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CITY OF TIGARD
Shaping A Better Community
MEMORANDUM
•
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, OR 97223
Phone 503 - 639 -4171
Fax: 503 - 684 -7297
TO: Distribution List
FROM: Shirley Treat
DATE: February 19, 2002
SUBJECT: ADDITIONAL ADDRESS /PARCEL #1S125DA -07900
An additional address has been assigned to the above mentioned parcel to
accommodate the accessory residential unit being built on that parcel. The current
address for this parcel is 9155 SW 69 Avenue. The new address for the accessory
residential unit is:
9161 SW 69 Avenue
If you should have any questions, you may contact me at 503/639 -4171 ext. 419 or e-
mail me at shirley(o�ci.tigard.or.us.
Thank you.
i:englshirley\address\
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
M -ERWIN ELECTRIC
PO BOX 1282
OREGON CITY, OR 97045 -1808
Electrical Signature Form
Permit #: MST2001 -00077
Date Issued: 2/28/01
Parcel: 1 S125DA -07900 '16 ( 6 914k_
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Site Address: 69TH AVE
Subdivision: KINGS VIEW
Block: Lot: 074
Jurisdiction: TIG
Zoning: R-4.5
Remarks: 2 -story unit: 3 -car garage with accessory dwelling unit above.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
PAINE, JEFFREY C M -ERWIN ELECTRIC
9155 SW 69TH AVE PO BOX 1282
TIGARD, OR 97223 OREGON CITY, OR 97045 -1808
Phone #: Phone #: 503 - 655 -1808
Reg #: E 3-431C
LIC 81888
SUP 2703S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
Al)
CITY OF TIGARD
Shaping A Better Community
MEMORANDUM
•
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, OR 97223
Phone 503 - 639 -4171
Fax: 503 -684 -7297
TO: . Distribution List
FROM: Shirley Treat
DATE: February 19, 2002
SUBJECT: ADDITIONAL ADDRESS /PARCEL #1S125DA -07900
An additional address has been assigned to the above mentioned parcel to
accommodate the accessory reside ' • Bing built on that parcel. The current
address for this parcel is[9155 SW 69 Avenue. The new address for the accessory
residential unit is:
9161 SW 69 Avenue
If you should have any questions, you may contact me at 503/639 -4171 ext. 419 or e-
mail me at shirleyeci.tigard.or.us.
Thank you.
i:eng\shirley\address\
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