12460 SW NORTH DAKOTA STREET I
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I
1
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12460 SW NORTH DAKOTA STREET
F7
cCERTIFICATE OF
CITY OF
TIFARD r OCCUPANCY
COMMUNrTY DEVELOPMENT DEPARTMENT nYOFTWID i_,F:RMIT #. . . . . . . i MST90,-0237
Bac SW HIM Blvd. P.O.B23397.TIPM,OrOgOn WW(60# 475 1 , tl. I
77
S I TL ADDREE')S. . . a IP-400 SW NORTi-i ZjAKOTA GT PARCEL: IS134rS--166200
SUBVVISION. . . . .- ANTON PAF"t. ZGSI INGi P-,-,7
BLOCK. . LOT. .. . . . . . . . . . . . 124
CLASS OF WURK. :NEW
(YPE OF USE. . . :SF
OCCUPANCY GRP. cR3
OCCI)PANCY LOAD%220 4
-1 ENANT NAME. . . :
Remacks .,
Owner
THE WANTLAND COM
THE WAN,rLAND COMPANY
5411 5W MARGHA ':,T
PORTLAND OP
Phone #: 503-245-59D9
c.ontreact Gri
WANTLAND CO
5311 SW ORCHID bT
F-ORTLAND OR 97P19
Phone #t 044-6816
lltg #. . ; 53200
, cujjn '
panc�y of Ltle above referenced building is hereby given, ant.6 cartif It
i-,ho compliatice with the State of oreyon Specialty Codes for tort group,
()cc-upanr.y, and use uncipy, which the referenced Permit was if *Ued-
FI-PE-.-DE PARTMENT .... ............ iLDING IN OR
U.LIIL,.Dl OFF-15!4
PUjT IN CCNSP ICUOUG PLACE
—----------
F.-
A NSPECTION NOTlgg
City of Tigard Buttding Departannt
/)1{' 13725 SM Ball hlvd. Tigard, Oregon 91223
Inspection Ltne (Ree-O-Phone): 639-4175 Busi.neus Phone: 639-4171
Inspection: —_`_—� ---+-- —--_--
Footing Plbg. Underaldh Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Gas Line FINAL%
Past/Beam Struct. San. Sewer Framing /Rldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plby. Underfloor Nater Line Gyp. Bd. echi
Date Requeated: Q.. -,-,a --^--Time: AM/ --�_PM
Addrese:�i1L tP CJ_ . !%� � Penni.t 1:
But1der.: �il ���25. .., �'7 7 GO oc/(O
THE FOLLOWING COP.RECTIONS ARE REQUIRED:
Tnni—f't Ort Date._
APPROVED D1SA.PPRrIVFft APPROVED SUBJECT TO ABOVE
:,aii For Rein �.
l
i
e>w �� a■ � vB � esCity of of Tigard Building Depnrtsent ✓
13125 BN Ball Blvd. T19ai_-d, Or-Ion 97223
Inspection Line (Roo-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing P1Dg. Underelab Mach. Rough-in Appr/Sdwllc
Found. Plbg. Top Out Gas Line FINALt
Post/Beam uct. San. Sewer Framing -Bldg.
Past/Resin Rech. Rain Drain insulation Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested:_�jr
T��� __Timet ---AM -Pill
Address: !� ��(vU PermitJ �v
�Z_2—ll�J�----------
THE FOLLOWING CORRECTIONS ARE REpU1RFD:
Inspector: Datet/"?
?APPROVED DISAPPROVED APPROVED SIIRJECT To ABOVE
__Call For Reinsp.
m w R w w >•c w w wn w w
LN-4—MI-110 NOTICE.
City of Tigarf, Building Depactieent
13125 8A Ball lvd. Tigard, Oreq�n 97223
Inspection Line (Rec-O-P e)s fL39-4175 Bu9fness Phone: 639..4171
Inspection:-- -
Footing Plbg ,Underelab Mach. Rough-in ppr/Sdalk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. SewRr Framing -Bldg.
Post/Beam Mach. Ravin Drain Insulation -Plumb.
Pl.bg. Underfloor /hater Line Gyp. Bd. -Neth.
Date Requested://�✓_ / ..� C/ __Time: _, AM _ PM
Address: Permit f: 7
Builder:-__44
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� %-t�u �
�11
Inspectors.
�'c .
APPROVED DIBAP�FU'✓SD APPROVED SUBJECT To AMM
//ell For Reinep.
INSPXCTION NOTICE
City of Tigard Building Departmen �•/
13'25 RW Ball Blvd. Tigard, Oregon 972M
Inepor_tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:—
Footing Plbg. Under.slab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Sas Line FINAL:
Post/Beam Struct. San. Sewer Framin-1 - ldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line y^� 9". !d. -Mach.
Data Reqe
�eted:_ 1�_�n—moiTime: AM PM
Address'_) � /-=--��� -IL►s.. P+srmit 1�1 fL__!
THE FOLLOWING COTUtECTIONS ARE REQUIRED:
------------
Inspector?
APPRUVEQ DISAPP OVED APPROVED SUBJECT TO ABOVE
__ - aII For keinsp.
LNS�Er'I�ON NOTICE
City of Tigard Building Department
12125 SN Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bu6ineas Phone: 639-4171
Inspection:--- - -- -- — - - ._ --.
Footing Plbg. Underslab Mech. Rough-in Appr/Gdwlk
Found.
Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct, San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain
InsulatLen -Plumb.
Plbg. Underfloor Wator Ll.ne nry. Bd. -mech.
s
PH i
Date Requested:—•_— n
- dreaa: 1—
:
THE FOLLOWING CORRRCTIONS ME REQUIRED:
49 El n�
eb elr'e GCS/ mu
Inspector:_.--- / �? Dato:��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
i
IMPPECTION NOTICE
City of Tigard Building Department
1.1125 SN Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspection:—_. 4"
Footing Pl.bg. Underslab Mech. Rough-in ppr/Sdwlk
Found. Plbg, Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor �7 Nater Lina Gyp. Bd. -Mach.
Date Reques+.ads Times _=All PM
Addreast � �//" � Permit
Builier:
THE FOUOMING COMMONS ARE VJWZ Mt
h 1 .
---42 L
Q --
Inspector: /
Date,1_� _
APPROVED DISAPPROVEp "PROVED 8U8JECT TO AIfOVE
Gll For Rainep.
i
z1+spEc:lWp �cv�zcE
city of Tigard Building Department
1312S SN Wall. Bled. T.Lgard, Oregon 97223 V
Inspection Line (Rec•-O-Phone)s 639-4175 Business Phone: 639-4171
Inspect Lon:____
routing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Bear Struct. Ran. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd' -Hoch.
Dat® Rnr7uested: -/5 if Time .��`. PH
/ -- ---
Add ass: / y ea iL"Lae�w Permit
gilder:_-_.��,'LL- �li�_a ,�✓ _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— f
Inspertort .08
I
i
i
APPROVEn DISAPPROVED APPROVED SUWVCT TO ABOVE
___Call For Rginsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 9W Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 k
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Fdwlk
Found. Plbq. Top Cut Gas Line FINAL-
Pont/Beam Struct. San. Sewer FramL > -Bldg.
Poet/Beam Hoch. Rain Drain ( \ -Plumb.
c
Plbq. Underfloor f Waster Line Gyp. Bd. -Meeh.
Data Requested: I/��% 7�7 Times __KM PM
Address:_ Jamh[ '7 jo / / / � Permit 1s�� �� 2
Builder:� J�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector m
r�0A0Y11D DISAPPROVED 4� APPROVED SUBJECT TO ABOVE
Call For Reinap.
�isP ��0�1 N(YfICE
City of Tigard Building Department
1.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Ruainess Phone: 6.19-4171.
Inspection:____ - —-------.... ---- ----
Footing I,lbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FTNAL:
Poet/Beam Strur• . San. Sewer Framing -Bldg.
Post/Beam Mach. Dain Drain Tneulatlon -Plumb.
Plbg. Underfloor Watar Lina Gyp. Hd. -Meeh.
Date Requested: _Time: AM --PM
Addi'von: "O 2, 9APermit #s �a �✓) ��-.
Builder:
T-1z FOLLoiiINo coRRECTIONB ARE REQUIRED:
`vim•.�--
APPROVED X nISAPPROVED _ "PROM SUBJECT TO ABOVE
J� '-;�6all For Raiosp.
INSPECTION NOTICE /j 71
City of Tigard Building Department —
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 6.39-4175 Business Phone: 639-4171
Insprction:
Mooting Plbg. Underslab Mach. Rough-in Appr/Sdwik
Found. �" Plbg. 'rop Out Gas Line FINAL:
Poet/Beam Str.ucyG. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLineGyp. Bd. -Mach.
Date Requested:_ �/ �- _Time: AN —� PM
Address:. /.1.2`7 U [/ / �,i r. mo i Perm 1.t �: �r CI ��d� 3 7
Builder-
INE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspsotori -� _.----- -- Dat P!
"PROV20 DISAPPROVED -- APPROVED SI:BJF.Cr TO ABOVE
,(� Call For Reinsp.
1
I fS4PZa;TION N011-CE
City of Tigazd Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
:nspection Line (Rec-O-Phone 4 639-4175 Businena Phone: 639-41'/1
1_�(
Inspection:
Footing Plbg. tI slab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Ott Gas Line FINALt
i
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Pl.bi. Underfloor Water. Line Gyp. Rd. -Mach.
Date Retpiested:_ t� `%/ - .! _Timei AN PM
tt_,_Permit ttY� r
BuiIds r'—Y._.���___.�- ------ ---THE FOLLOWING CORRECTIONS ARE REQUIREDt
v
Inspector:
APPSOM DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
t
i
I
I
I
�118FECTION NOTICE � ✓
City of Tigard Buildinq Department '
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line :(Rec-O-P ne): 639-4175 Bunineas Phone: 639-4171
L
Inepectiont-
Footing P1btri Undernlab Hoch. Rough-in Appr/Sdwlk
Found. Plbggg. Tap Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation _Ply.
Pibg. Underfloor Water Line Gyp. Bd. _Koch,
Date Requestedt_ z_1? Time: S!�!% AN pN
Address: /�:3 7
/ � Permit #: L/
Builder:.
THE FOLLOWING OOFIRBCTIONB ARE REQUIRED:
57 01;
Inspectors_
Date-
11PPPO"D DISAPPROVED �-;APPROI:ED sunircT TO ABOVE
Call. For Reinap.
w :ter ria w w w ser w a
'SPUCTION NO'1'ICS
city of Tigard Building DOP—tM—t
3.3125 SO Ball Blvd. Tigard. Oregon
97223
: 634-4].75 Buaineee Phone: 6311-417
Inspection Line (ROC-O-Phone'
Inspections
Footing Plbg. Underelab
uch. Rough-1 Appr/Sdwlk
Gas Line FLNALt
Pound. Plbg• Top Out Y
Poet/Beam Stru.-t. San. Sewer
Framing -Bldg'
Rain Drain
Ineulatlon 'Plumb'
I'oat/Ream Neck•
plbg. Underfloor Nater Line
Gyp. Bd. -Mach.
_Timet PM
Date Requested, �
/�Addreen:-_
Rullder.s
iit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date: --
Inspector:—._ -- —___`--- —
APPROVED _-
DISAPPa.OVFD �,�PROVED SUBJECT TO ABOVF
gall For Polnep.
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
"--,.Phone: 639-4175
Type of Inspection _ �.�...L•r�� �++,,,�
Date Requested _Q_-��-;-�a'? Time A.M._ P.M.
Address 44 _e4O_ _� Permit #90 ,
Owner -_- Lot #
Builder gkl�
The following Building Code deficiencies are required to be corrected:
7
Presented to _ _ — -r"A
pproved
Inspector _
---- � � Disapproved
Date
CALL FOR REINSPECTION
YES [-] NO
S
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
�/ , �uw
Type of Inspection
Date Requested�/ —L? _ Time __ A.M.--P.M.
Address _1�`� (L'Q ���- 4 - ,6L����-'Permit #Z��37
Owner -____ Lot
Builder,�Lu� -t/� „2�G�
The following Building Code deficiencies are required to he corrected:
' JT "YE” I1"1 N
r JY✓ i�ysu<,I�TG !7L�.�yk 1 IVA;I-- ._
A- ........
i
Presented to _ Approved
Inspector _� I I Disapproved
Date - 7
CALLFOR REINSPECTION
11 YES 1:1 NO
INSPECTION NOTICE'
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639- 75
Type of Inspection �. �G �`/'7`��J (/ .
Date Requested4
a A.M. P.M.
Address
Permit
Owner Lot
Builder
The following Building Code deficiencies are r-quired to be corrected:
rresented to Approved
Inspector "0"' ---------- Disapproved
Drte
CALL FOR REINSPECTION
❑ YES
w estr sssr e>A � sssr � ss
INSPECTION NOTICE
City of Tigard Building Department
-1100 .�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Dete Requested_ ! ���� Ti -YYILM. P.M.
Address —I � ��_ '41) Permit �_U 2��
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 'Approved
Inspector / �T/�� _ T __. - I I Disapproved
Date __--
CALL FOR REINSPECTION
[. ] YEs FA No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time.---- A.M. P.M.
Address � _f l,E� ,� .�` Permit
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector — ❑ Disapproved
Date _--
CALL FOR REINSPECTION
❑ YES C] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspections ___-
Date Requested_� Ti AI P.M.
Address _.L� w � � _ ermit
Owner Let #—
Builder ! •STs,/1•((J ___
The following Building Code deficiencies are required to be corrected-
(112
Presented to $Approved
Inspector Disapproved
Date 's
CALL FOR REINSPECTION
YE8 I-1 NO
aa>• �
CITY"OFTIGARD
MASTE:R F'F'Rhil'F
C17YOF11iJIRD 1='ERIII I'T' #. . » . . . . : M ST90-•02 37
COMMUNITY DEVELOPMENT DEPARTMENT en91M
13126&W Hall Blvd. P.O.Bax 23397,Tigard,Oregon ( ) 176 PRIM. PERMIT' #. .- MST`.3 0--0 c 3 7
DATE: ISSUED,., 07/1-0/90
1:)'.I: i L•:: ADDRESiS. . » - IL'14 30 SW NORTH DAKOTA ST PARCEL: 15134CB••-06200
SUBDIVISION.. . . .. ." ANTON PARK 7.ONTNG: R•-7
F.+LOCK. . . . . . . . . . .I LOO.. . . .. , . . . . . . . . :24
_......_...._..W.._......._. _..._.___..._._.._...__......_...__...__.•_.... _
BUILDING
RE:ISSUE- DWELLING UNITSsl BASEMENT . .. . . . . .. . -Ll Sf
CLASS OF.- WORN.. -NEW EILDRI*IS-4 BATI-11.3-3 GARAGE» , . » .. . . . .. :, {i:LB 5
TYPE OF* USE:. . . -SF F"LOOFi ARE.F1Si• ._._._.__._..._........_. REQUIRED SE:'T'BACKS_.....__.__.....__.._._..
TYPE OF:' CONST. : ;N 1""1RST.. .. » „ -8':)`:3 s>f LE:hT. . -6 ft RIGHT. : 10 •1,t•;
OCCUPANCY GRP. -1'i3 SLCOND. . . :671 ssf F'RONT. :20 ft RF:AR. . :29 ft
STORIES. . . . . . . -c? THIRD. . . . -0 S REQUIRED.._._._..__......_._._.._._.__.._.._._.._........
1-1EIGH'T.. . . . . . . . ..20 ft T0TAL-••.------•••_: :1770 S SMOKE DETECTORS. NY
F:I...00R LOAD. . .. . -40 ps:•;f VALUE. . . . . 4: 81.864 PARKING SPACES. . :6
Rema rN;ss a
.........._,_.. ._._.._.. ........... ...__.... ..._._.._....__._.._. �._..__._.._. h'L.UMBIN(i
SI:NK S. .. . . . . . . . . .. :1. 1' LOUR 1)RAINS. . . . :0 F.IACKFLOWF�1�1=VNT'RC7. N0_____ ._.__...
L.AVATORIE13. . . , . :4 WATER HE:.ATE:RS. . . : 1 'T'RAP'S. . . . . . . . . . . . a0
T'1.1F.1/SHOWE:RS. . .. . -c LA'INDRY TRAYS. . . -0 CATCH HASI1,T13» . . . . .. . -0
WATER CL.USE'I'S, . :,3 SLWER LINE (ft) .. -0 GREASE TRAPS. . . . . . . NO
DISHWASHERS WAT'E'R LINE:: (ft) .. : 100 OTHER F IXTURE1S. .. .. „ •. -0
GARBAGE DISP. . . : 1. RAIN DRAIN (f•t:) .. -0
WASHING MACH. . . ; I. Sf RAIN DRAING., . - I
__......_.•__.._ ._.._._._.. MECHANICAL. _.._.._.___._......_......_._.._..._._. _......_......__...._____...._ .._.._.. F'E:E:S
FUEL. TYP'ES_.__.._.__.__......._....•_. UNIT HTRS. . -0 type amot.tnt by date •reept
/GAS/ / / VENTS . . . . . :0 PAYM $ 350. 00 JLH 06/29/90 202221
MAX INPUT.-.0 PTU VENT FANS. . -4 BP'RT $ ;x7`:3. 00
F'URN < 106K . . : :l HOODS. . . . . . ..I BPLC: $ 246. 35
F URN )=100K . . -uT WOOD1'STOVE S• .0 D5F'C: $ 1.8. 95;
FLOOR F'UR1%1. » . . ;H CLU DRYERS. - I STDG $ GOO. 00
Boll../CMP < :3FIP'-H OTHER UNITS-0 SSDC: $ 250. 00
GAS OUTLE:TS x I F-'ARK $ (250. 00
Owy1e•r a __......_.._.._....__.........._.----__---___._._._ ...__....._._._...._._._.. MPRT $ 39. 00
T'HE'. WAN'TLAND COM MPLC: $ 9. 75
ThiE:: WANT'LAND COMPANY M5PC 1, 1. 95;
541:1 SW MARSHA S'T PP'R'T $ 146. 00
PORTLAND OR 9728 I ..0000 P'5PC $ 7. 00
Phone #- 503••-245--5999 PAYM $ 1592. 00 JLH 07/:[1/90
C:ontraetrl-r- _..._.._...._......_......._........_......_..___.......___.._._...___._._._..__
THE WANT LAND COM
THE WANTLAND COMPANY
541:1. SId MARSHA S'T'
PORTI._AN,) OR 97221-••0000
PhO1.1e # - 503—P45-5999
Req WANT
$ 1`:348. 00 TOTAL
This permit is issued sl,bject to the regulations contained in the — - - RE0UIRE:D INSPE(."T'IONS
.........................
Tigard Municipal Code, :tate of ore. Specialty Codes and all other Foot/found Insp Mecharlieal Insp
applicable laws. All work will be done :n accordance with approved Wtr P•rraofin13 Bsm PlUmb 'T'op OUt
plans. This permit will expire if wor4 1s not started within 186 Post/Beam Stmtct F'raminq Insp
rays of issuance. or if work is suspended for more than 166 days. P'Osst/Beam Meehan Fireplace Insp
awl DrAi.1-1 Gas I...irle :Ins
P'lm/Undslah Ir1sp I:nslt.il.ation Ir1s;p
P'LM/l.Jnderfloor• Gyp Board Insp
Tstslled By: Ftng Drain Bsn1lt; Rai1.1 (i•rai.n I1.1sip
Call fo•r ins • ectio)i - _639 4175
SEWER CONNECTION
�'�OFTIFARD PERMIT
Y N"
Cff 6 P,ERMI1 #. . . . . . . SWR90---0283
COMMUNITY DEVELOPMENT DEPARTMENT 00200" r.*,R 1 M 'Rlql'f #. IIST90 0 2 1`3 7
13125 SW HWI Blvd. P.O.Ba23397,Torrid,Oregon 97Rrj,6?Q/4176 7 D0J*r JED: 06/a9/90
1 ;7
SITE ADDRESS. . . z 1.24C'M 15W HC71:;'TI-I D(WITA ST r-,ARCEL: 1S134CB---0CP0W
SUBDIVISION....:; (WIGN FIANK ZONING: R---7
Bi.-OCK. . . . . . . . . :24
TENANT NAME.. . . . . :
USA NO. . . . . .. . . . . 942337 FIXTURE UNITS. . . a
CLASS OF' WORK. . . :NEW DWELLING UNITS. . a1
TYPE OF* LISE. . . . . :SF NO. OF BUILDINGS.-I
INSTALL TYPE. . . . :DUSWR IIIPERV SURFACE. . n
R
Owl-le.r.. FEES
WANTLAND COM typc� i+ni c)t.t i i t by (JAte -rec;:)t
THE: WANTLAND COMPANY PAYM $ JLH 06/29/90 202221
5411. SW MARSHA ST I,R m T t, 1.i?�--.j 0. 00
PORTLAND OR 97221 0000 .1 N 5 P qi 35.00
Flhciiip 14: 503•_-245__;y999
.............—
(: ONT'ROCTOR N(.)T C.)N FII..F::
P 1-10 11(a 1285.00 TOTAL
R P q
........... R E 0 1.11 R E D INSFIECTIONS
This Applicant agrees to comply with all the rules and regulations `:';(-wf---r .1visr)ec.-tiori
of the Unified Sewage Agency. The permit expires 128 days from ........................................ ......
the date issued. The total amount paid will be forfeited if the ..............
ppmt expiros. The Aqpnry does not quarantee the accuracy of the
s)dP sewer laterals. 11 the sewer is not located at ''e measurement
given, the installer shall prospect 3 feet in all directions fro%
the distance given. If not so located, the installer shall purchase ............. ——-----------—..............
a 'TAP and Side Sewer" Permit and the hgpncy will install a lateral.
............
nii. L 1,(�c.r i [4)1 iA t;t.(-r e*. ......... . ...... ......
14 —-----
Call fo-r inispectioii 639••-41.7 5
:1TY OF TIGARD — PECE"IPT OF F'AYMENT RECEIPT NO. 190-202221
CHECK I AMOUNT '11211). 00
I JAME WANTLAND COI`VANY CASH AMOUNT s Q.()(".) I
SW ORCHID ST PAYMENT DATE t (16 '„q!910
SUPT)Y v i s i npj
PORTLAND. Ok 9722"
F'IJPPOSE OF PAYMENT AmouNr r..,Art) PLIRPOSE OF PAYMENT AMOUNT PAV,
:'LAN CHECK FE 6-69R (')(:I PLAN CHECK FE 6-688 4�p.Orl
EWER, USA
215o0. 00 SE WEP CONNECT
31,0pri DRAIN SDC
SW N. DAV.OTA ST
1.2460 SW N. DAKOTA 13'r
TOTAL AMOUNT PAID 31 ILI 0.00