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8442 SW BONAVENTURE LANE -'
INSPECTION _NOTICE s n
City of Tigard Building Department
P.O. Box 23397 / �d
/Q
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection — _ — L--6
Date Requested 2 Time_�.A.M._ _P.M.
Address __ �__-- Permit #
Owner - -- - C � Lot #_
BuilderThe following Building Cede de`iciencies are required to be corrected:
Presented to _ proved
Inspector Disapproved
C _
Date ---
CALL FOR REINSPECTION
YE8 C7 NO
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OP T}8ARD — RECEIPT Df— PAYMENT RECEIPT NO. 01-21 1409
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CHECK AMOUNT n 3+5. LAO
NAME x 8MlGTOL' HOMES CASH AMOUNT : 0. M0
aSEWER CONNECTION
OFTIFARD PE PM I T'
CONIMUNrrf DEVELOPMENT DEPAWMENT ONOONQRD PERMIT #. . . . . . . . SWR91-0042
13126 SVJ Hail Blvd. P.O.l3va 23397,Tigard.Oregm 9;M(M)630-4175
CATE ISSUP'no
SITE ADDRESS. . . : 8442 SW 130NAVENTURE- LN PARCEL: 2SIi2CC-13000
SUBDIVISION. , . . : TANIA PARK -20NING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5
TENANT NAME=. . . . . I
USA 60. . . . . . . . . . :43-610 FIXTURE UNITS. . .
CL.A'-j9 OF 140RK. . . :ADD DWELLING UNITS. . 11
TYPE OF USE. . . . . :Sr NO. OF' BU I LD I NOS: I
IN!-EiTALL. TYPE. . . . :BUS7WR 11YIPFRV SURF=ACE_'. . : ! E:f
Connect exist SFD to sewer. House existed py,iov, t,. 7-1-70. Septic tank
k
.t-st be pl-tinped and Filled. Insp. of filled t,-An required.
Owner,: --------------------------------- ------------------ FEES
JA(-,K BRISTOL typ(a a M 0,-t n t by date r-ecpt
BRISTOL HOMES PRNT $ 300. 00
P 0 BOX 84 INSP $ 45. 00
WEST LINN OR 97066 PAYM $ 345. 00 JLH 03/2`9/91
Phone #: 503-638-S640
JACK BRISTOL
BRISTOL HOMES
P 0 BOX 84
WEST LINN OR 97068
Phone #: 503 -638-6640 345. 00 TOTAL
Req #. . - 999
REG?UIRED INSPEcrIONS- ------
This Applicant agrees to cceply with all the rules aid regulations Sewer- Inspection
of the Unified Glo&g# Agency, The permit expires lif days from Septic Tank Fill
the date issued. The total amount oaid will be forfeited if the
permit expires, The Agency does not guarantee the accuracy of the
side seme- laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet it all directions from
the distance given, If not so located, the installer %hall purchase
a "Tac and Side Sewer" Ptreit and the Agency will install a lateral.
r e r-m j L t fm e Signature :
Call f or--i-n-s-o-ect-ion 6.39-417'5
394175
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PERM I
RD
13125 SW"M Blvd Po.Bm 23397,Tgwd.Oregon WrAn(VM)639-417%
CLASS 01:7 WORK. . . :ADD DWELLING UNITS— : 1
Remarks : Connect exist SF'D to sewer. House existed prior, to 7-1-70. Seotic- tarp
must Lie o-tnued and filled. Insp. of filled tank required.
BRISTOL HOMES PRMT $
P 0 BOX 84 INSP 1. 00
JACK BRISTOL
BRISTOL HOMES
P O BOX 84
WEST LINN OR 97068 -----------------_—___—__—_—_—______
Phune #: 503-638-6640 $ 345. 00 TOTAL
Reg #. . : 999 �
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------- REQUIRED INSPECTIONS -------
Thm Applicant a»,e,, to ccmrly with a}l the rvleo and nogy}aticmo Sewer Inspection
of the Unified Smeu, A�"ncv. The oprmd »xoroo k0 oays frnn Septic Tank Fill
the d*t° ivsi,V. The total anount uuid will be forfeited if the
»e'mite«ci'e*^ 7�' ure~cvdoes not e
� runteothe jczjrocvo",the
Side w . . * vs toart
given, t�o `-,ta}lir ina!l u,m,coct 3 feet in all diroctiwry fron
the distance give-. I" net mo :ccotod' the installer shall pon±mm ----
m ^?aw and Side 9*wer` Pwrwit and the Agency will install a lateral.
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Pf?rmi ihe0 !iiunature : _ ________ ------------------ --''--' ---------''
issued By:
By:
~ Cal } fcr znsoection — 639-4175
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