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—9425 SW CENTER STREET
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INSPECTION NOTICE
City of Tigard B-Mcling Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ ✓�G�.�i6r - ------- —
Date Requested_ 7 DTime— A.M.—P.M.
A,ldress __ `S y� y���'! - - _ Permit # a %2 57
Ownerjj a C �._ Lot
/ �� - -- _
Builder
The following Building Code deficiencies dre required to be corrected:
A
Presented to ❑ Approved
Inspector Disapproved
Orta - --
CALL FOR REINSPECTION
❑ Yms ❑ NO
CITY OF
71FA RDMECHANICAL PERMIT
�-"' 4'F MIT NO„ : MF®9?58f
cmo:nsACOMMUNITY DEVELOPMENT DEPARTMENT °'"°°"
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,15031839-4175 1. ISSUED: 12/ r,'H g
JOA P=RESS: 9425 SW CENTER ST
TAX MAP/LOT SUB: LT: BK:
LARD USE:
LOT SIZE:
ITEM: N0: NO:
WORK, CLASS: ADDITION FURNACE (100K, AIR HANDLR (10
USE TYPE: SIAGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST„TYPE: FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
M-R/COMP (3HP HOOD
NO.dTORIES: ALR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: BI-R/COMP 15-30HP INCINERATOR(COM
FUEL 'TYPE WOOD BLR/COMP 30-50HP REPAIR UNITS
MAX.INPUT BLR/COMP 504HP OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS
HIGH PRESS?
------�-SEC-�+'
REMARKS:
woodstave inspection
o FEES:
W Gillaspie Elaine PERMIT f1g F;g
E 9425 SW Center PLAN REVIEW
R Tigard OR 97223 FIXTURES $4.50
PHONE (503) 620-4217 STATE TAX $.73
C OTHER
O
N
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R
A
C
T
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_ TOTAL: $15.23
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO. �L)�zl�L f
of the TMC. State of Oregon Specialty Codes. toning regulations ---------•-----------
and all other applicable codes and ordinances, and It is hereby REQUIRED INSPECTIONS
agreed that the work will be done in --cordance with the plans and FINAL
and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
cu-enants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and appro-red.
PeC1 /
rmittee&r3,gnt4e-----�t
Issued 8y
-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 709 DATA
PERMIT IS GIVEN TO Cc
OF tv,
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ................TIGARD SANITARY DISTRICT
By
---- - - - - -----------
CONNECTION INSPECTED AND APPROVED
Dote _-SupbriAtendent
Addreui �i(o?�,S �U Cr � Permit No.�C�>
Name of Occupant
P Permit charge
AX
Connection fes/� -*
N
Paid by �`� ft,,,i ----
Date connected /Q-/G-
Tyke of Building Ate.., ¢ Inspection fee . Z0 Jr
Service Nate---- - --- Paid by _` + e: F,.../ 1, r Date_/b
Contractorl'_�-41 Ik �a�.c
-- Assessment
Size of connection n'-�
i
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist.
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due ?nd b-4fore such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S 224.220.
Connections to the District's system must be made by b9nded contractors and/or
bonded and licensed plumbers.
ser
APPROVED BY E `, Ile
7
Superintendent
TIGARD SANITARY DISTRICT
8.341 S. 'N. Commei tial St.
` Tigard, Oregon