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I" CT ON NOTICB _
City of Tigard Buildl�nq Department
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)`: 639-4175 Business Phone, 639-4171
Inspect ion:
Footing Plbg. Undorslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out sac Line FINAL,
Post/Beam Struct. Aar.. Sewer Framing -Bldg.
i Post/Beam Hoch. Rein Drain Insulation -Plumb.
Plbg. Underfloor Nater Line
Gyp. Bcl, _Rech.
Date Requesteds I)- t -2 L": X p�
Addraass �Jr� C7r t'�,�/ (�711_rG( Permit #t I1 '43 C)I'3(
Builder: -��1-,�A-k�. i 1, � ��.� �-�,� �-� j �d� � ' �ti�' I ��� -�� O
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THE FOLLGNINO ACTIONS ARE REQUIRED:
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Inspectors / _ -
Date:_
DISAPPROVED APPROVED SUBJECT TO ABOVS
Call For Reinep.
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CITY OF TIGARD
.COMMUNITY DEVELOPMENT DEPARTMEAT
13125 3W Hall Blvd.Tigard,Or^pon 97223.6199 (503)639-4171
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CITY OF T I GARD - RECEIPT OF PAYMF"NT RE,:E.I F'T NO. :91 243229 a
C!-IECK AMOUNT : 36. `75
NAME MODERN PLUMBING CASH AMOUNT r 0. 00 � �I
ADDRESS PAYMENT DATE 06 1
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jfAJRP(39E OF PAYMENT AMOUNT PAID PURPOSE. OF Pf-Y11ENT AMOUNT PAID
F'I._UME3IN" Pk RM t::j. 00 5T. �BU'IL.D PER
1. 75
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TOTAL AMOUNTE='AIL) - > ,".,6. 75;
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