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Permit Support Document CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2001 -00069 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2001 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' 'I � .. INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAGE: 7 SITE ADDRESS: 13156 SW WINTERLAKE CT CLASS OF WORK: SUBDIVISION: BRITTANY SQUARE NO. 4 LOT #: 076 TYPE OF USE: PROJECT NAME: COX DESCRIPTION: 258 sq ft addition sfr detached Path 1 This permit reinstated for purpose of "Final Inspection" for a period of 30 days. (May 4, 2005) per Hap Watkins. OWNER: COX, CARL D +, PHONE #: CONTRACTOR: SCOTTCO BLDG + DESIGN PHONE #: 646 -6771 Inspection Request Scheduled For: Date: 4/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003750-02 503 - 590.5185 N V Corrections /Comments /Instructions: cCQ ►qq An4 (00 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6) � Phone #: (503) 718-