The URL can be used to link to this page

14985 SW KENTON DRIVE ._++a�...w.aevwwgaW.Mr+�w:.w.....w.n�ri..are.:wwmr++�+.�WWAswwiav;aa,:...w�.r,.»r,u,+,� �•a..cwF�w++MW+�a�Cnrw wr;+M4'SF+tV��y' %��;�h �MYp 'p r! f f r i i t ; F i i a I e 14985 SW RIVE 17YOF UFARDCFRTIF-ICATE' OF ��o OCCUPANC1 D COMMUNITY DEVELOPMEKi DEPARTMENT left 13126 BW HQ Blvd. P.O.Elm 23397,Tigald,Oregon 9=("I PFRlvll*l #. . . . . . . a M5T92-01139 11E ADDRU-e.l). . . e 1 $985 SW KENT11H DR PANCELs 2811r`CO , 14600 WOVIVISION . . . o A13HFORD UW4,S .3 Z ON 1 NO i R.-'7 PLUCK. . . . . . . . . . .. . . . . . . . . . . . . s155 CLASS Clt:' WOW%. eNEW T�Vlr- OF USE.— . %GF OCCUPANCY GRP. xR3 OCCUPANCY LOAV.2e.i 4 TENAN'r . . 4 PAT14 I JnY MILLER BUILDER r', 0 BOX 231291 VIGARD OR 97223 0hone #s 684--7543 KLN WAT*r'9 PLUMBING (EXPIRED, SEE 044005 rIGARD OR 97223 Phone Ov 5036AA66e6 R*U V. . o 50878 Ucr-upAncof the mbover re' prenced LuildJnIj is herphy j?xv(wrij and certifips thce compliance with the 9tp.1-v Of Oregon Specialty Cudp.s r the "roup, oo_ ukitlerasp, and use tmdur wh;:+v the referenced permit was FIRE l)FPQRTMFNl N L.DIV3 INS'$ ` -11 kIU.FI.. I N(73 0 C AL POST 114 CONGF-fl"110IT-3 PLACE IF I4�,•_'SCT-�p��1pTICE rt�ent City of. Tigard Building MPO 97223 13125 SN B& Bl.rd- Tigard, Oregon Inspection Line Aoc-O-Phos �! 639-4175 Businesn Phone: 639 -4171 Inspections —. �ppr�Sdwlk plbg, U d relab !tech. Rough-in t-, Footing FINAL. PIbg- out Gas Line Found. -Bldg. Framing Ban. Sower Post/Beam Struct. _Plumb. Insulation post/Beam Mech. itain Drain Bd. 400h.Oh, Vat-3r Line Gyp. PM Plbg. Underfloor AN Time. Date Requested: Parr it W Address:__ Builder:_ TBE FOLLOWING CORRECTIONS ARE REQUIRED- T ,- ------------- ------------- Datel (/ n -.---�_ InwQwotOtt APPROVED ---- DISAPPROVED APPROVED SUBJECT TO ABOVE Call Fc,r Relnsp- IF INSPECTION_NOTICE, City of Tiqard Building DePsrt—nt 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buainess Pho 3 - Inspections_�. - _.------- _--— —._- ---- Footina Plbg Underelab Mech. Rough--in Appr/Sdwlk P ToOut Gas Line FINAL: Round. Plbg. _. Framing Post/Beam Struct. San. Sewer —% Rain Drain Inaulat[on -plumb. Post/Beam Mech. Plbg. Underfloor Water Line Gy • ed r-- f - Times AM PM Date Reueatedt.2 y ,. Permit #S Address:� !� ! - eullder: THE FOLLOWING (`f)RRECCIO"S ARE RE4UIRED3 --- - - `i Date: Inspector: i —-- - APPROVED —, DISAPPROVED _ APPROVED SUBJECT To ABOVE Csll For Reinap. INSPECTI_1N NOTICE City of Tigard Fiuilding Department 1.3125 SN Nall Blvd. Tigard, Oregon 97223 Iisepection Line (Rec-o-Phine): 639-4175 Businesa Phone: 639-4171 Inspect ion:__—_� —.—._---- — ----- --- -- Footir Plbg. Underelab Mech. Rough-in Appr/8dwlk Found Plbg. Top Out Gan Line FINALI Pont/Ream struct.. San. Sewer FramL.sg -Bldg. Pont/Beare Mech. Rain Drain Insulation -Plumb• Plby. Underfloor Plater Line Gyp. _i. -Mech. rete Requested$ -�^ —Times AM GPM :ldreeas 2z Perm Builder:— THE u1Lder:—THE FOLLOWING CORRECTIONS ARE REQUIRED: C L 8 Inspe — ctor/' ' `�- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. IF LNSO-C-7-1 pN- 9rr1C6 City of Tigard Building DrPart�nt. 13125 BN Ball Blvd. Tigard. Oregon 97223 Inniection Line (Rec-O-Phone): 639-417 Huainan% Phone: 639-M11'11 Inspecti.or A r/Bdwlk plbg. Underelab Mects. Rough-in t PP Footing FINAL= To Out Gas Line pound. Plbq. p San. Sewer Framing -Bldg. Post/Beam Stru.: _plumb. Rain Drain Insulation Poet/Beam Mech. -Meth. ` Water Line Cyp- Bd. P1bg. Underfloor / pN Date Requested% Permit t.�ldre0e Builder: CTIGNS kRE RNUIRBQ% TNS Fot..I.UIING OORRt u/ tap -- Inapeotor% DISAPPROVED I APPROVED SUBJECT TO ABOVE wpPROVEB _ __-_ Call For Reinap. IF ti INSPL�_7ION NOTICE and Building I 'Iwrtment ?�a J' City OE Tiq n 472 � 131.25 SN 8x11 Blvd, Ti.gard, Oregon Inspection Line (Rec--O-phone): 639-4175 Business Phon®t 679-41 B 1 Inspect iont plVg. Underelab Mech. Rough-in Appr/Sdwlk pout.i nc FINAL: Plbq. Top Out Gas Line Found• til poet/Beam Struct. San. Sewer Framing -Bldg. Rain Drain Insolation -Plumb. � Foot/Beam Mach. Water Lino �O ' 8d. -Koch. plbg. Underfloor pM -_� _ -T /� Date Requestedt � (, C/ Address: / 111,q- /�� Permit �: Builder: THE FOLLOWING, CORRECTIONS ARE REQUIREDt ------ ----------- - Datat Inspector: �--- APPROVED �_ DISAPPROVED ___ APPROVED BUBJRCT TO ABOVE Call For Reinap. j!!SPECTION NOTIa / City of. Tigard Bullding DeparLop nt' `Vo/ 13125 Hall Blvd. Tigard, Oregon 9'7223 )6 Innpectlon Line (Roc-O-Phone): 639-4175 Bus'-Mise Phon fi39-4171 A r/Sdwlk'. Footing plbg• Underalah VA ch. Rough-in PP Pound. Plbg. Top Out Gas Lin• FINALt Framing -Bldg. Post/Beam Struct, Sall. Sewer. pont/Beam ptech• Rain Drain Insulation 11 -Plumb. -Hoch. plbg. Underft- Ir Nater Line Gyp. !d. ll - _TImes ---A [)at-aa Reque8te1i t � . permit #1 Addresat /f � Ru[I ders �_d.._ THF. FOILOWIVO CORRECTIONS ARE REQUIRM i ' Dates Inspectors - APPROVED DISAPPROVED APPP.OVEn sUBJECT TO ABOVE Call For Reinap. Al INSPECTION NOTICE city of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 �«^ Inspection Line (Rec-o-Phone): 639-4175 Business Phone: Inspection:_— - —_ - -_--. -- --- --.. Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. C Plbg. Top Out \ Can Line FINAL: L J Post./Beam Struct. San. Sewer Framing -Bldg,. Pont./Lieam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. —._ -/ / Date Requested-., �/ �'��_--- -_- Timet - AM PN Address: t Parmi,_- e 'rBR FOLLOWING CORRECTIONS ARE REQUSREDs -------------- ---- ---------- ��.�r i I Ins or Dates APPROVED DISAPPROVED APPROVED SUBJECT TO A80VE Call For Reinsp. INS Et�ON p0'pICE City of Tigard Building impartment 1]125 SM Hallu?-3 tigacd, Oregon 97223 inspection Line (Ree-G-Phone)s 639-41.75 suaineas Phones 639-4171 Inspection - ------ , Plbg. Underelab Mach. Rough-in Appr/,jdwlk Footing L, // Oas Line 8INA4i Found. / Pl:xg. Top Out \\ Frsuoing -Bldg, poet/Ream Struct. San. Sewer (-` poet/Roam Mech. Rain Drain Insulation -Plumb' G n� -Koch. Plhq. Underfloor Water Lins YP —T ime f AN PN pate Requeetadf e i� /,� Permit rs�'� Address:/t Bullders_� THZ FOLLOWING CORRECTIONS ARE REQUIRED: _ oe Aa' Dates /� •r� Inspector - /� 015APPPOVRD APPROVED SUBJECT TO ABOVE r J:PPROVEO __„ ---- Call For Reinap. �FLCTT�ON NOTICE City of Tigard Building Department 13125 Bis Ball Blvd. Tigard, Oregon 97223 Inedection Line (Rec.-O-Phone): 639-4175 Business Phon 639-4171 Inspect ion: _ --- — Footing Plbq. Underelab C Mech. Rough-inn Appr/Sdwlk Found. Plby. Top Out Gss Line FINAL: Poat/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain insulation -Plumb. Plby. Underfloor Water Line ^ Gyp. Bd. �Y!-Mach. nate Requested: ` rioter ✓`.�_AM ��PN -- 1 - �- yi 1 Addrese:� �/p�/� tit Permit/#i��{® 'Au i 1 der: /�[/ 7 THE FOLLOWING OORRECTIONS ARE REQUIREDt 4 f I i Inspect r: _ Date:-- 1 _ _� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. TNS�ECTIOp NOTICIi City of Tigard NuildIA9 Dapa=taet2t /' / 13125 S" Ball Blvd. Tigard, Oregon 97223 C' Inspection Line Rec-o-Phoneys 639-4175 Budineee Phone 19-4171 Inspection:___ -- --- - -- Underelab Mach. Rough-in Appr/Sdwlk Footing Plbg• g IOti11d. Plbg Top Out Gas Line FINALS at/Beam Btruat, , San. Sewer From -Bldg. /Be Insulation -Plumb. �� Rain Drain I- ■.,,,swipe+- Water Lino Gyp. Bd. -Mach. ,)ate '� 7- 2 y C� Tim I AM _;k_._.PM 1 late Requeet�edd:_ `7-�Gr�j� SCCA ��♦ Permit �f -- Ada-P^c Buildr rTHE FOLLOWING CORRECTIONS ARE REQUIRED: 12c] Q2 IC"; '&_1 /7 CSS -20 nates Inspectort APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE call For Reinep. zwspE�or��z�s City c Tigard Rui sing Dep3rtwent. 131[5 ON Lall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Suaineue Phone: 631i/ 31 Inspection: _—_-- Footing Plbg. Unnaralab Mach. Ro,sgh-in Appr/Sdwlk Pound. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. Ban. Framing --Bldg. Poet/Pearn Mech. Sin Drain Insulation -Plumb. r Plbg. UnderfloorWatssr e Gyp. Bd. -Mach. Date Regveated s 7-22-7- Z Time: _AM PM 2 C� L� Rddreae:�� : Permit f: `2 �(7 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inapector: --- _ __. Dal e:_�G APPROVED DISAPPROVED APPROVED SUB.7ECT TO AROVE _!Call For Reinsp. INSPECTON Na110E City 01 Tigard wilding Department �� 13125 SW Hall Blvd. Tigard, Oragcrn 97223 Inspection Liie (Rec-O-Phone): 639-4175 Business Phone: 639 171 Inspect ions__ -__ _.—.--_ ----_— eund Plbg. Underslab Mech. liough-in Appr/Sdwlk Plbg. Top Out Gan Line FINALS Past/Ream Struct. San. Sower Framing -P1u9• Post/Ream Mech. Rain Drain Insulation -Plumb. Plbg, Underfloor Water Line Gyp. Rd. /--Mech. Date Raquenteds 2 __Ti S�dG1�AM -----__PM Porn Address: Builder:/ --- THE FOLLOWING CORRECTIONS TRF. REQUIRED: Inspects_ Dates APPR0t.2D APPROVRD SUBJECT TO ABOVE Call For Reinap. i CITYOFTIFARD s'M COMMUNITY DEVELOPMENT DEPARTMENT �� MASTER ASTFR PERMIT f ERMIT MST92_-013; 13121!SW HW Bed. P.O.Sm 23307,TIpad,OreWn 07223(603)639-4176 639-4171 DATE ISSUED: 07/15/92 SITE ADDRESS. . . : 14965 SW KENTON DR PARCEL: ES 1 1. 'CB--A0 i 'y1.; SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING: R-7 B1-111_K. . . . . . . . . . LOT. . .. . . . . . . . . . . . : 15', BUILDING ".._---__-_-_-..-.____--_---.__--___--_-_--.-_ RE.I SSUiw: DWELL I NG UN I T 5: i BASEMENT. . . . . . . . :0 s F CLASS OF WORK. :NLW BEDRMS:3 BATHS:,3 &A RAGE. . . . . . . . . . ..525 S f TYPE OF USE. . . :5F= r-LOOR AREAS-- - -- - REG?UIRED TYPE OF CONST. :5N F1 RsT. . . . . io2.3 sf LEFT. . :9 ft RIGHT. :6 ft OCCUPANCY GRP. : R3 SE:COND. . . :882 sf F=RONT. :20 ft REAR. rt LiTUR I ES. . . . . . . .2 THIRD. . . . :0 s f REQU I RED-•------------ -- -- HE I GHT. . . . . . . . : it rOTAL---- t ?905 S f f3h10F!,t. DETECTORS. t Y F=LOOR LOAD. . . . :40 vsf VALUE. . . . . Is: 143060 JARKINO tiI:IACES. . : 1 Remarks : PATH I _.__.________.___. PLUMBING ------------------------------------------- SINKS. . . . . . . . . . : __-__.__._.-__-__-______-___.-_-----._---.SINKS. . . . . . . . . . : 1 FLOOR .I RA.�NS. . . . .0 BACvr..L(7W PREVNTRS. . :0 LAVATORIES. . . . . :4 WATER HEA7ERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 ULA/SHOWE RS. . . . :2 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . .V1 WH I LR CLOSE'rS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DI.3HWASHERS. . . . : 1 WATE`' LINE_'' (ft ) . : 100 CTHER F= IXTURES. . . . . :0 BARBAGE D I SP'. . . : 1 RAIN DRAIN (ft ) . :0 WASH I NICD MACH. . . : 1 5F= RAIN DRAINS. . : 1 ---------------- MECHANICAL - _._..._-_._.___.._.__.. ___.__._.____..__._._____.__ F=EES 1=UEL TYPES------.------ UNIT H1'RS. . :0 tyorb amol.lnt 15y date reept /GAS/ / / VE-NTS . . . . . .0 TIC f 1460. 00 JH 07/15/92 - MAX INPUT:O 13A*FU VENT FANS. . .4 BP'RT $ 94'3. 00 JH 07/ 15/92 -- F'URN ( 100K . . :0 HOODS. . . . . . : 1 SPLC $ 352. 95 JLH 07/02/92 229150 F="URN ) =100K . . : 1 WOODSTOVES. :0 B5P'C b '27. 15 JH 07/15/92 FLUOR FURN. . . . :0 CLU DRYERS. : 1 PARK ! 500. 00 JH 07/15/92 - BOIL./CMP ( :AHP:O OTHER UNITS: i 95DL ! 111.30. 00 'JH 0/! 15/99, - GAS OUTLETS: 1 MPRT >Y 45. 00 JH 07/15/92 - CJwner: MPLG E 11. 25 JH 07/15/112 JAY MILLER BUILDER M5PC ! 2. 25 JH 07/15/92 P 0 Box 21 291 P'PR1 ! 141. 50 JH 07/15/92 - PbF'C: ! 1. 38 JH 07/15/92: -- T I(JARD up 972x3 Phone #t 684•-754.3 Contractor: -----_-.__._____-_--__-_-._---- KENI WATTS PLUMBING P10 BOX 230925 TIGARD OR 14"7:; P'hane #: 5036846626 Reg #. . : J0878 3376. 48 TOTAL This pewit is ssaued subject to the regulations contained in the ----- -- REQUIRED INSPECTIONS ------- Tlgard Municipal Code. State of Ore. Specialty Codes and all other Foot/fol_md Insp Fir^eplaee Insp aplilicable laws. All work will be done in accordance with approved Post/Beam Strur..t Gas Line Insp plane. This persit will expire if work is not started within 18@ Post/Beam Meehan Ins1.11at ion Insp davi of issuance, or if work is suspended for sora than 188 days. Plm/undslab .Insp Gyp Board Insp / FSI. M/Underfloor• Rain -ir-ain I119r_ PermittPe Signature : 2_0h y1Pr_i�.rnieal. Insp Water line Inso Pl11.1mb Top Out Appr/SciwIk Insp IsraUed 13} ._ Fram [nra Insp Mer,hani+-al Firis]. Ca' ' for^ int,pect i on — 6,59-41 7"! SEWE�� CONNE-ri*ION CITY OFTIFARD ID PERM*'. f VIERMIJ #4. . . . . . . SWR%c COMMUNITY DEVELO.A71MENT DEPARTMENT M13125 OW H0111 EiNd P.O.B=23W.TOM.OMOM 9rM(5091030.1175 ailL ADDRESS. . . : 14985 SW KENTON DR PARCEL: 2,Sj12CB--P0J,57-- qjjBD I v I F I Olq. . . . i ASHFORD OHI-',S 3 ZONING: R- 7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . * 155 NAME. . . . . : FIXTURE UNITS. . . USPNO. . . . . . . . . . CLAS6 rip., WOPK. . . NEW DWELL 1'.NG UN I TS 1 7 YPE OF* USE.. . . . . :SF NO. OF' BU I LD 1 NGS I 114STALL TYr'E. . . . :BUSWR IMPEPV SURFACE. : cf i4emArksji PAFH FEES JAY 111LI-ER BUILDEC type amaiint by date rerpF P 0 BOX 23291 'RMT 4 2100- 00 JH 07/1c,'/92 INSP $ ::.5. 00 JIA 07/15/92 TIGARD OR 9*72E3 L:*hone #1 684—'7543 l-,?ntractor. LUNTRACTOR NOT ON FILE F,hane 2135. 00 TOTAL REQUIRED INSPECTIONS Applicant agrees to comply with all the rules and regulations Sewer Inspertio, the Unified Sewage Agency, The permit expires 180 days from the date issued. The total ale-.rt paid will be forfeited if the ,)ervit expires. The Agency does not guarantee the accurac,, of the ;ide sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in ail directions from the distance aiven. If not so located, the instailer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a latt"81- "Ier-mittee Ued By Gall for inspertion 639-4175 ;A PLUMBING PERMIT C'TYOF T'GA� 6 My i 10 PF;,RMIT #. . . . . . . .. liCOMMUNITY DEVELOPMENT DEPARTMENT an SM'z� 13126 SW HWI 9Wd P.O.Bca 23W.Tow,orepn q=(5m)ON4176 7 DA I E ISSUED- 07/15/42 SITE ADDRESS. 414985 SW KE14TON DR -v SUBDIVISION. . . . 1 ASHFORD OAKS 3 70N 7 BLOCK. . . . . . . . . . I LOT. . . . . . • AUG --------------- GARBAGE DISPOSALS. of 'TIGARD CLASS OF WORK. . INEW BACKFLOW -,REVNTRS- 10 OF USE. . . . :SF WASHING MACH. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . C 0 OCCUPANCY GRP. . aR3 IrLOOR DRAINS. . . . . . . :0 STORIES. . . . . . . . 12 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 20 LAUNDRY TRAYS. . . . . . : 1: 1 SF RAIN DRAINS. . . . . 11 FIXTURES----- GREASE THAP S. . . . . . . I SINKS. . . . . . . . . . . I OTHER FYXTURF� 10 LAVATORIES. . . . . :4 TUB/SHOWERS. . . . I SEWER LINE WATER CLOSETS. - -.3 WATER LINE (f-0 . 1100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) : : * . Io Remarks : PATH I OWNER: '1"I F 1460- 00 JH 07/15/9E - JOY MILLER BUILDER BFIRT 543. 00 JH 07/15/92 - �-- 0 BOX a3e9l BPI-C' 3,92. 95 JLH 07/02/92 2c`"-.'•)150 TIGARD OR 97223 B5PC 2-17. 15 JH 07 15 92 VIARK 500. 00 J14 07 15, 9 2' CA4-7543 I ,35DC tF30. 00 JH 07/15/92 t-)Iumbirig Cont raCt 01- MPRT $ 45, 00 JH 07/15/9C� MPLC $ 11. 25 JH 07/15/92' Name IM5PC $ 2. P5 JH 07 '1FJ/9i? VPRT $ 147. 50 X4 07i 15/92 P5PC $ 7. 33 'JH 0"//15/92 at 0 4 Z i P on e* # REQUIRED INSPECTIONS Thi'.S permit is issi-ted subject to the reg- j.tla*t- iojjs contained in the Tigard MUTIiLkpill Insp Rain drain ITIS{' Code, State of ore. Specialty Codes and all. post/Seam Stt,uct Water Line Insp othpl_ applicable law,;. All work will be done Post/Bt-am Michan ' Appt-/Sdwcal Fina ' lk in9p in accordance with approv0d plans. This p1m/1.1ndslab Insp Mechanical pt-r"it will expirp if work is not started PLM/Underf I our Plumb Final --i'thin 180 days Of isr,1.18ncO, or if work is Mechanical Inso Building Final _w fov- more than iAO days. plumt.) Top Out Erosion Cc-,ozrol SIASPPtlded Fr-aminq Insp Crawl Drain Firpplace 11'sP (3A,; Line Insp Insulati0t] ITISP Gyp Board Insp ezT Signiature gContct or ?Td r I,..( Call for inspection 639--4175 i- ontr,,ctor ,IF C I.1 Y OF T I GARD — RECEIPT OF PAYMENT RFCE F PAMOUNT a 9`'-�=&15,68 r,tiuNAME. s MILLER, JAY CAF31-1 AMOUNT s 0. 00 ND1)R[; ,8 s P'AYMF`N1" DATE=, s 07/ URDIV191ON a PURPOSE OF PAYMENT AMOUNT PAID PURP083E OF PAYMENT AMOUNT PAID 147. 5hF _UMBINPERM'�43. 0 X MECHANICAL PF 4 : ;'2 1 O0'� �i. OO ST. BUILD PER 1 00 PLAN CHECK r"E 114. 20 SEWER USA SEWER INSPECT 35. 00 RESIDENTIAL TRAF=FIC FEES 1350. 00 PARKS SDC 501"'. 00 STORM DRAIN SDC P-80. 00 MASS TRANSIT TIF FEES 1 14 . NKA 1_LlT 159.5 ASHFORD OARS III 14: 85 SW KENTON DR TOTAL,. AMOUNT PAID __. ._ ..... ...) 5261. 48 i� r t'I t3F7�t)� — RE.C:E I F'T C)F' V,AYME NT RECEIPT 1 PT NC1„ p'9:a'-c;'2c)15 Q1 CITY QF t,NE:CK AMOUNT n 250. 00 11 NI•IME a 0. 00 M I L.L,.E R, JAY F'AYZr'UNT DATE, o 0 1/02/qc: { ADDRESS OUE►I'.J V I S I ON x ` t'`(Jf24•'05E: OF PAYMENT AMOUNT PAIL) pIJFtF'g43F OF PAYMENT AMOUNT PAID •.__.r,..._..,._,_.,,_.._�.�_.._...._-. _.._._.._.•-2 J0. 48th _...__...._....___.._...�.�..___�__.._.�._. !� t='L_AN CWEIC t LOT 5 5 6a HFORD WKS I'II i,441A'.i 9W VENTON DR AMOUNT PAID 50.