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FILE COPY 9
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City of Tigard f
INSPECTION REQUEST
for =
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!1v5F'ECTlcN TIME. "�' '` �� PERMIT NO.
DATE DATE ISSUED .
0*04FRS NAME '.
ADDRESS'.,
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Tf_3T : Air r.- " Writer Q , Visua; [3 , laboratory p I
RESULT: A proved FJ Disapprived , Pendine
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IN ECTOR DATE
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City of Tigard
INSPECTION REQUE' S
for
i !SPECTION TIME ' PERMIT NC. : _._.__..._
DATE: % . DATE ISSUEr)-.- ,L-j=-,
OWNERS NAME .'
ADDRESS .".0
CONTRACTOR :__ _.. _ _._..-_.-.... _.
TEST: Air O. Water ),!1', Vitualp , Laboratory Ll
RESULT: Approved� Disapproved El , Pendmq _—t
SKETCH: )
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INSPECTOR aAl'E.
NOTE At:arh euppiemm�tui h*tt auiu hers.
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City of Tigard
► NSPECTION REOUEST
for
I INSPECTION T!ME :— PERMIT NO.: —
DATE: Z 1
O.: —
DATE: 1_! 76 DATE ISSUED:---,
OWNERS NAME : _
ADORESS : lxzr� 1.�� ,t IE�d 42-lj-
CONTRACTOR .
i TEST: Air ❑, Water , Viol ❑ Laboratory ❑
RESULT: Approvbdk Disapproved ❑ Pending ❑
SKETCH:
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INSPECT DATE
ICOTE: Attach supplemental test data hers o
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City of Tigard
INSPECTION REQUEST
for
i INSPECTION TIME :- }''`} _ PERMIT N0.
DATE : - �J �__ DATE ISSUE .-4--Z—
OWNERS
SSUE ..-4- —OWNERS NAME
i A n D R E S S : �� 3 7 — /a
CONTRACTr)P,
TEST. Air 0 , Water pl , Viswu t l Laboratot-
RESULT: Approved {� , Disapproved Q FenA; ,
SKETCH:
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INSPECT O._____R DATE
�NCTF Attnit• suppismentw test caro herstul
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;Isy of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _____�__. PERWT N(j. :._
)ATE . _�1_s!"_ - DATE ISSUED
0WNERS NAME : -",�W,
ADDRESS :
C 0 N TRACTOR
TEST . Air rJ, Wotery Visual ,�, Laboratory C
RESULT: Approved Dieanproveri C] Pending 0
SKETCH.
�0
tNECo7OR DATE
i City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :-'L_.�'j'�_l__ PERMIT NU.. __.__._—....
DATE: DATE
OWNERS NAME '
ADDRESS : - - '
CONTRACTOR : L—llL'
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1 TEST. Air ❑, Woter)a, Viauul Luborat�r� j,;j
i RESULT. Approve
D+aappr� ed p Pendirly
SKETCH:
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CkOT�* . A;ttoch suVp�►�n�ntu� 1001 duro here"ol
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C`sty Of Tigard
i NSPE:CTION REQUEST
for
INSPECTION TIME: 1i=--=--r PERMIT . .
DATEDATE ISS' irD
OWNERS NAME ;
ADDRESS:
CONTRACTOR :
TE%^)T '. Air 0. WotOf { r, Vieua0b , Laboratory C
RESULT. ApprovertDisapproved ClP,!ndinq [�
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TATE 401 t! W-1 0) , , +;•,.;' "u"a bnr'' I
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L CITY OF
BUILDING PERMIT APPLICATION 'TIG ARD IAT' I9-_N2 0528
THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOR ' E I 1 "CATED� �!
OR AS SHOWN AND APPROVED IN THE ACC.?MPANYINf�'LAIj>}1'ANT7 aPEFATION15. D""' PHONE__—__
01NNER
tu-a.laltin oeve. La. , . ADAS14-s .;
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DATE INSP, TYPE INSPLCTION REMARKS _— PLUMBING DATE
I ' Tri Z S^ 'Z �G ". L �, ,. p 3 ontract_or ��1 �'
Peirnit No.a32-p„7 � -d s/,13g_D-76
- Z 7 7� b Rnu h in
231 _ 1 Fixture —
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1 "'��L---- — — / - - - Final �__-�- ---
,� /�.: DRIVEWAY c r
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S-7 7G Final
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Storm
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Sidewalk _
Curb&Street Final
�_� _ _ Approach _—�_-------- --
IILDG.DEPT.FINAL TEMPORARY CERTIFICATE UCCUPANCY Finar
NGL lirV rTs CERTIFICATE OCCUPANCY — —
y� 9 3 -} r Landscaping'Y' d- /�j Zoning Final