16765 SW JORDAN WAY "of pop A'O Avlw ,.•F A•q•.a :y' v1r. I RMAZM1yA�lY,MMMgM,�"T'*r...,si .
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jN¢PECTION NOTICS '
City of Tigard Buildliog D apartment
13125 SW Hall Blvd. Tigard, c-agon 972
...
Inspection Line (Rec-O-Phone)} 639-4175 Bu%ineae Phone: 639-4171
Inspection: -----.._— --
Footing Plbg. Underalab Mach. Rou43}-!n Appr/Sdwlk
Fond Plbg. Top Out ^ic Line FINAL: ,
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Post/ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inau,ation -Plumb.
Plbg. Underfloor Water Lire Gyp. Bd. -Koch.
Date Regnsateds� l/ / , —Time: / AK _ PM
c a
Address: � J ,C'Y�CA� t- Permit. is G7l-� . . .,
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors _ Dates
APPROVED DISI.PInOVB', APPROVED SUBJECT TO ABOVE
cell War Rei.nsp.
..�rrr� ._....:..,r,.lnw�?,Me+NYJEF,ina:Buoy'�i+,.,.M':rw•..-::wit-w,.n�.,...:..Kwt•wn+!Anti1gAI�F�'.v� li
ARD
L'ERT I F I C,1�1TE OF
CITY QF TIGOCCUPANCY
COMMUNITY DEVELOPMENT 4EPAR,TMENT PERMIT #. ' ' ' ' . N/T4=��'�''g�
13125 SW Hall Blvd.Tigard,Oregon 67223.8190 (503)Sao.4171 DATE I raSUCD 1 08/18/94
PARCEL a w`31 16AD--SED61
SI TL ADDRESS. . . : 16 765 9W 3'01W -IN W'i
SURD I V l'S I ON. . . . : BEDFORD GLEN
. . ^4.__._..r....,a_-•___..._...._LOT
__........_.w. .. w.....'61__._,__..,____...__w_.__.__ _.•_......_ ..._._._._...._._....._.....
! CLASS OF WORK. a NEW
i
TYPE. OF USE. . . s<SF
OCWlw-W4CY GRP. :R3
OCCUPANCY LOAD: 115 4
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TENANT' NAI-iE. . . :
Remaar,P% : PATH 1
1 Ownev
BEACON HOMES
9500 BTW 125TIl AVE.
BE:AVE::RTON OR 9700'1-7754
Phone #a 524-1999
I B :ACON HOMES)
95VIO SW 125TH
BEAVERTON OR 97005
I` PhnnN Ila 524.• 1999
Reg #. . a 70782
s
OCCO_►paanCy of the above r^efer-enr..ed builcling is hereby given, and cer^ti °ies
t the compliance with the State Of Oregon Specialty Codes for the group,
nr.c:+_►Fsancy, aand �►sp under which the r efarenced perm t we+e '� rued.
IUILfJING INSPECTOR L
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POST IN CONSPICUOUS C'LACI
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INSC'I�Off NOCICE
City of Ti,"—d Building Department
13125 aw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ion: • 110 _
rooti.uq Plbg. Underslab E,ch. Rough-in ) Appr/Sdwlh
Found. Plbg. Top &A Gas Line FINALS
Post/Beam Struct. San. Sower Framing) -Bldg.
Post/beam Yeah. RaIL Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hach.
01
Date Requested: 4�- ( II �F Nl, _ 1 3 _Times AM PM
Address s ( � ?LrJ,�;iY L_y% r I 'a
BuildersEY'C ep L\ 4y1vtQ pet,4
TBE FOLLMING CORRRCTIONS ARE REQUIRED:
____- I `� i �1 ;f'i�3�A f1_AFYa�t iq{' 1 x�i 7t•"J,`PT�jy
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— a reze s )P/U
Inepsctor !` Date: i 1 `
__.APPROVED � DTSPLPPR D APPROVED SUBJECT TO ABOVE
Call For Relnnp.
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A•
jff§jjCTION NOTICE
City of Tigard Build+ng Department
13125 SW Ba?.1 Blvd. Tigard, Oregon 97223
Inspection Line (Aec-40-Phone): 639-4175 Business Phone: 639-4171
- Inepectiors
,
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
S
Pound. Plbg. T- Out Gas Line FINAL:
Post/Beam Struct. San. Sewer .�J -Bldg.
Post/UeF= Koch. Rain Dral.n Insulation -Plumb.
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Plbg. ,Inde-.-floor Nater Line Gyp. Bd. -Hoch.
Data Requesteds ((' 5 -Time: pH �L pM
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Address l �,arG^a'V� u- _ Permit It
C�p�AO F 5 05 - rliy t '
Builders (
THE FOLLOWING CORRECTIONS ARE REQUIREDtj
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Inspector: Dater
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APPROVED DISAPPROVRD �/. APPROVED SUBJECT TO ABOVE
call For Reinsp.
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INSUCTION NOTICE
City of TigarA Building Department
13125 ON Ball. Blvd. Tigard, Oregon 97223
Inspsction Lip* (Rea-O-Phonvi: 639-4175 Businae■ Phones 639- 171
Inspections , yy .
- os ii p
Yry
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk 1d;°.,
Found. Plbg. Top Out Gas Line FINAL:
Post/Soria Struct. San. Sower Framing -Bldg. t"{'
X lF fur i
P,3&.../Beam Hoch. Rain Drain Ins dation -Plumb. '
h;. Plbg. Undorlloor Nater Line Gyp. Bd. -Hoch. !+vry �y err
r; Date Requested:_ Time: AH PM
Addrosos . Permit #: U Z'1 J Y5i
',! Builders __ , rZ ", ■
THE 10LLOMINO CORRECTIONS ARE REQUIRED: JIM'Lo
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Inspectors +�� Date: 3 ' y , 1' yVf�� �`ni •4'
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APPROVED DISAPPROVED APPROVILD SUBMICT TO ACC"
Call For Reinep.
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INSPECTION NOTICE 11) `
City of 'i9ard Building Departsent
13125 SW Ball Blvd. Ti9ard, Oregon 97223
Inspectiin Line (Rec-O-Phone): 639-4175 Businers Phones 9-4171
Inspor.tions_ 1
Footin Pl . Unders� �� .�Roucpi.fLi Appr/Sdwlk
9 �`' _- 11 ilr (a
Fount. Plbg. Top Out Oar Line �IL��p�J FINAL:
m . r Framin ! j -Bldg.
Port/b an etruct. SasTBower g•
Port/Beam K4%ch. Rain Drain Insulation -Plumb.
Plb9. Underflo- Mater Line Gyp. Rd. -Much.
i
Date Requestedf,_ T I.Times —AM — PM
Addresses U Permit
Builder.: C.
THE 11MLOWING OORRECTIONS ARE RECZ.REDS
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Inspectors '�'�- _ Oates_
_APPROVED SAPPR/OVCD APPROVED SUBJECT TO ABOVE
- �hlI For Reinrp.
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INSPECTION NOTICE '
city of Tigard Building Department
13125 9M Ball Blvd. Tigard, Oregon 9'722
Inspr:tion Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 j
j._ ..
Inspec :ons
looting Plbg. Undorslab -Jlrlch. Rough-ln:� Appr/Sdwlk fir,
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round. Plbg. Top Out Gas Lina FINAL: ✓!�
Post/Beam Struct. San. Bower s adirig -Bldg. ^ �r
Post/Beam hash. Rain Drain Insulation -Plumb. p
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Plbg. Underfloor Mater Line Gyp. Ed. -Hoch.
Date Requr hods / . 11 LD 1 Time: 11N P!1
Address a :l ! � permit 1 s
Builders
THE FOLLOWING CORRECTIONS AP! REQUIAra
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Inspectors. rJ Date:
APPROVED DISAPPROVED �� APPROVED SUBJECT TO ABOVE
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Call For Reinep.
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IINBPECT,IOtt NOTICE �
1: City of Tigard Building Department
r 13125 BW Ball Blvd. Tigard, Oregon 97223 �� ,f
Iaspect .on Line (Rec-O-Phone)t 63f••4175 Business Phones -417].
Iaspecticnt,
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
iFound. Plbg. Top Out Gas Line FINALt
am etru San. Bawer Framing -Bldg.
4C Pon.- am M— > pain Draia Insulation -Plumb.
bn, underfloor ) Nater Line Gyp. Bd. -Mach.
i Datn Reques`edt l '��ry r -�/( _`Timet L� PM
Address t ��� i "'�vk Permit #s__1
Builders !',�1 rl�ri ? �' '�'ryl 1(<, 1'F'A TO
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TBE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector
_ Datae
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"PROM DISAPPROVRD APPROVED SUBJECT TD ABOVE
_—Call For Rel-nap.
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KINGr CITY
mmmmm� 13300�,V 116L:h.-Avenue,!Cng City,Oregon 97=1 P`.one:639••;08,2
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions as reverse) =
DATE
1
1. .i� OF APFLiQNT: YLC Phone No.
ADDRESS:— C> - _ I. - n ryYL_
' w
ADDRESS CF PRCPCS� 4< ( 'i i Q
2. Tf,PE CF CE,`3C:E, I1TROVEH&Tr OR CONSTRUCTION FOR WHICH PERMIT IS REQnS=)•
DES(:RI3E EFcI�'LY - ATTACH TWO COPIES OF PANS OR DRPWINGS OF
PROPOS= r-CiEC^:
3. NAt�E AND ?=.LRESS OF =NTRACTOr
PHONE NO. L I CENSE NO.
4. NEIGiECR5 WIt C MAY BE AFFECTED BY THIS F—nCJECT WILL, BE NOTIFIED BY THE CITY.
5. APPLICANT CR HER/HIS REpRESEN' .-�TIVE MUST BE PRESENT AT THE PLANNING :;CMl�17:SSION
M=TING NE7. 1= ON - —
RM?RESM=-.VES � PHONE NO.
("he ling City ?Iana.inq Commission w' 1 consider only those applications received at least five (S) days
prior to io6etinq,)
J( SICn"m=
� *****x***•!c*** ******71t71r7t***Irk******�c�k*************�t*************************yr*k****
LDATE��
ADPLICPTION �:ECIVEI) BY - J'--
APPLICABLE F-7 F07—:IV
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PLANNING CQA�!ISSION I;ECISION: Approved Demi ed
=MITIONS_ --
3poroved ap ications are valid or sir nonths only
Sigriatui� t y Date IC
lo*jZ: 0 'qon 3osebuilders Law requires that all perr us who contra�t for work on their residence be
r istered with the Builders Board which scans the contractor is banded and insured an the job site. ,
lar your protection, be certain your co,itractor is registered by calling City Hall Ph: 634-1081. s
riom: A penait must also be oi�tained 17 the City of Tigard Department of
Camasity Devz l opznent Yes_ No _
CITY GAF TIGAP.D INSPEGTIO[Y REPORT
The ahcve lister? project has been inspected and. Approved_ Denied
Date Ccmnents
k
Signature
(&L ung ;nApe.rtc-,t p a,&o- �eA7=t cno- ( 1 ) cnpy #0 !Crone C;-tg)
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INSPECTION NOTICE
City of Tigard Building Department
+� 13125 SW Hall Blvd. Tigard, Oregon "7223 , / •
1� d Inspection bine (itec-O•-Phone): 634-4175 Ruei as h net 699-4171
inspect ic,-,
Footing lllbg. Underslab Mesh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. aim Drain Insulation -Plumb.
Plbg. Underflooris r L n Gyp. Bd. -Mach.
Date Requested: Tllnet _AM PH •
i
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Address-
Builders- �e7 47N
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THE F7I.L4[YWiNG CORRECTIONS ARE REQUIRED: tP'
1
Inspector-
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Date:--��1�1
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APPROVED DISAPPROVED _ APPROVED SUBJECT To ABOVE
a —^ Call For Relnsp.
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INSPFCTlON NOTICE
Citi of Tigard Building Departamst ���"'
]13125 SO Ba11 Byrd. Tigard, Or x}on 97
Inspection Line (Rec-O-Phone): 639-4175 Bveineus Phone: 639-4171
Inspections
tooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Wound. Plbg. Top Ort G. Line FINAL:
Poet/Ream Struct. San. Sever Framing -Bldg. .,; ..
Pout/Fieam M•sch. Rain Drain Insulation -Plumb.
P).bg. Undertloor "st`ar Line gyp. Bd. -Hoch.
Date Reques:eds �F' / �� -�� Time= ►M pM
Address: 1 y-7� Permit #t
Builders (� l
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THE FOLLOWINJ CORRECTIONS ARR REQUIRED: '
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Inspector:• Data/� f}
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PPRVVED DISAPPROVED -- APPROVED SUBJECT TO ABM
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Call For Reinep.
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❑ .
unified' r SA�iITARY• D o r�'�
sewer
agency I
L155 N.First Ave.,Suite 270,Hillsboro,Or.,07124 ��R�14CE:WATER
503 848-8621 _
CONNEdTION PERMIT ,
IS51.IE DA�'r_ 0,51453 W
—EXPIRATION ON DATE 121193 - PERMIT 104375
STRUCTURE ADDRESS 16763 w h PRl1Ji CT 1908
STRUCTURE STREET SW' 'JORD49"WAY
. tf LOT 61 BLOCK
TYPE: CONNECTION- NE ....:
W'....`. .,;: OF ' CEDFORD GLEN N0 . 1
iww-,,^?ij{ nf{'r'r�+)1rt1-k r d
TYPE INSTALLATION- (19) BLD SWR/ERO CON/SDC
TYPE' OCCUPANCY- ( 1 > SINGL.E: FAMILY. PARCEL 2G1 16 All 29500
0T CFC 4716 MH 10 02 7
L
OWNER BEACON HOMES
ADDRESS 9500 SW 12'S•(N +. "4h TRE:A1Mf.NT PLANT DUFtHA!'
BEAVERTON :.,.,o i OR 97005
PHONE 524-1999 'g0'11 JURISD' KING CITY E
.. ._.............r,...............r.....r-.r..—..n...w.w•r.✓,r.rr.w.•..........w......•..rrw,—M1�MN .w •.rr-..•...wr......�.— .,.—..............—.. .....
FIXTURE EQUIVALENT DWEL.LINO kFSIDENT IAL d
UNITS SERVICE UNITS 0,0 UNITS 1 SERVICE UNIT•`.) 1.
0
CONNECTION FEES SURFACE W(JER DCVE:L.OPi'1ENT FEES
WATER QUALITY 180 .00
LESS CREDIT < 180.00:`
WATER QUANTITY 100.011)
LESS CREDIT 0.00`:-
EROSION CONTROL
INSPECTIGN 40.00
PLAN CHI-.:CK 2-6 .OU 4
R
SUBTOTAL 0600 SUBTOTAL_ 166. 00
1.0TAL 166.00
APF'L NAME PETER KUY yK PRONE
AFF'11-LIATION VP
REMARKS PROJ#1908-EIFDFOkP GLEN-LOT 8 61
*24 1IOLIR MOTIC OR E SIGN CONTROL INSPECTION`; REQUIRED
.e- i�/ - - T P,f:1L L TI Ti Y_L l i n` rsruciA
Derma Conditions: The applicant agrees to comply with all rules and regulations of the unified Sewerage Agency. When calling
for an inspection, please refer to the Permit Number, The Penait expires one hundred eighty (180) dais from the date of
issuance. The t�tzl amount paid (permit fee, connectiun charge, line tap fee and/or other charge) will be forfeited if the
permit expires.
The Agency does not guarantee the accuracy of tha location of side sewer laterals. If the sewer is not located at the
measurement given, the installer shall prospect three feet in all directions from the distancegiven. If not so located, the
installer shall purchase a "Lo and Side Sewer` Permit at the current charge and the Agency will install a lateral.
6/90 WHITE — USA, ..114UN, — Accounting, GREEN —Inspection, YELLOW — Customer
1
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
';125 SW Nall Blvd.'rIpard,Onpon 97223.8199 (503)539-4171
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Patf rod
n� Tf v /� ullsswll.unwa. PLNCK/RECT `) 7CYIN `.11, T1VL�J-�•.l`J� PO[lox z»97 PLRMIT H 5 - 6c?g
COMMUN[W OF-WELOPMENT DEPARTMENT Tigard,Oregon 97111
(501)619-4171 DATE ISSUED --
i '
2-51 - 16 fl B-4 ( '
� 717 16765 SW Jordan Way TAX MAP/LOT
Lu6 ADDRESS:
SUB: Bedford Glen LOT: 61 LAND USE:
Kj
VALUATION: z _
OWNER
SPECIAL NOTES
.j NAME: Beacon Hanes Inc _ REISSUE OF: }�%��Z -GOOD
1 ADDRESS: 9500 SW 125th Ave. _ LAST REISSUE: , 1
Beaverton, OR 97005 FLOOD PLAIN/
PHONE: 524-1999 SENSITIVE LAND:
M,.
CONTRACTO APPROVALS_RE UIREO
NAME: _ _,recon Hanes. Inc. PLANNING:
ADDRESS: 9500 SW 125th Ave. ENGINEERING:
Beaverton, OR 97005 FIRE DEPT: �_ ___.__ " '
PHONE: 524--1999_ OTHER:
CONTR. BOARD 0: 70782 _ EXP DATE: 12/93
ITEMS REQUIRED
SUBCONTRP%CTORS: PLUMB: Canby Plumbing LIST/SUBCONTRACTORS: _
MFCH — Muehe Quality Heating BUS TAX: _
' ARCHANGINEER CALCULATIONS:
NAME: Argo Architect/AIA TRUSS DETAILS: _
ADDRESS: 16325 SW Bcones Ferry Rd. 201 OTHER:
Lake Oswe�C o,. OR 97035
PHONE: 636-0755
PROPOSED BLDG. USE: Residential
COMMEN S:
APPLICANT SIGNATURE
Received By: = Dite Received:
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PERMIT # 'ACCT+# DESCRIPTION AMOUNT AMOUNT PD. BAL.' DCIE
&SY3--607 10-432 00 Building Permit Fees 4 ,z
10-431 00 Plumbing Permit Fees 132 ,)-7/
10-431 01 Mechanical Permit Fees , , Z t/�
10-230 01 State Building Tax (JZ) 3u.ul _ 3e•�l
I' Building 'ZI, •�.> `
w
Plumbing li, G 3
Mechanical 3 `
`;Ir
10-433 00 Plans Check Fee 3 u. / 3 4/ o
j Building
I.
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection ._
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
1 25-448-05 Mass Transit TIF Fees
j 52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) —
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee it lieu of)
TOTAL + C-! L)
nm/3587P.WPF
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CITY OF TIGARI) - Rf';CC'If"'i OF V,AYMFNT RECE=IPT NO.
CHECK AMOUNT : 675. 14 r
NAME RE:ACON HOMES CASH AMr-, T : 0. 00
PAYME l\Jl J TF 0E+/
AD1)RE•:Sc.; s SURD I V I S I ON
F'IJRPo— OF PAYMENT AMOJNT PAID F'LJRPO`..il: Or: PAYMENT AMOUNT PA I D
__.__.__.._ 4�:7. 0nc
PLUMBING PERM 1..3;x. '0
E3U'Il 17INC3 RF FSM 3L - 1
Ei:HANICAL.. PF 40. r0 l T. BUILD PER
00
=,L-AN CHECK 1=E 10. 1:3 SEWER IN..FFC'T
s
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I_OT 61 HEDr-0110
1676:3 SW JORDAN WAY
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TOTAL. AMOUNT PAIL) - -. _..) 675. 1