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INSPECTION NOTICE I
City of Tigard Building Department 1
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (RRec-,O-Phone): 639-4115 /Business Phone: 639-0171
In�tion: Gr
Footin-q�' Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: "
Poet/Beam Struct. San. Sewer Framinr -Bldg. y j;
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Poet/Beak Mech. Rain Drain Insulation -P] ub. ,
Plbg. Underfloor Water Line Gyp. Bd. hech.
Date Requested._ 4 L2 ;� Time: _-,AH ---PH
Address: L �2�'' J L, p. �.�-
Builder: ��- U•3%a
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector=-
bat.er- c� br` a
--.---
APPROVED y DISAPPROVED APPROVED SUBJRCT TO ABOVE t
Call For Reinsp.
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NICAL !
IhE.L.HA I .
OF710ARD7Y
PERMIT CRYOFIIGARD F'GRIhIr #. . . . . . . .. IYIE.C92-0346
COMMUNITY DEVELOPMENT UPARTMENT
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,25 SW Hn Blvd e.o.Box 23397,Tiyart'. "wrZ :5 _ t --- r,ca r F... r i c c n• c:: :J Fi
PA-0300 f
SITE gDDRESS. . . : 10005 SW JOi{NSON ST \ ZONING: R--4. 5 1
SUBDIVISION. . . . : IVO. T I GARDV I L_LE (• DDI-l- 101\1.AMEI ID. I I
FLOCK. , . . . . . : t_OT. . . . . . . . . . . . "
FLOOR FURN. . . . EVAF COOLERS:
CLA-:S OF WORK' . :ADL) UNI'll, HE'A f'Er5. . : VEN'r FA{VS. . . :
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TYPE -- USE. • • • "Sf� VENTS W/U f,r'�'L_: VENT SYSTEMS:
OCCUPANCY GKF'. . :R3 . . . .
5T.ORIL::S. . . . . . . . : BOILERS%C01�I�12F"�^� it C1 DOOD'J. .
�-� H1-,. . . . : Dl71hE'rS_ 1NGIN: •
FUEL TYPES- CC'fyllyll_. I.NCIIV: �I
: iWOD/ 3-15 VIE'. . . .
PT'U 15--310 F•if='. . . . REPAIR UIV I T S
IhAX INPUT': 30-50 HP. WOODSTOVES. . : 1
FIRE DAMPERS- - : ;;0+ ME;. . . . e CLO DRYERS. - :
CTAS PRESSURE. . . : OTHER I.JNITLi.
ATR I PNI)L I NG I_Ihl I T'S
NO. OF' LlhlI T�� - - ..._.____.. (4 10000 cfm : GAS OUTLETS. :
FURN ( 100K PTU: 10000 cfm :
FURN ) r--100K H1'IJ:
I
Fiemar Ics: WOODST'OVE INSERI
. FEES �
[lwn ,r: __.___.________._____ type ;amn�_,nt by date r'ecpt 1
KEIAH WRTGHTi
F-'O PDX x,30115 PRI+'IT � r.5. 00 JF•I
;F'CT b 1. ,:-:,5 ,]'I1
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TIGARi) OR 972:3
PI-rone #:
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Car,tractor,» ..._....._-.__._..._........_.......___._.....___-.--_.__.__...._-.____.__.. ;
scHONEE hlflSl:ThIRY I',E:I I'1I WRIC-il-111
F' O );SOX ,2 0i 15
T'I GARD OR 97223 $ 26. 25 TOTAL ^� q
Photre #:
Reg it. .. : 9406 RE OUIRED INSPECT IONS -------
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[his perm t is issued suoject to the regulations contained in the Final Inspection
Tigard Municipal Cade, State of Lire. specialty Codes and all other -
applicab►z laws. All work will be done in accordance with ___ _ __-.•-- —� _
approved pl,,.:s. Phis pere t will expire if work is not started
within 180 da-,, of issuance, at, if work is suspended for more ___.._ --•---•-- _ �—
than 180 days.
F'a r^m i t t,t e :;i.g n a t�:r,e
Z s s i_;e d 13 --
Call for-, inspection - 639-4175 ,
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