6750 SW BAYLOR STREET I
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6750 SW Baylor St . —
INSPECTION NOTICE �'4 '��
City of Tigard Buildissq Departoent r'
13125 SW Ball B`vd. Tigard, Oregon 97223
Inspection L (Ric-0-Phone): 539-4175 Business Phone: f.39-4171.
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Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sews+! -, Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech. 1
Date Requestedt � �� .—Time: AM _____PM
Address: i � �� cfw Pbrmit It_
Ruildert `
TNR VOLUMING COP"CTIONS ARE REQUI.RM
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Inep^4ctorsDates
APPROVED — — DISAPPROT'SD APPROVRD SUBJECT To ASM
Call For Reinsp.
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IM"2Mc1rloN RP N 91
City of Tigard Building Department
13125 am Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-3-Phono): 639-4175 Business Phonet 639-4171
Inspections_ -_--- -�- --- -.----
Footing Plbg. Onderslab Mach. Rough-in Appr/sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Post:/Beam struct. San. 8ettar Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lim Gyp. Bd. .-Koch.
Date Requested: f!G`�!f Tisost AM rPM
Address
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Builder:
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THE FOLLOWING CORRECTSARE REQUIRED-
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Inspectors / Dates _
APPROVED DI51lPPROtrEU APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IWYO)ICE Compute
10FW3 N E. Simpso Inductrisl
Weate
Portland,Oregon Removal .I
0220 "'�*� „ septi Tank Cloaning.
Sump
Line Gleaning
09920
C5 S�ANITA 1 N BILI.
npA M01nn4 f nl im CA,
(503' 253-7537 .
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pale `�`-L5--9--- ----
1301in8 NHma
Addrttt;s__.�___ '• �4X x3086 ._._._.�.._.•••••-•— --------- .__
P.�N�-ARE M 3 .:i._�riot)Site# _.- --- -- r
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zip t,0de 97233
City_ — PdRT�AN „t,,'�l .�:.;►..- —1
Ordered By —
NANCY _�.�.�. ,'RhRn 666-43 1 Date
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July LocMion�67`��. ' t-�+�- 1�
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Service Cali —
Labor__
purnpiny - - - c
MIcc
Condltione td lank ID stributl0n 80x --- �- --
TOTAL CHAR01 - -
Soht►t!9 stion is In no NOY rssponelble for demsge to the septic tenit or ilds on the system.
T16 HMS:Nat to days. 1'.'�'rti per.nonthwill beeheraed on past due ecoounts.(1e'>~usr annum)
Customer',Signaturej-1
8ervlca Driver's Signa
_ �__ - - ---- - ----- Date
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TERMS AND CONDITIONS ON AEJERSF SmE moeffMAiLE IN MULTNoMAH COUNTY
CITY OF TIGA RD SEWER CO� NIECTICN
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EP, T
COMMUNITY DEVELOPMENT DEPARTMENT40iRD R M I T #. . . . . . . . SWR91-0091
cam" ID
13125 SW HWI Blvd. P.O.Box 23397,Tlgwd,Oregon 97223(600)6394176
DOI 17 1 G.C;ur--*r) sir 1
ADDRESS. . . SW BAYLOP ST PARCEL: IS136DD 03301
Eusl)I V I F5 I OP11. :ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
IkNANT NAME.. . . . . :
i.6A NCI. . , . . . . . . . :43644 FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELL I NG UNITS. . :
TYPE OF USE. .. . . . sSF NO. OF' BUILDINGS:
INSTALL_ TYPE. . . . tBUSWR IMPERV SURFACE. . f
k4PmAr-ks : CONNECT EXISTING HOUSE TO SEWER
FEES
BLUE STONE HUCKLEY type alhOUnt by date recpt
444!5 SW BOPn''P !41.01) PRMT $ 1500. 00 JLH 05/ 15/91
PORTLOND Cji,� I NSP $ 35. 00 JLH 05/ 15/91
'hone #-
Lcontractor:
QUALITY SEWER & DRAIN
4622 SE JOHNSON CREEK BLVE
MILWPUKIE OR 97222
Phone 775--7699 15-135. 00 TOTAL
# 50684
REOUIRFD INSPECrIONS
This applicant agrees to comply with all the rules and regulations Sewer- Inspect ion
of the Unified Sewage Agency. The permil o4oires 121 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the tower is not located at the measurement
giver, the installer shall prospert
pert 3 feet in all airections from
the distance given, If not so licated, the install#, shall our:hasr
a "Tam and Side Sewer" permit and the Agency will install a lateral.
lsstted By :
639--4175
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' CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 491-213227
CHECK AMOUNT x 1535. 0O U
NAME : BLUESTONE & HOCKLEY GASH AMOUNT m 0. 00 U
ADDRESS x 4445 SW BARBUR BLVD PAYMENT DATE o 05/15/91
SUBDIVISION ;
PORTLAND, OR
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DF PAYMENT AMn6NT PAID PURPOSE OF PAYMENT AMOUNT PA If) |
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'R�M USA SW�e - xom1 0��1 —| ���. 00 SEWER INSPECT 35. L710
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/
8EWER PERMIT -- 6750 RW BAYLUR
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} T.)TAL AMOUNT PAID - ' - -> �535. 0 m
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