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13274 SW BENISH STREET-1 f r c c i i i -t?37zf SW Toland St. '— -7PECTION NOTICE G�/,f7fL/ Ty of Tigard Building Depar!ment- P.O. Box 23397 Tigard, Oregon 97223 Phone: 639••4175 Type o Inspection D,ate Re wasted Time. A.M.__K P.M. Address __ '• _ __ ___ Permit # Owner Lot # Builder —L_ +�-4�'�J�b��� f _. -- --- — ----- The following Building Code deNcieneies are required to be corrected: Presented to _ / Approved Inspector C? � — — -- �.� Disapproved Date � - CALL FOR REINSPECTION ❑ YL! C7 NO INSPECTION NOTICE City of Tigard Buil,ling Department � ,���,, P.O. Box 23397 xxl gsrd, Oregon 97223 Phone: 839-4175 A Ty'tie of Inspection _����' .��-! -------------- Date Requevted_ ��l/—�U me--_-- A.M. P.M/. Address �` t--—� Permit Owner .-__ -- Lot # �_ Builder ------- The following Building Code deficiencies are required to be corrected: — Z P*esente,l to ❑ Approved Inspector Disapproved Date s,L,%7 CALL FOfl REINSPECTION I YEI O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 • — Phone: 539-4175 Type of Inspection /, Date Requested r �G! Time A.M. P.M. Address ___ 06 e� LZ_ r��� Peit yy� Owner-_-- -- Lot Builder The following Building Code deficiencies are required to be corrected: 4" Aoi -— --- i Presented to _ ❑ Approved Inspector ❑ Disapproved 1 Date CALL r'OR REINSPECTION ED YES O NO INSPECTION NOTICE �J f Tigard City o ga d uil in D Building g epartment P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date. Requested �✓-7=� Time A.M._._ P.M. Address —. Z oy ---"J -- Permit # L LZ Owner ____ _ Lot # BuilderThe following Building Code deficiencies are required to he corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO CITY Off' TIFA i Cl ROCCUPANC OF OCCUPANCY CTTYOF TWA RD PERMIT N. . . . . . . a OUPS91423 COMMUNITY DEVELOPMENT DEWTOANT opeooa PRIM. PERMIT #. a 591425 13126 SWHall Blvd. P.O.Box 23397,Tigard,aegon97z23(6W)839-4176 `�� DATE ISSUFDa 03/09/90 SITE' ADDRESS. . . - 1.3274 SW TOLAND ST PARCE.La 2S1 *Ab- 1164 SUPDIVISION. . . . s 11ORNINOHILL ZONINGr NL_OCY%. . . . . . . . . . a LOT. * . . . . . . . . . . . 1145 CLASS OF WORK. :NEW TYPE OF USE. . . eSF OCCUPANCY ORP. sR3 OCCUPANCY LOADS TTNA+NT NAME. . . c Pe!mar-kss •15 for red line copy Owners DAN E:: ANDERSON 9363 SW BEAVERTON-HILLSDALE~ N HWY. BEAVERTON OR 00000 -0000 Phone 141 000--000-000M Contractors ----_____.___.____________._.____ I � E). E. ANDERSON INC 8363 SW BEAVERTON HIGHWAY 1 BEAVERTON OR 97005 Phonee No 297-7666 Req N. . a 46344 Occupancy of they A60Ve referenced building is hereby given, and cortifieA the compliance with the Stater Of Oregon Specialty Codes for the group, occupancy, and uue" Under which the referenced permit wa16 imfisued. FIRE DEPARTMENTUALDING IN BUILDI -e OFFI POST IN CONSPICUOUS PL.ACF I _._ INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 ,�� Type of Inspection Date Requested - � �.�r Time__. A.M. P.M. Address _� 3c� 7y <- Permit Owner _ Lot # Builder The following Building Code deficiencies are require) to he corrected: Presented to Approved Inspector U Disapprojed e7 i Date CALL FOR REINSPECTION ❑ YES ❑ AVO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. P.MI� Address ------ Permit # �3 _ Owner ._ _ __ Lot #_ _ Builder �� —~-- /The following Building Code deficiencies are required to be corrected: 1 ) T77 ��� � Cyt, dd Presented to ❑ Approved Inspector ❑ oiapproved Date CALL FOR REINSPECTION ❑ YES 13 No l INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested— - Ti P.m Address � 7y •F- Permit #_ Owner -- - - I-ot # Builder The following Building Code deficiencies are required to be corrected: 1 f`rewnted to j roved Inspector -- -- C� Disapproved Gate --- - — — -- CALL FOR REINSPF,CTION U YES L"I NO i I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection - -- �— � — Date Requested // - Time--K- A.M._ P.M. Address43d 2yfz Permit9157 # Owner !_ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _� _ Approved Inspec-tor F-1 Disapproved NO CALL FOR RF.INSPFCTION ❑ YES 0 NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-417}5 Type of Inspection `-�4 , L Date Requested_ L� Time A.M.— P.M. Address _-_I .ki Permit # Owner --- _ Lot # , Builder The following Building Code deficiencies are required to be corrected: I' —,—s.�r:t�t� moi: J'_i v�L„� -�-=—_L-�`,' ✓� { Presented to -y _ ❑ Approved Inspector t.T__..�� _ DIUpproved DateCALL FOR FOR REINSPECTION YEI ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type oaf inspectio-i Date Requested �_/�� - �S _ me _A.M._ P.M. Address _ c� %_ Permit Owner Lat #_ Builder The following Building Code deficiencies are requirad to be corrected: ZI 00 Presented to ��� ❑ Approved Inspector ' Disapproved Date CALL FOR, REINSPECTION Lel YES 0 No `NISPECTION NOTICE City of Tigt„d Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 n Type of 'nspection _.?..� ----- gate Roque >d _L11 -- Time A.M. P.M. ;%ddress / 3 ?L/ Permit Lot # -- Owner Builder — The following Building Code deficiencies are required to be corrected: 19__-_ _ ❑ Approved Presented to _��- _ Qisapp►oved Inspector _ Date - CALL FOR REINSPA"TION ff'T'YES EJ NO II I INSPECTION NOTICE City of Tigard 3uilding Department ' P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-41775 ` Type of Inspection Date Requested_ =A3 d Time Y,— A.m.--P.M. Address_ �_ ��__ Ti r -artL��— Permit 10! fI Owner_ _ Lot # I Builder The (following Building Code deficiencies are required to be corrected: I � L 1747.1.�.e►. '' 4 .. r '~ � Presented to Approved i Inspector �/ '�1 _ [J Dipwov ` Date CALL FOR REINSPECTION El YE>s ❑ NO i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: hon[e: 639-4175 Type of Inspection Dato RequestedLG S Time A.M, P.M, Address �- �_ Permit /.2 5 Owner Lot # Builder The following Building Code deficiencies are requirer+ to be corrected: --- ------------------ Presented to -Approved — __- Inspector --�'� --- - - - _-- --_---- U Disapproved Gate CALL F OR RENSPECTION 0 YES 1=1 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 2W97 Tigard, Oregon 97223 Phone: 639-4175 /r Type of Inspection __ �( s4– (�•C t yA 6 Date Requested —Z` -'� Time. A.M. P.M. Address -_ _ Permit # _ Owner ? __ _ Lot Builder The following Building Code defieieneiee are required to be corrected: Presented to ❑ Approved Inspector -9irsaQryioved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tig31d, Oregon 97223 Phone.639-4175 Type of Inspection -------- - Date Requested_ Tirno ._ A.M._ P.M. Address ___. Permit Owner Lot -- guilder ----- �— The following Building Code deficiencies are required to be corrected: Presented to __ LI !nspector Ll Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO CITY OF TIGA RD SEWEP PF..'AMIT &4-1 P IK*AM T I NO Sk1391.4169 CITYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,15031639-4175 DA'TE 15 5i UEi:I:) EJ/22/09 04'T' $49 3.AIR.'i J-3,A-7q ,J0114 ADE)WEESS SW 1(31 4IND 13'T U'3(-) NUMBER' 39038 I Ax MAP/1-01, 251 1AD 11.0.100 GIA.-I : MOPNIN(.�A-Ifl I LT' : 145 8K LAND WiL : fill . 11'.i 1-01' SIZE: 5ECI-TON : 'TUP . PNG: '.Lw WOPK CLAS0:i : NEW UGE' TY FIE. : Ili I N(;I..,Il: F'AM'.I.'l Y The agroer, to (,ninI:)J.y with F11] rLl1E!!;i U11(.1 r'egLlJ.ati0l'l!f; Of t110 TI.1Es prarinit. *-ft x p J.r o s; 1130 (J a y% -F r ci in t h o (I in,t*71 J !i%;i-t (I 'T h ve t cl t a] amourit paicl will 1-.)e if the periniv. expirt.4!ii . The Acl*-.!n(�y dcici�!-i ricit alltOIFI thr•-% RC.C.!UrffLCY (3-P t;iie loczatioii of th*e i36-twtar I-F tho� isowor .0i I-lot F.I.A. they me-atsi.ireiviont givc-ri , thce iriffiti;.O.J.er v;hatl] 3 fe-iot iii 11 dJ.r*-cz1J.civi% from the diiataiicc4 g:i.ve.ii . I-P not iz;o Icic,ate-cl , tho irisstialler Urchaiiie? iii "To.p iiLrlcl 5J.(JP tiewv-)r" E etr m.l t, oitcl the Agerioy wit'l. iriwtial]. FL Ifittorial. - 1IMPE.PVTOUS AREA : INSTALL . 'rypi*--- : BUTI-I)TNGo (:iFW1i.*.k 'TENAN'T TMr*,POVF*' ,V'1FIXTURE UNITS : DWELLING UNITS : 1. NO . OF DLOGS . . I 0 DE'A w ANSON DAN E 1-Ill---�MI T $35 . 00 51:3(5;3 N !7.W 8..F:'0Vt--P-TON-HIl L-.DALF; C(INNECTION GHARGPE. $1. ,250 . 0() F. R [)eiavertoo u r I.JNE TAP TINSTAI L. N ANDEPFON DAN V T M[!'ADOWHIAJO1< UEVEL01:)MEN1 R A 9363 lid El C beeLvertai-I or 9*7006 T 0 PHONE (503) e97--'7666 R I RIEG-TSTDATION NO. 416341-14 TOTAL: $1 ,285 , 00 RECEIPT NO. This permit is Issued subject to the regulations containod in Title 14 of the TMC. State of Oregon Specialty Codes. zoning regulations and all other applicable codes and ordinances, and It is hereby PEQUIRED IN5PECTIONS agreed that the work will be done In accordance with the plans and ROMA I---IN specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work is nct 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 inspeG"ns�e requested and a oved. Permittee Signature Issued By t--rv! t 1-1111"t--.1 N-1115110-11., I (IN 639. M-- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIFA RD PLUMBINC; PE:PM IT �-'x 0, PERMIT NO. : pl.-891.4%67 CITYOFTWAVD COMMUNITY DEVELOPMENT DEPARTMENT 011100N DATE ISSUED: 8/22/89 13125 S.W.Hall Blvd.,P 0 Box 23397,Tigard.Oregon 97223.(503)639-4175 8(i'1 AP5 ,.JOB AI)DRESS SW T01 AND S'T TAX MAP/1-01' 2SI. ZJAH �il-lb - MORNINCA-11.1-1 LT IdI5 UK I AND USE. : RA. 5 l--C)T SIZE : J'TF*M: NO : No WORK CLASS : Nl;:.W WATEP CLOSET 2 'T PAP USE TYPE : STNC;L.F� F"AMILY URINAL HKFLOW PPVNTP L'.(JN57' .TYPE : VN LAVORATC)PY 3 TRAP PRIML14 OCICIJP .GOPP, : P3 *1 ILIB SHOWER 2 GI-4:.:A!5E TPAPS DI SHWASHE44 I. (;API-3A(.'-',E DISPOSAL I NC). STORIES : I WASHING MACHINE I DWEL.L .UNITS : I I A1JNL)PY 'TRAY DRAIN (DIA FLOOP DRAIN SINK t GI;::WFI1 (FT) WATER HEATER 1 "111OPM/PAIN (F-1 OTHER 141E MAPKS : Clead contractor number O ANDEPSON DAN E PERMIT 1111125 . 00 WN 9363 SW DEE AVPTUN-HILI L NDAL E beavertan or FI XT U PE S 5 TATE TAX $6 25 (:I MEA C 0 N WOL.C.C)TT PLUMBING CONTRS INC . T R POI40X8'?2 A Gre5tham OR 9*7030 C T PHONE. (503) 66'7--1'781 PE.GIS-STWATIUN NO. 23eA7 R TOTAL: $131 .e5 PEC,E I PT NO. This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes.zoning regulations 4EQUIRED INSPECTMNS and all other applicable codes and ordinances, and 11 is hereby agreed that the work will be done in accordance with the glans and PL E3 UNDEPSLAR specifications and in compliance with all applicable codes and POST & 13EAM ordinances The issuance of this permit does not waive restrictiv(' WAT'V-P LINE covenants. Contractor and subcontractors shall have current city PI...E3 . TOPOUT business tax permits This permit will expire and become null and RAIN DI1AJ.NS 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 FINAL commenced. It shall be the responsibility of the permittee to assure all required sect are requeste nd approved Permittee Signature Issued By: INSPECIIIIN &3ST—ter 2Z SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY"OFT11FARD FilITI n'1 Nr: P IR911 T cmOFiK�R@ r�W F2MT r Nn RI Ifi91 a �t COMMUNITY DEVELOPMENT DEPARTMENT nA'T F T c;r,1 Ir*n• R/'P;.,/raw 13125 S.W.Hall Blvd.,P.O.Boa 23397,Tigard,Oregon 97223.(503)6394175 --- 'M PM'T' Nn RW 1 dp 13A 7q MIR AnnPF,;r, • 4M16"It" C;W Tnl ANn r,T 'T'AX MAP/1 n'r PqI 4AR 1 1 Ann 41IR• MFIPN'I'Nt,l-ITI I I T 1 a°s RK I ANO IIr';F' 04 !1, I 11'T r;T 7r" UAI I IATTnN 4 R5 .A7A GFTRArKG FPnNT • PO PFAP N I.If11gK f".I A,r; • NFW 11WFF'I I I INT'Tt; • 1 I FFT• In RTnHT • 1 M I I(;r TYIJF • ti1-Nf:l 1" F'AMT'I Y Nn Rr'nnnnMG -4 rXT WAI 1 r.nNC;T I"rlNr;'T' 'T-YI-IF:' • UN Nn RATHt; Sa N• r; • F W r.PP PA Pnn'T I'iPFNTNr:r; r it i Ip I nAn N , F W TnTAI APP-A 1 Sarre` N11 ,TnnTFq, • T 1 r;T' • '1 9")"1 nnnF rnNST • (" FTn4- PFT? I••Ir'Tf,HI' 1 R. PNII• APFA gFPAP7 QATFn - 1<Ac,F'MFN1"7 :'Ann • (Irf*1 10 r;rPAP? nATF'n - Mr77ANTNF7 RAV%FM I T ri nnn I nAn all I,AI?At,F A:'{R I:-TPF r*PRICI G'7 AI APM7 1:1 11411 f,PM 1 nF'Trr.T7 YFq 141'-,'A'T' 'T'YPr' (,Ar, Hnr:P A('7:F1;r,7 971 AN rrarr:K RY• r'1 h. PEMARKS : 11111.5 •Nclr• reel ].:Lres•+ r.�I.)py REISSUE OF* NO. LAST REISSUE u EE�i W ANDERSON DAN E Ph:RMIT $391 .00 N 9:'56:3 CnW HEAVEPTON-„F•ITL.L SDALE PLAN REV'.I:F:,.W #40 00 E h r T.c311 or FIRE DEPT R StiTA'T•E: TAX •19. 15 15 OTHEP 111.9 . 00 C E:VE::LOPMENT CHARGES : : n ANL7Ei:RS�(:)N 1)AN E SDC(STORM) •290 . 00 N MF--:A1:)OWBPOOK DE:VE:I...OPME:NT !SDC:( LI T'REET) $600 . 00 R 936:3 SW 8I-.'.AVE PT0N••-H1:1_LS DALE PDC(*1. 1 •290 .00 C bPin.v��rtcirl car 9'7006 PREPAID < 1;90 . 00) C T PHONE: (90:3) P97--7666 R REX.-s I ST RATION NO. 46344 TOTAL: $1 ,525. 55 � RECEIPT NO. 1 his permit is issued subject to the regulations contained In Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations r � and all other applicable codes and ordinances, and it Is hereby l-- IJINEf) INSPECTIONS agreed that the work will be done In accordance with the plans and F"O(.)T ING SEWER specifications and In compliance with all applicable codes and F''OIJNDA T ION WALL RAIN DRAINS ordinances The Issuance of this permit does not waive restrictive POST 6, BLAM WATEP LINE covenants. Contractor and subcontractors shall have current city PLL . UNDERSL.AB CITY APPRCH/SW I b,:-iness tax permits, This permit will expire and become null and void if work is not started within 180 days,or It work Is suspended or S,L.Ak3 FINAL abandoned for a period of 180 days any time after work has PLB. TOPOU T commenced.It shall be the responsibility of the permitlee to assure FRAMING all required Inrecti are requested and pproved FIREPI...ACE GAS LINE: INSULATION GYP. BOARD Permittee Signature t Issued By — (. _... F-(:)R - SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T'GA MECHANTCAl PE'�RM IT . Z ItD .-T NO. ME11391-160 COMMUNITY DEVELOPMENT DEPARTMENT Comm 13125S.W Hall Blvd.PO Box 23397,Tigard.Oregon 97223.15031639-4175 D AT F.:: I S,SUED C3/22/09 N ff . 110. JOB ADDAE-:SS : 3!234 SW I()IAND 5T 'TAX MAP/LOT PSI 4AO SUB: M0l4NTN(.*,l--IJA.1I T : 145 bK : I AND USE: R4 103 1-01 SIZE : ITEM : NO: NO WORK (A-ASS: NEW I--'UANAC'E.* 0,11.001K 1. AIR HANDL-14 <10 USE TYPE : SINGLE FAMILY FURNACE .11.001<4- AIR HANDI 1:4 :1.OK CONST .TYPE.': VN FI 00P FtJPNA(.-,E. EVAP .COULE'R CHN711.11P. GPP. : P3 HEATER VENT FAN 3 VENT VENT . SYSTEM BIJI/COMP <3HP HOOD I NO. STORIES : I 8LR/COMP INCINEPATOP(DOM DWELL .UNITS : I 13-30HP INLINE PATOR((,'OM FUEL TYPE' GAS BI R/C'OMP 30-501-11P PE.PAIP UNITS MAX . INPUT BLP/COMP 50+HP OTHE:1:4 P- F IRE. DMPWS-J (.*-,AS P.'I:P.I*N('.1 OITTI-ETS i. HIGH 1111:41E.SS? HI-EMAPKS : imeed c�cjntr-akc!tar, ittimber- 0 W ANDEPSON DAN E. P K'R M 3:1 $10 . 00 E N o:36.3 sw E)r�:Avr--AFON-HTLI SDAl. F. PLAN REVIEW $10 . 13 FIXTURES $30 , 50 STATE TAX $2 .03 C 0 N T FOUR SEASONS HEATING A114 (.',UND R A PURti x 664109 Pci�tland 01, 97266 PHONE (50-3) 7-15-5919 IR I PEG'TSTPATION NO. ASP-83 TUTAL : tit This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. of the TMC, State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances, and it Is herebyFEQUIRED INSPECTIONS agreed that the work will be done in accordance with the plans and GAS LINE specifications and in compliance with all applicable codes and POST IC BEAM ordinances. The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city l-KIJIGH IN business tax permits. This permit will expire and become null and F I NAL void it work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days anv time after work has commenced It shall be the responsibility of the permittee to assure all required i,n�Sfe requested and ,oroved Permittee S-gnahitn Issued By:v/I/% (3W.-t: FOR I J.HN 6,3V-.,qI T-3 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE TWA` RD PLANG1ECK APPLICATION CITY OF cmorrwxm PLAN GIECK I/ COMMUNITY DEVELOPMENT DEPARTMENT PERMIT H 111TSSw.f/aSkit_P.O.Box 23l9f,T19�V^'4°^9rM•(5Q3Ifi3941?S C DATE ISSUED O DRESS: v`�7/ Tg S -i AX MAP/LOT �S I- y 14 (j- I LG O JO / --�'"-�- LAND USE: N. SUgr� _ �µ LOT' SPECIAL- NOTES OWNER C7 REISSUE OF: LAST REISSUE: _ ADDRESS: �� - FLOOD PLAIN/ -�� SENSITIVE LAND: PHONE: - c "7-- - APPROVALS R�9UI99O PLANNING: CONTRACTOR ENGINEERING: _ NAME: _ r, i - --- - FIRE DEPT ADDRESS: _- OTHER: ITEMS REQUIRED / LIST/SUBCONTRACTORS: ARCI1/ENGINEER BUS TAX: CALCULATIONS: NAME: _ --- TRUSS DETAILS: ADDRESS: -- PARKING PLAN: --- - LANDSCAPE PLAN: _ --` - 01-HER: PHONE: - ---- - --- `- - - �y PERMIT ACCT H DESCRIPTION AMOUNT AMOUNT PD. BOL:�OII� 1 , 10--432 00 Building Permit Fees 10--431 00 Plumbing Permit Fees 10--431 01 Mechanical Permit Fees1 '' �' 10-230 O1 State Building Tax (5X) Building Plumbing _ f. 10-433 00 Plans Check Fee h1 flu ildirig Plumbing Mach /0 30--707 00 Sewer Connection _ - 30-444 00 Sewer Inspection S --�- 51-448 00 Street L1-ystem Dev Charge (SDC) J 57-449 00 Parks Sy5Lem Dev Charge (POC) +�.5y 2 Sly 31-450 (X) Storro Drainage Syst Dev Chrg 10-2;10 09 TRFO - 10-731; OG Washington County Fire H1 (9`.,X) 10170 00 Amar /Wedgewoody alto R1C 11 ��' l APPLICANT ICANT SIGIUATURE Received By: - Date Received: cn/3587P/18P � '( ��•� <4�s,� z7 �'�Il � a.xy�� X31- — y, � — 1 �� e, 5' � /� 2� � x ��v.i� 2.0" L 3 a �r n �> 46 U — 7 2 �/ 7 f Rl4< L'n Ix3�t of �!Ml- K at i 1, t' •�: IL .rvf=x WIZ I' yy11 t W W � � LIC yNy��W¢ ++•�yM-Z C] Ih I , •� 'eery a 2 lwwLC]EX�W IN7 alQ WVA "� � I / •I.14 1 W 0to ss N M U. WUUJ��{yyl�p.yj l• • N IMZV ra� rr+ y M � I 1 F T17k IwNyILIp, — .3 ( I Zso I v :fb •+, nut .J .n• /� dr+ ., / A 1 + <wLL yQ ns F-N7 N N•- r' � \ N \\. I H til � II ,I t.. �Z i�'� i• J of a m.o x � "-4► N � •� 1 1 40N •` 4 'r, F :•�� it it 10 41 NN k f \�� miommm rem Iire N � �I i < •D On 1, ! i f 1r�csa i — _�.mr I m �. \ I .' !• ,} 1 Ci ,00 x ' .1�. <ILL eirlMbtl- i a u. i 'W ►- 1. � -'�--`: �• 'J .•fy.. � � 1 v1 � Ni f • � � 11MIfN W,nm' m t" w f 1,� ! Nor '"• ! 1►•'• e I *PjL,= VMMN