7500 SW CRESTVIEW STREET-2 i
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7500 SW CRESTVIEW DRIVE
INS►'ECTION NOTICE
City of rigard Building Department kv
12420 S.W. Main St.
Tigard,Oregon 9722.3 �L I
Phone: 639-4171 �J
Type of Inspectionr�__
tate Requested— I 1 L;p ,��- time _____ A-M,� P.M.
A,Idress �� �u d (j'� --__-.-- Permit #
Owner ._.._..._�--_-- ----•-- - T Loi #— ---
Builder__..
I
The following Building Code deficiencies are required to be corrected:
j Presented to ppr,�eed
Ilo'pectov - —__--- — [� Disapproved
Da,R ---------- —
CALL FOR REINSPFk'TION
` ❑ YES 0 No
CITY SOF TIGARD Plumbing Permit
Building Depaitment I�Ir
Hesidential Tfl Commercial
New Installation [ Replace (J Addition ❑ Alteration ] Date )61 "f
t '
Licensed
Plumber Owner �—
Addrnss _ r Job Address '7 5 :� lV C�Ru�s U
Phone Applicant -
_ CITY BI ISINESS LICENSE REQUIRED i nR ALL CONTRACTORS AND SUB-r:ON rRACi ORS
ITEM NO. FEE TOTAL T ITEM NO. FEE TOTAL
Fixtures-Traps — 7.50�� Sewer:First 100 ft. ,T� 20.00 -
Dishwasher 7.50 Each Addit. 100 ft. 15.00
Garbage Disposal--�--- _v _7.50 u_ Ejector Pump -- —�----_--- __ -_7.50 ---
_Water Heater _ _ 7.50 _ Water:First 100 ft. _ _ 20.00
Backflow Preventer 1.50 — Each Addit. 200 ft. Y 15.00 _
Storm&Rain Drain:Firsr 00 ft -! --- 30.00
Each Addit.200 ft. —_ 15.00 -
_ L �1 Mobile Home Space _ 25.00
Other(Specify):' - __ Rain Drain-Singly Fam.Dwelling
PERMIT FEE Comments:
-�
-- —
Issued By:.,-)�.
Receipt No. Applicant
~�4
TCyTALSlgnature
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, hing Inspection Phoma
ne fi3�J-4171