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INSPECTION NOTICE S `�
OQy of Tigard Building Department
P O. Box 23397 J O
/ Tigard, Oregon 9723
Phone': 639-4175 i
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Date. Requested_ — Tima f .M.— P.M.
Address1 Y� Permit # 1702
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Owner_ �1 '"� / Lot #_T
BuilderU %
The following Building Code deficiencies are required to be c.rmucedl:
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Presented to _ F'J"'Approvr,d
Inspector _ _ r] Disapproved
Date
CALL FOR RFIMSPTCTION
❑ YE3 C❑ NO
CITY OF TIGA RD PEPIM1.1' NO. ME.J490986
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
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This permit is issued subject to the regulations contalne,J in I We 14 NO .
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of the TMC. State of Oregon Specialty Codes, zoning regulations ................
and all other applicable codes and ordinances, and it is hereby i4 (.11 1.1 1:41;:.E) I'Nr)l::11-.I I I orsIS
agreed that the work will be done in accordance with the plans and
specifications and in compli.incri with all applicable codes and
ordinances The issuance of this oermit does not waive restrictive
covenants Contractor and subcontractors shall have current city
husiness tax permits This permit will expire and becom, null and
void if work Is not started within 11`10 days,or 14 work is sips.)t-led or
abandoned for a period of 180 days any time after work ha3
commenced.It shall be the respons;bility of the permittee to 85SLire
rill required inspecticitir,are requested and approved.
Per
t e Signature
ISSLI
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 787 DATE
PERMIT I5 GIVEN TO
OF
TO CONNECT A v
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TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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THIS PERMIT MUST BE POSTED ON THI•;DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PEItMi'C FEE PAID ..,,.........................'1'1'CI' 9 T�liiY-�H•i-B�ItICT
By
CONNECTION INSPECTED AND APPROVED
Date' Supedntenden.t
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Address.__-lam�V SuV, 11,10-YAA) ST Permit No.__
NPme of Occupant Permit charge,,,__
---------------- ._._.. - --- Connection fee err
Paid by Jiro ha/�c N
ti
---------- -. Date connected s
Type ,,f Building 5��f v c-c- _ Inspection fee
Service Rate c' c Paid by TGyi//e, -- Date
Contractor T�i,� _l� //r ii' Assessment Paid
Size of connection
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