESS MINNWAv WIDTH PROM 0 CITY 1 DESCRIPTION OF WORK CORNER CUTOPP YES p NO ❑ �NEIL, ADD REPAIR DEMOLISH SEE REVERSE SIDE FOR SPECIAL APPROVAL SO.E NO 01 NO Or I SIZE ,TORIES PAMILIr4 NO. DE:JNOOMS NO. or OA TNPOOMS us1.—••••••• _Dr % SI i' "F ' �I'�I''IE'S sT41 �iucTURe ///J/J Nr or EMPL TI.r rs /(',(' -� +/'('I'/i�� SIGNATURE OW • Poem•t_ `•• .�_ •�-T -��� APPROVALS ���-ff DATE IOSWECTOS'S 111NA11A1 .��-� rOUNDA,ION LOCA,,, l LL"ION'S V V .00 \ FQQRMS MATERIAL} 1 I rlIAME fiEr STOPS. P C A, RA PMEET S///L r, CING EOLTS —.—_ ..• . r IRSPLACt Hem. Ar5NOWLt001 •HAT I Hoot READ TON A.PLICA•'ON r ANT STATS THAT Tot A0081 15 CORRECT ANO AGRE1L TO CO.•LT WALL BOARD WITH All COUNTY OROINANCES •50 5TAt( LAWS R10ULATINO .-- --J AUILOING CONSTRUCTION SIONATU RE Q- ��� Nf`I'Sf NIIMDIR CONNECT PERM1T•EE — AND PDSTED A IL+RI'T ) — — FINAL PIAN CHECK V 11.iDAflON cm re CASH PLAMIT VA:.. CATION TN HO ` OFCEIP DAL/ I NO / .`T, e.11 //7 e, ` l / l 1 I 4 — 1 W f 1I 1 111 •is I t . �, y k ,, • ,.4 "' C, .i. 11 . I � 1l WASHINGTON COUNTY 1 i Initr-Ih•parlmfnl 1 one,poriJciii i II di, /1- el ? 1„ Liildiny Permit File,..3 I -Linn Bill Schlecht, Building Official 1 ti„I,,,., , INVALIDATION OF BUILDING PERMIT /4r The Oregon State Structural Specialty Code, Section 305(A) requires, "All c ,nstruction or work for which a pr-mit is required shall be subject to inspection by the Building Official .” The responsibility to call for inspections rests with the applicant. Section 305(B). "It shall be the duty of the person doing the work authorized by a permit to notify the Building , Official that such work is ready for inspection It shall be the duty of the person requesting any inspections required by this Code to provide access to and means for proper inspection f such work." The Structural Specialty Code, Sect'on 303(D), deals with the expiration of building permits: "Every building permit issued by the Building Official 1 under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work ( authorized by such permit is suspended or abandoned at any time after the work has commenced for a period of 180 days." The above-referenced permit has not ha' an inspection rvoid. equest for in excess of twelve months and is presumed to he inictive and the p . hldgpfbs 11/88 1 I I 1 'I • immwmamosimmmmeml .0. 1 it4' f ,. 1 1' 1 1 WI r 11... 'i r..,- A• '"'n',/ [�' WHITE Inspector COPY ' (1 6 2 �1 R ` /ryt l YELLOW P•rrnittee . - �9,9•! ti// /CIG. effe,��O 4 4 0 PINK COShoer rcttIo - GOLDENROD Grculahon I `'`RMI. "°' APPLICATION FOR BUILDING PERMIT 'KEEN Tamporoty Fle ' • • ADDRESBUILDiNS ^7� sL� 1, ' .•, WASHINGTON COUNTY ADDRESS /7/ v //Ifi�/ �� A DEPARTMENT OF PLANNING / LOCALITY BUILDING DIVISION ( NEAREST E !!f* , . I 4I^ loNUtNL FOR APPLICANT TO FILL IN YAP uC"OFvizi TCOPNFET /l) PR•pg5B IUILDINO Q) ,^ . ATISTICAL CLAC5•FICA ION tONF • "0"53 .7.0:..) A;: ._) N. ...'44/74/1‹FM'•.•(i I'A CLASS NO'.'.". DWELL UNITS (I' S 1 MEGAL DESCRIPTION ts! ?_i„, C SPECIAL CONDITIONS 1 1 I r' NO or'LD[t , 1 • A ,F A OF L 0, 09W ON LOTiy 'ISE OF — 'ONING • •LIVED•Y 'ter GATE 2 • XIITINO •._DQ - ��rA�t TEL -VIE 01 ANITATION C'�.ST. OWNER _i'`g / A.0 NO A -'/ . ADDRESS 1221"....7-......,.LL [ASc ADF NL IL' « TPY t•it t,:LAD-in t fER t/EACSUHPLIROM I 11057 POOP. LI51 Sr I • Emma f[?IACK NI/NWAY 0900 - TotAl / . . ICS IROA C L • + ADDRE!! — TFL .Fry Il Ot ![IUCK.AOM CONT••CTO�L/9:4: NO 1_.Ay7.1 c. FIDI•10P UNI or— untn - Jam:1-14;,/,.:14V �1/.. r T'Pt OI to I it,115 IItIACot NI/NWAY + YARD tOtAl. 900.ES S-V)F S •44_A..i.L/L14V a' .AAE III/•WA• *,0,. roots c ' k l - ! /c + DESCRIPTIIN OF WORK -DANE• CuTOPP YES II NO II "NE A0• ALTER REPAIR DEMOLISH SEE REVERSE SIDE FOR SPECIAL APPROVALS O.FT c:(' NO 01 NO 0• I SI I // , , 310511• FAMLLIIS 1 `QC,. err.00Ms .-"- N . OF PA T..N00•.•t 4 71IIVC CAR[ )7E /47/A (e ./ifitI 1 i 1 •IO. OF FMPLO9FF-S �C' t_ SIONATU•E OP J -- APPLICAN.- 'C4 f. - ...?-4,441.- 1 . APPROVALS DATE INtPlC 10R'f I�FNA tU Rt V ALUA•IONE ' F -'•( - QO FOUNDATION LOCATION I.RMS MAT AIA AM I• S • r C . B•ACIN4 BOLTS •EEE MerrillffinFIEN 15rrAa -t•te. Ae11NOWLl0Gt twit I NIV! NiaD tot InPL CI?!ON too /lift ?Mkt Tot •000! I5 Co5•ict INC A0111 to COM►,Y .•!I BOARD on,. ALL COUNT, ORD'NANCII AND Itt LAWS •IUULIt!NV [LION DING CONNOUCTI SIONAt UR[O •;r,SF 141,15 COSRFCT PERMITTEE _ _ • . i.• ADDRESS FINAL EISIWZIMIIIIIIIIII 6 PLAN CHECK VALIDATION . -Al. ACNCA , PERMIT VLIDATION ' MD IN \1.Cit, L . ‘CO ' At5 - 5, !'./= l-'t .v i•1. (/j r r f, •_. _ ki . .........., „ .„,.......,. A..... Iti i rr t t %,.+;i.: 410 I •J 11 S; 11 FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL I INSPECTION NOTICE OWNER I/./thilia1.1-11/>��Li)'� 1 i_i ,.l-Ll4 ./, _ DATE / 411111 OCCUPANT!`//[✓'/'CS /L�17f`�I!dt OCGUPANCYd.J-.%rf��SG%lelJ/ � f \AZI.SiiiNiiq it �u LOCATION '�� `��ll� ,. [ = ”`� - 1 • v OUR AT TENT/ON II CAI.L[O TO T;1[FOLl.0N4NS EIRE EEK V DR TTCITRCI S' 1 1 '. , ,/ .< , L_- I 1 f�/lr , ,/ f r.IG V a T AIL f , tTt 11O�' It __ `t`r, '' 1 •FAILUR[ TO CORRECT THE AIOV CONOITIUNt WITHIN IiAVS WILL l•.rF. vOu liAl L_RLl TO P O![CUTI PP7 VD 4`O N!I^` RESULT FROM SUCH CONDITIONS YOU MAY IE LI AILS FOR DAMAOdC TO ,'E RSONE/OR TC1i OPER TY UNO& ORI.TS ISO BY ...4.J.---- ( / "/ WASHINGTON COUNTY FIRE DISTRICT aFIRE MARSHAL 1 1 14480 S W JENKINS ROAD 1 BEAVERTON. OREGON 646-1101 PRESENTED TO-__' . --. - r 1 i 1 1 1 1 I 1 1 I, 1 !. January 18, 1974 Mr. Jack Carmichael Atlas Hotel ",upply 1 4215 North Williams Avenue Portland, Oregon 97217 Ret Farrelles Ice Cream Parlour Washington Square Shopf;ing Center Uyar Mr. Carmichael; The plena for the kitchen grease hood and duct system proposed for installation in this occupancy, which we received from you on January 15, 1974, have been reviewed and are hereby conditionally approved subject to the following et'oulattonst 1. Provisions must he made for the introduction of 4 maks up air. Into the kitchen apace at the rate of 3001 c.f.m. to molars that which is exhausted 1 by the eyetem, 2. The a"heust outlet must terminate on the roof at n point not less than 10 feet from any building sir intake opening unless the discharge is directed away from the opening in the opposite direction; in which case a separation of not lass than 5 feet in permitted. 1. The velocity of the airtrain in the duct must be mainteined et not lees than 1500 f.p.m. when the system is in operation. 4. The air duct must be well supported in place by 2 inch 16 gage gelvanired steel straps or equivalent fasteners at intervals of 17. feet (maximum). 4 a -- 1 amisammaismapsairsoinsanswiraremwa amourimemermimeimamosarmourno reinrompur Air vagiimirsaimmemaimrunimiN117 qqJJ i' f 1177 1,11 . • Al tP i 1 I• Ir Mr. Jack Carmichael Page two January 10, 1974 We have retained one copy of the submitted drawings, which will be filen with the structural plena for thin facility at the Washington County .1•i_ Building Department. The remaining copy is being retuned to you under soparate cover. MYours very truly, 'uPSHINGTON CGUNTY FIRE DISTRICT NO. 1 Wilburn Dodge, Plans Exeniner/Construction Inspector Wbtje cc: Washington County Building Department (") Inspector Butts • I �. 1 . .r►. . — — - r J d.n• NAIIIMMs,.. s ,,, Ili 6 I 1 t p• 7 .`r: k `ll',> '/ Washington Courat,y ka '.! 1ii. I Fire District No. 1 !) ., 0„ D• ?k\? 14480 S W Jenkins Rosd +r. i �► Beaverton,Oregon 97005 L r Bureau of Fire Prevention r r !Z, ,° 646-1101 Extension 245 .fir ,' Plains Examination Report No. 1 Fire Station tu,;ros., ' ' County Plan No. 6446 Run Distance? mile 1 Bui:ding Fertellee Ice reeM Airier Occupancy B-.•• eaomuly Fire Zone Address hep 'saes r-6, aehin9ten '"were Construction Type I1l-4 f I. Architect/Designe,t ^K J."4"" _ Address rot *noon Owner Inset ,',••i rte I- . Address_ "n" • • .1e^• '' 1. n • rStories I Main /sea_ at.L " t'•• /Basement Area nem/ Attic Height 16 ft/Stops none Fire Walls nuns Fire Escapes non* Exits /Total Width ° ft. Stairs "o^° /Enclosed - Other Vertical Shafts nen`' /Enclorcd - Sprinklers_« Area Covered_'•^t/fe aCe" Man. Alarm no S.P. a Ext. n•s' /Class - /No. ' Combustion Detection_^/Type -_ /Area Covered Floor c'ne.teta Ceiling mineral eat. t11rr Roof built rx" Str. Members .,et1 Wall Cover meeeetlrr / i•d panel 4 )7O.ed. I t Exterior Interior Heating System r°r"-°' ''1* Fuel elector Cooling System fenced air •. central / ' The r:ans for j,he abw described r.oject were referred .o this office 11/''9'7' and reviewed ' ' _ for conformity with State and District fire safety laws and regulations. Listed as follows are applicable requirements for which we have found no provisions in our examination of the drawings, general notes and/or specifications. 1. At 's ro 'utred thst detailed shop dtauln,,e of the kitchen circle* howls .,r'd e•h:.:,a' dus=t• end taletsd e,ullment be submitted to this urriee for review and epotoval onior to installation. ,11 such ertuigment moat meet the minimum re•rulrwnte of to-tiena ll,tl, line enA 1171 U.11.c', 107" +vel,.mc It. 1 (refs ee. Ili niettiet (:re ,see) W/a i Donald E. 1*voy / I Fire Marehil 4// ' 1 Byo I 7_...:- an et � sir toes Inspect ePoi �e�xet� �nrr•1� / eeh.te.gldq., tent. I / Toughens 'snot. "esInepectat 'tat.Metal UM4 'e• 7 Form 900/1 Revised 11/73 FIRE PREVENTION DOES NCI COST—rt PAYS I ''t 1I . ,1 1 • • V • I r '1..Llt 41., 4. , £ 7. All heating, c:.ol•1,-. ., refrigeration and electrical equinmant end appliances are rw utrod to ma .r roved by ondaroriters Laboratories Inc. or ether nationally rceovMr$d tooting e,ancy and installed in conformity rlth the testing egeneyte ' 'r epeciticetionr. T (ref tic. r: b.f. 197n velure II) l 1. . 11 1. it is noted that exit dears from the stogie to „eine the nubile will how. c t `,: access (i.e. doers 1. ' enc! 71 ! will be fitted with panic hardware. '11 ether ' r , doers *hewn ori rewired �u neve locket or latches stelae have noproviaitute fni ' ' leokinc eosins' egress. helm onaneble from the inside at all '.lass for :.ururdiate y°'1 exit without the uaa of a key. weciel onowledle of effort. r- (ref or. "1tn1 L.J.' . 1 l 4. a h.,•, r.via .^' end !A^r-ueted the oeetin; •rrengwant %horn on ''.los 4ot:nt un,Ily emnany drewln<3e with the aehinpten feunty vuI1dL'.g Departmentse plane *amine' , and un�aretsn'f e *eating pntlaalti ,s of the "petty tem" unll :lining P044 All "Mse r. .-!rad to "s an4 117 teenmetively. The drawings on file In the sehlnpt.on reunty i : Building 0euertrs.mt hew coonmodified to show thee. changer. Thu room must also f. be posted for hi•t m.aL..a uccucran.:y los,l of 116. The placard will Its fuKnisAa.: by this offla.. (ref 'ac. '171 'i.".f. t07n) S. The folUing deer s`'Iwfl in the o ehinv Isetweon the 'party room' aii.i the dining r 'nem la no:: ac:e!":aide cine :he patty room ,*areas as a required secondary way of exit from Poe dining room. ',aid door oust be deleted entirely or replaced with a winging doer fitted with oenie hardware. (refs a• tlene 1109 end 1116 n.6.1. 1970 6. It le rewired that on •slwctrically illuminated Pelt •h,n be pieced over the acc•ao w,enlny fry the dining room to thea "party row" to indicate the route tof emergency omit from the dining row. (.eft •ea. 1117 ".fa.'• 1970) 7. all cuttitne, 7rnt+eriee and clutter deuoretive ect.4 •rmante :+stet on oawcrosad of nonflammable materiels or rendered end .alntaineU In a 'flamsprocfsd' Gonditien. (rot' mc. 26.1111 dnlfare fin . ode 1771) Q. It 1e ro,a:iced than an wormed sot of renntruction niece) for this nrejoet bmerin„ the steeps of this office be maintained on the job Burin, all ohm's@ of conetr-:.- tier end be @sellable for consultation during inspections. (ref -mo. tr ll.s.f. 1970) 9. ~.t" ,f r'e',t•u^tl'n by this office ie rw^ r1r++m. ,$ iron eempletten of 1 kitchen eohwat nyetemt bl seen .nonfat t en wf th• cu•rne•l^ errineler eyetr m inetclletlant e) prtnr to err.upency of the Ishan, i.e. Tier to enentnn to the white. t'lse:. ro11 •.hi^ office rt inset 's hours in •iven'•s in .•ere inwtance an Plat sttan7emente for these tenulred inaoectiDna say be node by our *ter. (refs er.. 1.707 riniforw fire fade) 10. `riot '1 a, -"r' of *he chap, l.e. ^riot to *noosing to the ncslir. a 'Cartlflrsts of ices lenc:y" from the whist ton ' minty Auilding Demettaettt is read rind. I a (tett ec. !.'b 11.11.'. 1970) I ir/ . u.Tt -1.4-S.1111-1.%.211=1, for location at interior wet e•en iplr'sa, daces refer to the fire suppression wyetem clans on file in our ufftoe. I I . ....] 1 r I � 9li0 SW wash. Sq. Rd. 30738,30625 P35515 UIT 1 -411 .- MIMr • 1 WASHINGTON LAND OF LAND USE A TRANSPORTATION LAND DELELOPMENT SERVICES DIVIr : _ 155 NORTH FIRST,HILLSBORO,OR 97114 COUNTY, INSPECTION REQUESTS: 503/540-3661/693-4415 PHONE: 503/548-8761 OREGON Page : 1 of 1 Date 1 10/25/93 Tired 1 15:51 Permit Type : Commercial Electrical Permit Permit M : 05e46154 ' Permit Status : APPROVED Applied 1 10/25/93 Titus Address 1 9730 SW WASHINGTON SQUARE RD TI Issued : 10/25/93 Permit Title t LENSCRAFTEPS - LV Completed : Perri Descr. i PROTECTIVE SIGNALING To Expiro : 04/23/94 Project Title s LENSCRAFTERS - LV Project 0 1 P0035515 Project Descr. : PROTECTIVE SIGNALING, * EROSION * 1 Parcel Number : 2S1TI - Land Use District : Valuation 1 0 Legal Descr. 1 Owner : INSPECTION - TIGARD Construction : OTH Applicant Name 1 A.D.T. Classification 1 900 Applicant Addr. : 703 NE HANCOCK Occupancy r PORTLAND, OR 97212 Validated by : PH 1 Applicant Phone: 284-3265 X22 Inspector Area : CONTRACTOR 1 ADT SECURITY SYSTEMS Lic. C 26-209C 284-3265 Fee description Unite Fee/Unit Ext fee Data Limited Entegy/Alter,/Extension 1 40.00 40.00 Subtotal Electrical Fees: 0 40,00 State Surcharge of 5% 0 2.00 Total Electrical Fee:: 0 42.00 I *** Feelt Required **r *** Fees Collected & Credits *** Receipt No. Date Payment 10/25/93 42.00 TITAL THIS DATE ********* 42.00 Fees: 42.00 Adjustments, .00 Total Credits: .00 Total Fees: 42.00 Total Feyments: 42.00 Balance Due: .00 NOTION: This porn*beeemes null and void N lbs work or construction.'or which N le issued is in,commenced within 10.'days. Once construction has started. Bt.psu b*aehia null Mid veld N eonahuottor n,Intel upped fora period of ISO days 1 certify Mel Mir Inform's on unset"Vd by IM applicant and MIN pries In puppet, is come pen !rue and oeto the ball of our knowledya 1 acknowledge that 11.•Building',apartment's reliance 1 is taM upon Woe and thNleedl g Inlnnnallen may',vendee,this permit aa provisions of applicable laws and°Minanre*governing ins construction and us, of Ibis building or elnmlun MN be eemplbd vain whether or not epselMd on the plana or naiad on the plans rorr'ectlon*nate I acknowledge that IMc granting of a porn dee*not perp alNe,d ly in*mess prate,properly of to use easements I further ecknowle.:e.that the use or occupancy of the structure or budding permitted dew*,alert my calling for Inspections a1 various does during Ma nooses of cone:nation and the building Inepsolbn alae,vsrllyl g oofnpmnee wish gra*wiry,'codes use or oeeupsney M Ms building of eln.cture permitted prior to approval by the Bulldog Oeparlmsnl is solely al he,flab el lite applicant end such use or oceupartey is revocable until all Ingvrt:on requirements are satisfied and approval is gin by IM Sullen,Official. I halter eoknowvlsdge that a Nen may be placed on Ms role of IM property upon which the psrmlt Is Issued sp.clfyi g Ma'the use or oar money of the banding or shuclur,le provisional Sud revocabf,well the aatlelacllon of all Inspection re'tulrmenla AP►LICANT'B I'ANA TUNN art b..' -- - - • • 0 WASHINGTON COUNTY RESTRICTED Department of Land Lisa& Transportation Electlrt ven Section ELECTRICAL ENERGY 1136 North First Avenue,M350-t2 Hillsboro,rmOregon f1717. APPLICATION In/oatbn: (843)A4AJ•i7G Fax: (aQt)N �L 3 PLEASE PRINT t Pliiase coAfplete al(sei thins, 1 tInavgh 5. Project No. jss/S Permit No. S-yl./Sy _ 1. Luca o` of Ii.tall t:y, Label No. Date M -2 S -9-3 Address " R x . • . • .. . / /1 a Issued By Office ----. City__ /. . _ . Zip .. ` 7 4. Type of work: Tax Map ________ Map No. _-- _ 1) - [RESIDENTIAL Restricted Emmy Fee $40.00 Thomas Map Book: Page 6.rj Section J (for an system) Directions Chaak type of work Involved: Commercial , _ Residential aures,,car,,Stereo Systeme Tenant NamLE'1 5 0/N-r T EW-- TN.phore 9y.trnw• (if commercial) garage Door This permit becomes null and void N the work authortesd by Ni. Fin Alarm permn I.not.oeasuwd within i e0 days from dais 44110111111110 Ventilation and Au('card of such permit se Nee work authorized Is au.p.ndad Of walldoned pro. ,A Systeme* al any New seise weft N oomm.no.d fors period of Iii days. Vacuum Systems' F_Noldeal Partible ars non-r.fundabls and non•tranehrable. Other 2. Contractor application: COMMERCIAL Fe.for each oysters $40.00 Electrical Contractor .. i � - (see Loin.0111-2110-2110)Address - C' P 'Ai11/J Check type of work Involved: Date _in_213A3 Job Number Property Owner ------------Contractor's License No „-21124,2.11.&_________ Boner Controls Contractors Board Reg.rl . 9942 �Systems Phone No. 1/ 324S' z"LZ- U Dor Tel.comnwrgl..eon.lnstan.tlons . F..e Alarm kation 3. Owner application: IN NVAC . hotrumentstion Print Ownr�rtr Phoro—W--- — - UIntercom and Paging System IILandscape krlp.11on Control* Kiir;eee II Medical le Nun.Cass 0 --------- --•176-r, --- , — . . ... Lcndecap.Lighting* Thea perm”is issued under OAR 11i-i2C-370. The app/loenf spree. ; ' • •Ica Signaling to mate only n»Mct.d energy kwaeNrtiun.(100 non snipe or Ws) Other under this permit and m do the following: 1. Only us.Nc6bd Overused persons to do iwata.tions whore required. (Corbin eeld.ntlelend other h.n.aotton..n.xe pt / Number of Systeme hum)licensing. Thaws have asterisks r) AN others need lkvna- 2. Cite for an inspection when ail the tnafeH.lona under this p.yrs •No M e,...are requi.d. Lienees sue ram Wed fur all other iwbt.thnit. at.reedy for inspection. N. Panchen asperse.permits or all A tete/1stitns*het are not reedy 5. Fees for irpsof on when the hspecter is out to Inspect under this permit. Enter fees $ 41/6 4. Assume responsibility uor assuming Mot all corrections requited by the Inspector are d gnu and c- 5. Aesunw r epon.Nb�,y Iter coling ter a new/inspect/on when all d 5% Surcharge(.05 X total above) $ the oorrsonbns are completed. Totaly Z- the person nine this N must be the applicant or a person $ authorized . ' the . . ref. „....• Space Delo"reserved for validation. A de than For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In eclvaa of need 1192