6775 SW CLINTON STREET rn
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INSPECTLQN NOTICE '
Citj of Tigard Building Department '
13125 SIT Hall Blvd. Tigard, Oregon 97223
Inspection L ne (Ree-O-Phons)s 634-4175 Eu cess Phone: 639-4171
Inspections
Foot i Plbg. Underelab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Too Out Gan Line VITAL:
I
Poet/9eam Struct. 1%n. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plba. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: / Time: AM —PM
Addreeie:_ % 2
Permit #:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- I
i
Inspectors 'i7 Date:_ -21
—Z _APPROVED -_ DISAPPROVED _-- APPROVRD SUBJECT TO ABOVE
____Call For Reinsp.
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iNSPRCfION NOM3 '
City of Tigard oull.`,ing Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Plone): 639--4175 Business Phone: 639-4171
Footing Plbg, Underalab Mer_h. Rough-in Appr/Sdwlk
Found. Plbg. Top O,tt Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Roam Meeh. Rain Drain Insulation --Pltunb.
Plbg. Underfloor Water Line / Gyp. Bd. -Meeh.
Date Reguestedl- �-7 �/ Timet
,�_AM PN
Address: »S 1� �7 -7 (1C PDrOiL tt_L_l�
Bu I Ider't
THE FOLLOWI G LORRECTIONS IQUIREDt
-7
Inspector: .- - Detet_
APPROVED D I SAPPIOVED Ak PRMRD SUWNCT TO WWI
C&11 For Meinep.
INSPECTION-NOTICE
CitY of Tigard Building Department;
"125 SM Ball. Blvd. Tigard, Oregon 97223
Inspection Ll,ie (Rec-o-phone), 639-4175 nusiness Phone: 639-4171
Inspectiont
Footing Plbg. Under.:lab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Tor out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/B,am Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloc, Wa::er Line Gyp. Bd. (Mach.
Date Req,entede Time' '`
/ AM PN
Addreos: (ty) "i l /
Pe
rmit
Builder: /1G. C _
THE FOJ,IOiIING a'XRECTIONb,_ REQUIRED:
Af_
//
Ti
Inspector: /
-----APPROVED DISAPPROVRL APPROVED SUBJRrT TO ABOVF,
____C8" For Reinsp.
OLAL I T' ROOTER TEL : 77u-8831 Mali21 .91 10 :27 No .002 P .02
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POLLY
10843 N.E.Simpson INVOICE i^,omplete
Industrial �
"ortiand,Ofegon WL#19 j
97920nomoovyal
Saplla Tank Cleaning
line Oleanng
3jogiAANIT
0.9910"W0N
flaAt�loMmis tnt.lM,Co. ,
(503) 263-7587
custor ger PO. * Date..�'l4-�1�1L.
Billing Name - •-�+ � "-�
Addrees. L 0 0X 3 — —
brtl jijaO._—_ •--; Job Site# .�.--
Cil . Dnrt�1 and `.fi; �'.,,,�.M�tW^.,�;_�r ' �.. .,.- Zip Code
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OrdoredF3y_ Nanc F?igj�e+M.1.Z .:� -�-- -
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Job Location.
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Servicci Call
pumping _gallons -�-------------- —_ t
,
1
Cendltlonsof tanK/Dlarrlbution Box
TOTAL CWARG69_Ll �
sohul:6anllatlon to In no way rasponslW fa d111WAP to the segue unk or lids an 1M system.
M.
RAMS!NN 10 days.l'n11 pot month will be 9har0ad on post dud a000unts.(16%par 0:'nu1n)
Customer's Signature: --
Bervice brivarb 8lgnaturq,_,
TERMS AND aoNDITION•ON REV0911111 WE REDEEMABLE IN MULTNOMAH COUNTY
06-91 - Al 00 122 NC
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C11W OF TIFA RD v-
COMMUNITY' DEVELOPMENT DEPARTMENT �Mfeo1�
13126 SW FWD Blvd. I3.0.Bom 23307,ri0a+d,Or"m WW(603)639-4176
I-L.i'OIT7 tt. . . .. L ,_.11'71 -17uitl;,t,
39-.417.1 CIfITE: ISSUED. 05/ 1.0/91
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ZONING: i4
..Cl'' .. OF`Wf_'7RI•;. . :Al "F i'�i�FtIs11G;>✓ �' I t,r�r:AL'.:;. . I�if7 J l_E:: 'lUh4k ,f-,ACf �;.
YF-'I Lih U''.4i. . . . : SF. WASHING 1"10CH. . . . . . . BACKFUM PRE:.VNTRS. . :
.f.:I �1 '1`4N F+'i• . E? . . . . . . ,. . 1Rf��".,. . . . . . . . . . . .. . . .
I I.I i L15. . . . .. . ,. . WFaTUR HL f 0_(.:). . . . . . CA-FCC )<+c7S=
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CITY OF TIGARD REGE.Ir T UE PPYMENT RE=L;EIPT NCI. :f)1-213103
CHECK AMOUNT 31. 1.10
I'If�ME n
APO QUALITY EXCAVATING CASH AMOUNT 0. ovi �r
ADDRESS : PAYMENT DATE:: 0 5 i 10/1 1
SUBDIVISION s
PURPOSE OF PAYMENT AMOUNT PA I I) F'UHPflSE OF PAYhi!=NT AMOUNT FSA I I)
l-.UMA: PERM PRM F�,'_M91•-0066 30. X10 3T.- BUILD
.._.... _.. ...
f 1.
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5E:WER PERMIT _ A J i 5 SW CLINTON
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1 01 Al_ AMOUNT PAID 31. ",0
SEWER CONNECTION
CIIYOFTIFARD CffVOFTWARD 1--'ERMIT
mii
COMMUNrrY DEVELOPMENT DEPARTMENT 0"90H . . . . . . . SWR91 —121085'
13125 SW Hell Blvd. P.O.Box 23397,Toad,Oregon g7223(503)&-s-4176
6775 FW C'L INTON ST r:'q R CE L . I S 13 6 D.'
J b L. ]'a1 ON. . . . : Z ON 1 M3:
. . . . . . . . . . : LOT. . . . . . . . . . . . . .
t14j IN T NAME. .
Jr ") NCJ. . . . . . . . . . :4;36'-7 FIXTURE LINITS.
rw-1-1)3S OF WORK, :ALT DWELL I NG UN I TS.
OF USF. -SF NO- Oc' BUILDING)S- l
f"I E. BUS W Fv TrIPIERV SURFACE,
+qema"ks : COnnect e)(jS ,t1T19 SFD to cewet-. Septic tank mUst be PI-Imped and filled
qra t f 1: 1 J 1 0 d tan I' reC:lai.rpd.
t v r)k, lrno1_trlt by d at e r e c!
117a'O SW 637'H PARKWAY PR M T 15Q)CA- 00 LACK 05,106191 0
I N74-' ?:5. 014) BCR 05/06/91 0
1(74:'Pl) OR
F-M.."AVATION INC.
`A. JOHNSON CREEP, BLVD
ORTLOND OR 9-i�.Iae
7 1
RE01AIRET) .1Nc,;r-1F'( Tj.(-)NS
7his Applicant agrees to comely with all the rl les vd regulations Sewer I T1 si pert j can
I the Unified Sewace Pgency. The vervit F,Pireq A days fromb P I)t jL u fank �- ilj
"it date issued. The total amount paid trill be forfeited if the
—mit expires. The Papp-'v does rot guarantee the accuraev of the-ide sewer laterals. if the sewer is not located at the measurement.
.Iyer, the ;�staller shall prospect 3 feet in all directions from
the distance givoi,- If not so located, the installer hall purchase
"Tip and Side Sewer" PrrLit an.' the Apencv will install a iateral.
r'•i fit I t:,, 1:111 a t —19,
Call for inspertion 6:39--4175
C:1 TY OF TIGARD PFCTIVIT OF PAYMENT PEr.Fip*r' NCII. r X31-2 t p- it
CHECK AMOUNT a 1535, 017,
NONE LORSON, JENNIE COSI I AMOUNT 0. 00
I 1'7;F.*(?, FN 687H PORKWAY PAYMENT jA rc a 05/06/91
SUBDIVISION
TIGARD, OR 972-23-
1"LIRPOSE. OF PPYMENT nmouwr r,pir) PURPOSE OF PAYMENT N.ClUNT V'AID
!.-'iEWER USp
1500. 00 SEWER iNMECT 35. QUA
TO,rAL- AMOUNT PPID115::35., vto