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11,170 SW JACKIE COURT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
NOV 5 - 1998
'MPORT/ANT PERMIT NOTICE POWER PLUMHCN"
POWER PLUMBING CO
P O BOX 23144
TIGAT<D OR 97281
Plumbing Signature Form
Permit # . MST98-0425
Date Issued. : 11/04/98
Parcel . . . . . . : 2S110AB-05500
Site Address : 11470 SW JACKIE CT
Subdivision . : RAWK MEADOWS
Block. . . . . . . . Lot : 008
Zoning. . . . . . . R-4 . 5
Remarks :
Path I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work.
No plumbing inspections will be authorized until this completed form is received.
AN INK SIGNATURE IS REC:'iARED ON THIS FORM
OWNER : PLUMIING CONTRACTOR:
A WILLIAMSON CONSTRUCTION POWER PLUMBING CO
10895 SW AVOCET CT P O BOX. 23144
BEAVERTON OR 97037 TIGARD OR 97281
Phone V : 351-7491 P'lorie 4 :
Reg # • 000523
Signature of Au*horized Plumber
Please return this completed form to the addres.; r bove.
ATTN: Building Dept.
If you Have any questions, please call 639-41 Y 1 , ext. X1310
C�T� OF •����RD . CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00425
DEVELOPMENT SERVICES DATE ISSUED: 11/04/1998
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AB-05500
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 11470 SW JACKIE CT FILE COPY
SUBDIVISION: HAWK MEADOWS
BLOCK: LOT:008
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Path I
Owner:
A R. WILLIAMSON CONSTRUCTION
10895 SW AVOCET CT
BEAVERTON, OR 970-07
Phone: 351-7491
Contractor:
A R WILLIAMSON CONST^UCTION
10895 SW AVOCET CT
BEAVERTON. OR 97007-8391
Phone:
Reg #:
This Certificate issued 117/119/1999 grants occupancy of the above referenced building or
portion thereof and confirms that Ul e building has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occupancy, and use under which the
referenced permitwas issued.
BUILDING INSPEC OR BUI�OFFICIAL
POST IN CONSPICUOUS PLACE
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