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15565 SW OAKTREE LANE-1 NI 33HDIVO MS 9999� z W W O. Q 0 cn N N m Ln !" T W ..j 15565 SW OAKTREE LN CITY OF TIGARD BUILDING DIVISION PERMIT#: 13125 SW Hall Blvd.,Tigard, OR 97723 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE:, ,,.�'3 2r � TIME: b, PAGE: SITE: ADDRESS: 1550'S `aW CLASS OF WORK: SUBDIVISION: LOT N: TwE OF USE: PROJECT NAME: DESCRIPTION. L- CO- OWNER: L-e.1 9 h w; � pox PHONE C ,503.- G39--0 JrJ CONTRACTOR: PHONE #: Yr i K-kS1C�Q� Inspection Request Scheduled For: Date: �3 _C)(0 Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: a oc S. a� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITICNAL FEES ASSESSED A� [A Date: 3 6 Phone #: 503 716- Inspector: �_ __ __ �... � 1 �� _