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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME PERMIT NO. :---.
DATE : /2 /12/%'3 DATE ISSUED :-
OWNERS
SSUED :_OWNERS NAME : 7-0,2;, 1011
ADDRESS: 3G S S" ct _ ,nJ ✓�
CONTRACTOR '. —
TEST ' Ai( IJ , Water❑ , Visual ❑ , l_aboiatory f7
REaULT : Apnroved N disapproved ❑ Pendiog I:7
SKETCH.'
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INSPECTOR DATE
LNOTE Attjch supplemental test data hereto]
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City of Tigard
INSPECTION REQUEST
for
a \� ;PECTION TIME : 10,'04 PERMIT NO. '---
DATE'.
O. : -
DATE: DATE ISSUED--%-1--
I OWNERS NAME :
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ADDRESS '
�1)NTRACT0R
��is, ;;l i_a'- .rctnr, FlTES-T � r �i , Watar �] , Jam+
RESULT . Approved Z3� Discpprov0 1 ndinq .J
I SKETCH -
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INSPECTOR DATE
COTE : Attoch supplemental test d ata heret]
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City of Tigard k
HNSPECTION REQUEST
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for
IINSPECTION TIME : /D` .9 "7 PERMIT NO. : .
i DATE : Z _ Z DATE ISSUED'
I OWNERS NAME . . -roe"
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ADDRESS : __
C,)NTRACTOR :__ _------------ -
! _j , Water ;-1 , „i� El , r.1r
ITE � r �� �� Ln � ,rotor!
RESULT Approved-k DircpproveH 1 , Ftinding 3
SKETCH: 7�,-g,-
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INSPECTOR DATE
ICOTE : Attach supplementnl test „ af, beret]
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City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME ' . PERMIT NO.
DATE ' lzi�_,, DATE ISSUED : i_!.—
OWNERS NAME .
ADDRESS'
CON*rRAC,TOR '.
EST Water[] , V:sucll 1 , I-aboratory 0
U#Ooprx /Zoopc t*,v(JY
RESULT ' /Ap,-rove d :);.;approvt)d [j' Pendioq 'V
SKETCH:
0-�
llPECT0R DATE
NOTE Attach suppiemental tear ..ata hereto]
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764
L - 1 , 15 73 VV
Add to Permit No.
—.»M - Permit cherge
0wn0r. � .. Connection fee aa-
Pa1d by
Type of building Date connected 5-Ij3
service rete Inspection fee
Contractor a,id..�.�. p e.i d by date
Size of connection Assessment paid
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i City of Tigard
INSPECTION REQUEST
f or
INSPECTION TIME - PERMIT NO- : .—
DATE : le idl-a DATE I SSUED'—LL
OWNERS NAME ' --
I ADDRESS : ,Z-
C 0 N T R A C T 0 R : fes✓ }-_ _ .-'- - ---
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TES1 k r J , Water ���'-�''i� ; 1 �';~Ln rc}.�r; p
RESULT Approved a',- Dkvpproved 1 _-j
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INSPECTOR DATE
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City of Tigard
INSPECTION REQUES �
for
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INSPECTION TIME :ZL20��% PERMIT
DATE: 1 ,' ' DATE ISSUED :-s.�i ZY-?
OWNERS NAME ' --
ADDRESS:CONTRACTOR :
E��S rU�/Nf3
f.EST : ❑ r ;suaik, 1_aboratory p r
RESULT, Aporoved , :�isnpproved X, Periling
SKETCH:
/o,v3 m /
INSPECTOR DATE
TNOTE . Attach supplementol test data hereto
!au(iM VERBAL MUSAGF.S
CITY OF TIGARD
TO:— Ler"n _. From:w�y,�._.._.. _.....__...._._�_�.�......_._ .
ubject:_._..Laron Heito _.. nate:__ ,,, „
Thomas G. Elliott paid $1.50 to Laron Heights for
.lot 47 in Brookmay -, 12365 S.W. Katherine
CITY OF TIGARD
1410 S W he.,n fire*.
,,ARU 6RSGON •tri]
APPLICATION FOR ?.IUIW)IN( PFPk'.IT
Now ConstructionL� demolish 0 Addition lI Remodel Q Move
ZONING 1+-i _ )ATF, ISSUED �`�'`7� nurLDING PERMIT
DATE. RECE:r VYD
RU . •
II.DING FEE S _101.`1) No. ,.
3Y �', 1«T.�� CLAN CHECK
OTHERVALUATION S
S _
TOTAL, PECCIPT No.
TWO SETS OF PIANS AND PLOT PLANS MUST EiE FURNIS111:1) WITH APPLICATION
LOT I MAP / :iii tu' CENSUS TRACT )` ` ion N
Architect or Fnginr.er Ttu1n>a� 0. 11.11iott
Address_ _ a .r �erw_ _Phone d44-4,dj1
Owner
Addresn Phone
Dui Mer
B(;Il.DING USE Single Rea. Multi Res. Lel Comm.4 rIndustrialL
OCCUPANCY (;ROUP—._- No. of Stories rd Total Het(;ht._.____ — Area of L.ot lua:
Type of Cons true ti In AX7ark3EXX7t;L jXXA W V Floor Area tl_ i..�lt_W 2 1�`�U
Set tlackat Front yback, 14� L.Side �uR.Side
Private Sewer Pipe Size4" Sewer��a �i�! titritic Tank L__.)
Water Service Pipe Site___ " Storm Sewer L_.1 Ditch ❑ DryweII
Street and Curb Rega.jirements Bx1at11,
Driveway Width— -` - No. of Parkinq Spaces
f3l. 1ARATF, PERMITS RKQUIRLD FOR SE4ralf AND PLUMBING
SPECIAL INF1)PMATION
ADDRESS ASSIGAI:u
Ke:tw
FILLD CHECK 14Y DATE 2-27-73
PUP14IT APPr+f IYU DY
It is underutood that sill work will conform with applic,4hlc• codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, ind th;it the bu.il'inq wil
not be occupied until a Certificate of occupancy It-is been isAyed by he City of
Tiqard Building Inspoctor.
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UNIFIED SEWERAGE AGENCY NO. _- _-- 4806 WASHINGTON COUNTY DATd _- 5 ------
CITY -----
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APPLICATION FOR SEWER CONNECTION PERMIT
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OWNER _ Thomas FAUiott —
OWNER'S ADDRESS: �. 9J9Q.S.Id.--E3�nd.- "`—
STRrFT
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_� CITY
®regen STATE 97223
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BUILDING SITE LOT_ 47 BLOCK ADDITION BroQ4vuy_ —
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TAX LOT N0. _. _--.-- TYPE OF OCCUPANCY Residence
ADDRESS ',2365--S w. Katherine
DWELLING UNITS 1 _ . -_ FIXTURE UNITS
SURCHARGE IF APPLICABLE —
PE=RMIT FEE -425 IN`�PECTION FEE ;ay._ _ TOTAL. DEPOSITED 45Q. .--
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(N.0) (EXI 1 ,NG) BUILDING SEWER SYSTEM Tigard
The Applicant a0 wes to comply with all rules anrd regUlations of the Unified Sewerage Agenc y
APPLICANT
SEWER PERMIT
THIS PERti1.I-1 \UTHORIZ_E-S CONNECTION TO THE SEWER SYSTEM.
LINE SIZE V INSTALLER Ed Ferrpll
RECEIVED k31 ;�� ENCYkR ITS'AGENTI`
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COMMENTS: _.._.-