10565 SW RIVER DRIVE 10565 SW RIVER DRIVE
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INSPECTION NOVICE
`C ity of Tigard Building Department
P.O. Box 23397 ;
/I Tigard, Oregon 97223
M�.�• ,,,••••� Phone: 639-4175
Type of Inspection ----
Date Requested ,l Z —Z 1`9 Time _ A.M.
Address ___ -u�v Ll J/1 _ Permit #j 1a,_
Owner -rg, /T-- Lot
Guilder —__lam — W o� � s 1 /;� 2lc� n l_J_'L
The following Building %uae deficiencies are required to be cotzerted:
oz
Presented to F—Apprmbd
Inspector Disa
p;:r:;:ed
Date _ — Z 2
CALL FOR REINSPECTION
❑ YES 0 NO
TIGAMECHANICAL ME8924C'TY O� REKNIT MO. : MEti92A15
�I OF n�G]IIID
CUMMILINITY DEVELOPMENT DEPARTMENT
O°'°°" U F ISSUED: 11/ 8/89
13125 S W Hull Blvd..P O.Box 23397.TlyL d.Oregon 97223.(503)639.4175 I M.PMT.N0. 892415
JOB ADDRESS: 10565 SW RIVER 'P
TAX MAP/LOT SUB: LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO: N(1:
WORK. CLASS: ADDITION FURNACE (100K AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HAMDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.000LFR
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: PLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE WOOD BLR/COMP 30-50HP REPAIR UNITS
MAX.INP'IT BLR/COMP 50+HP OTHER a
FIRE DMPRS? OAS PIPING OUTLETS
HIGH PRESS'?
LOW PRESS?
REMARKS:
Install wood stove owner to do worl,
FEES:
O Sturdahl Bruce R Dawn PERMIT $14.50
N 10565 SW River Dr PLAN REVIEW
N
t Tigard OR 97224 FIXTURES
t� PHONE (503) 626-0654 STATE TAX $.73
OTHER
C
O
N
T
R
A
C
T
TOTAL.: $15.23
R
RECEIPT NO.
T his permit is issued subject to the regulations contained in Title 14 ----------- --------
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FINAL
agreed that the work will he done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or it work is suspended or
aband.)ned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
All required Inspections are requested and approved
Permittee Signature
Issued By J 'i,_, CALL FOR INS�'E(:T1ON x,3'3-4175--------_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PFRMIT Receipt#
13125 SW HALL BLVD. Permit # �_
P. 0. BOX 23397 Description
T I GARD, OR 97223 Table 3A Mechanical Code UTY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
Job Address i) Furnace to 100,000 BTU 6.00
Address
incl.ducts&vents
_ -
Tax Int Mao No. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Lot Block Subdivision --
Name(or name of business) 3) Floor Furnace 6.00
t incl.vent
0riva A.c jDat.rn Z 6 K rel9 4 1._— Sus ended heater,wall heater
MailingssPhone(wie'.� 4) p 6.00
Owner .y or floor mounted heater
I C6 (a.7 6UJ lzlogr PC Salle--fes -
City/State Zip 1 5) Vent not incl.in 3.00
T 19,7 21- appliance permit
- - refr icy,
Name(or name of business) 6) Repair of heating, 6.00
cooling,absorption unt'
-J -- Boiler or comp to 3 HP
Mailing Address Phone ] 6.00
Occupant ) abuorp.unit to 100,000 BTU
City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 5,10,000 BTU
----- Boiler or comp 15-30 HPName 15.00
9) absorp.unit 1/2-1 million -
Mailing Address Phone - 10) Boiler or comp to 30-50 HP 22,50
absorp.unit 1 -1.75 million_
Contractor CityrState Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
state R"I.Ilat,,n No. City Bus.Tax tin. 12) Air handling unit to 4.50
10,000 CFM
t Air handling unit 7.50
I hereby errv,,�r.� a r M at I have read this application that e information given is 3) 10,000CFM +
Correct,thr,t I am the owner or authorized agent of the owner,that plans submitted are in --
complianr*with Statu laws,that I am registered with the State Builders'Board,that the t 4) Non portable 4.50
number gi ren is coned.(if exempt from State registration please give reason below). evaporate cooler
15) Vent fan connected 3.00
to a single d_unt _
--- 16) Ventilation syster i not �- 4.50
Included in appliance permit
- - --T --� 17) Hood served by 4.50
mechanical exhaust
Signature(owner or pant) V ���! — 1e 18) Domestic type 7.50
Describe work Eladdition�( alteration C] repair [J incinerator _
to be done residential non-residential C7 19) Commercial or industrial 30.00
Existing use of type incinerator -
building of properly - 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc. c
building or property ---- ( 21) Gas piping one to four outlets — 2.00
Ti-pe of fuel- oil ❑ natural gas ❑ LPG ❑ electric 1-i
22) More than 4-per outlet
NOTICE -
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN! 180 5%SURCHARGE �
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL S,
Special Conditions
Date issued —_ by
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
'type of Inspection
Date Requested_ 'lime_ _A.M.
Address �� `` 1��--�— Permit #<<
#
Owner__ Lot
__� --
Builder —
The
uilder ._The following Building Code deficiencies are required to be corrocted:
S P lU
IC 7
°rasented to Approved
inspector / � Disapproved
Date
CALL FOR REINSPECTION
❑ YE8 0 NO
MECHAN:[(:,Al 1*-'1E:Wi13:'T
NO. MESIF31070
CITY OFT167ARD ���
CITYOFTWMA
OREGON 3/88
COMMUNITY DEVELOPMENT DEPARTMENT 1:441M . 1:)M,Y,.NO 881.068
13125S.W Mall Blvd-P.O.Box 23397,Tigard,Oregon 97223.(5031639-4175
ADE)HEAiS : 1.0565 SW 1:41VEJ4 DW
'TAX MAP/L[Yl 251.1-5AD !:AIB: OOVEP I ANI):I:N(*;, L.1, "5 6 B K
L AND USE!' -
I M SIZE,
I T"':::M: No NO :
WOPK Nl:i'.W r.;*LJPNA(:r-.: 0.00K AIR 11-IOND1..14 <10
F*AM*I*l Y F1.111NACE, :1.001<+ 1. AIP HANDI P 1.0K
(",01IN151' . 'T'YPE:: , VN FLOOP FIJAW)CIER: E'VAF'- .C001-1:14
O(::CUP , It'.44). : P3 HE'A111-4 VE:N'T' FAN
V F--'N'T' VES'N'l' . SYL-01-KM
131 1:4/COMI:*,, (Z3HP 1-111)(H) I.
NO . 51111:41ELS : 3 HI A/11:1111IMP 3—:11.115VII::1 I NC3:NIr:PA'T*OW(DOM
I)WK:Ll... . UNI T'S : 1. 1.41 WCOMP 1.15-3011-.111:1, l:N(:.:r.NEPA'T*OP(GOM
(."AL) BI—P (:)Mp Zo ...."5011-41 PEPAIJ4 t.)N]:*T'S
MAX , INPUl' 1:4/(7,(:)Mi:) 504-HP ()'t'Hl-:"P
I l (.4AS PIPING I
1 OW !1HE.F151?
N I I I L.1:4 JAY PIFIPIM I T, $10 .00
0
W 1) P1 AN RI-.:V.IA-.:W $1.1 25-
N I1. AI'-41) OR 97F?2.3 r,i x,r u r-4 Es !1:3;) . 00
E
R PHONV: (1503) 61134-7.5413 S'1*W A X $2 . 25
01+4EEP
C HE:D 3:N ROBF341'
0 HF:01N' S
N
T IRA!) NW f,?3*1.q*l
R
A hi.1.1.Ill,b n r 1a 13 t•• 9711.23
C P1,*)Nr-.'. (303) 6418-11'59
TO PE(vI:41 TI7A IJ.11 NO . 47211 $Q)R 0
PECEIP't NO
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations RE(+lUI.PFED IN!�PEC-I'IONS
and all other applicable codes and ordinances, and it is hereby GAS 1 1 N F--,
agreed that the work will be done in accordance with the plans and P051 & Ell-i.AM
specifications and in compliance with all applicable codes and IA(*)(.)('.,I--I,---T N
ordinances The issuance of this permit does not waive restrictive FJ NAI
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
BLULUTNG PRIPM11'
CIW OF TIGA 11111 PE'A:410111' NO . : 81.118 31.068
COMMUNITY DEVELOPMENT DEPARTMENT
1:1125 S,W Hill Hlvd,P 0 Box 23397 Tigard,Oregon 97223,(503)639-4175 DATE. V.")SUED : ell/ 3/138
J(. R Al:)I:)I,,i !!iri ; 11.0565 GW 11:11i'ViEVI DP
TAX MAP/1 01' P51.V'50D SUES; DOVE-14 I..AND1N(.'-*s 11-1* —156 RK :
LANL) LISEE : PA1 - 5 PD
Of 51ZEK : VAI LIAT I ON: 1111 19511500 SETBAC*Wis
FRONI' : 20 WRAP :
WOPK CI. ASS : Nr,-:'W DWFl L. . LJN I'r S 5 RIGHI'V : 39
USE. 'T'YFI.K !;i'1NC.vI-.F: FAMTLY NO. HEDROOMS . 3 FX'1 .WAL.L. (:',(:)NS*l
(U)N54' VN NO BAMS . 3 N: 5 : E W
OC CUP 1:43 14401' .OPIEWLNGL.) .
OCCUP . I OAD N S : E.
W .
I'UTAI APE.A: 20,70
NO - '5TC)P3:E:S : i2 5 T' : 1-028 1:400F CONST : (.:
A'P
AP'?
114FJ:C-111-TV, P0 EE
ND: 1-050 ARA S ' PA'1'1;:.*I:):
E
BASWENT? 31111): WN'.111.1111:1. SEPAR?
MEZZANINE::'? SAISEM 'T
()AD: 4:10 6'.38 FJAE SPRKI.J47 ALARM?
F."LOW((:IPM) 1)EK11:1.11 I? YE's
GAS
PLAN GHl:;'C'l< NY : r-:1.t.
F-4 E--M A P K%
PLISSUE OF* NO . 08064.3
I AS'T' PIFISSUE
I Ir iii0
W MI-A I I-.:I JAY pt/121 . 00
N p , E30X e.'13291. PLAN 11E.KVIEV
E *40 . 00
11:CvI A PD OR 19742P3
I:-*H0NF.': ('50,3) 6841 '7'54 3 5*11WT ' 'TAX
UTHEP
C DEVELOPMENT CIAAIK'vES :
0JAY GDC( STOPM)
N 1111250 . 00
1:1 D UT I D R P !31.)C( S I'OWE*1 $600 . 00
T JAY MILA-F.
RIiROX AZP91. PDC(*P
A $250 . 00
C OA 9 7 P..R 1'12EVA10 C $Aqo . ()o
T (503)
0
R NO 30109 TUTAL : $1. 'n/le. . On.
This permit is issued subject to the regulations contained in Title 14PECEAP'T, No.
................. ... . ...
of the TMC. State of Oregon Specialty Codes, zoning regulations . .......... ...............
and all other applicable codes and ordinances, and It is hereby iNSPET;'TIONS
agreed that the work will be done in accordance with the plans and F 001 :1 NG'
specifications and In compliance with all applicable codes and WAI I PAIA DRAINS
ordinances The issuance of this permit does not waive restrictive REAM WATE31 L.SNE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become nult and P11.13. UNDEWid-AR (:,'TIY APP14CI-4/SW
void if work is not started within 180 days.or It work is suspended or S L.A P FJ.NAI
abandoned for a period of 180 days any time Filter wrrk has 1:11-14. TOPOUT
commenced It shall he the responsibility of the permittee to assuri 1:11AM1 N(:,
all required inspections are requested and approved F:J 1TEA:�411-AGILK
GsAts LINT::!
TWit-11 A*I*:E('.)N
01"' E. (.,,Yp. i3C)At41)
issued By
TTF
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN r)ESCRIBED ABOVE
ow
PLUMUII.—
F'V-11MT.'T NO, : 1:111-11113 069
CITY OF TIGA RD
DATF.: ISSUED: 6/ 3/818
CITYOFTMO 068
6r OD
COMMUNITY DEVELOPMENT DEPARTMENT ORROM PRIM. PM"V.N0. (481.
8 . .191H
�(503)6394171
TAX MAP1l-()'1 Vil.1.5 A D SUB: rX)VIL-44 I ANDINC; LJ :36 E.)K :
LAND 1 1F
I OT ':i J,ZI::'
N(.): NO :
WOPK CAASS : NF.W W All'17-'W (:"I C)SE-1, .3 1 PAP
1JF.-iE: GINGLIF: F-i'AMTLY U141NAL 8110:1 DW PRVNI*P
(.3,01NIS'l , 1YP[;: : UN I AVOPATOWY Al 'T NAP Pf' ,I:ME::P
113 JAJI3 SHCIIWI-'.N 3 1,14APS
.1
OTSPOSAL 1
NO . S1 UR I C.:S 2 WASI-11NC3 MACHINL I
DWEL.L. . UNITS 1. 1 AUNDPY 'Y'RAY H1 DG . UWAIN (DJA
DPAlN
ST N l< .1. 1.5k..Wl*�.1:1 (FT)
WATFKA HEKA1 EA .1. !n'T(:)I-)M/RA1N WT 1
01,1111E.N1
+H.FS
JAY F."I-J4M]. 1 $1.ZVI . :5
1-30X 2&293.
O
W 1l.(11API) Op 91223
N PI.-IONF (503) 60-1 1543 1 VAX *7
E
WATTS KEN
I<F::N WAI 15 PIJ.)Mr.-.41NG
0 P(l
N
T t:i (I U I"(1 9,722,3
R 1:+10INIF. (503) 688 0.62 6
A
C 141:-*.(..',.I:!31'1::IA'11'(')N NO , 5087F.) 113TAL. . *V"lidl .813
T
0
R Pli-CEIPT NO .
.............._......................_......_..w...
This perrlit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations IN 1:3 .1JNr%:A51 A FA
and all other applicable cotes and ordinances, and It is herehy POS'11' HFAM
agr)ed that the work will be done in accordance with the plans and WA- 1h:N LA.NF'
sp rclflcatlons and In compliance with all applicable codes ai,d • I(:)P(A 11*
o dinanceS The issuance of this permit does not waive restrictive PA3 N 01WENS
.;ovanants Conti-nctor and subcontractors shall have current city
business tax permits. This 3ermit will expire and become null and 1:"'TNW
void It work is not started w thin 180 days,or If work Is suspended or
abandoned for a period A 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections ani requested and approved
Permittee 9 tee We of I 1 01-1 639 A 17 15
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWS P PEPMIT
C11Y OF T'GA PERMIT NO. : SE881071 RD Colio
ltD
COMMUNITY DEVELOPMENT DEPARTMENT DAI*I-:" :'�SSLJEDI 6/ 3/H8
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 PPIM. PMT .NO. (3 810 6 1�3
T'AX MAP/LOT
,jU9 ADD1'JF.7SS: 1.0,1!�e
),"J SW p.I:Vl:'.*n L)C4
USA NUMBEP : 35909
SUP : DOVER IANDING I T : 56 BK :
LAND USE:
1-.-UT SIZE:
SE('ITIUN: 15 TWP: em PNG: tw
WORK O'LASS : NEW
USE TYPE: SINGLE- F"AMILY
at,gromm t (,..11:)Mpl.y With ak"Ll. ri-ticim tn.ricl co i' 1.11-imUnifiecl
15vw4oraL9e Agerivy , T'he Permit, expires 120 Clayfli frum the (hate ifullimed . The tcItal
lit In 43 LI I'll t, P Mi.CI W J.:1.:1. b 1w 411:1 r-F ell.1.*W CI :1.-F t I-I oo p W-A I"In A.I. 4M X p:I.r e in Tlim Aqr.*r)c.-.-y cic)ws 11110t
atil'tor.-te ti'lln, iiii.t'(11.11-atcZy a-F thint Iatwtilirl (:)+ th" Inf(it, Is"Wow If thw!) NiffAwiver I-M
rif-It Imc.'Att'v..!ci mt. them incim.vit.tremerit givcri , thea pr i t firaei, iii
ot.11 d1.rv.c'timi-iw from thch? cligital-w-e givcr.il. If nut rai:) 11w.-.-at.tcAd , thea iiitot ia1lar ifiliml.i.
"I'mr.) otrid !!;iciso -larinit atrit-1 t.h4r Ageiric'y W.I.A.]. At I R-t'ka r MA
.• „1 L , TYI.-Ir... : F11.1 I I DIN(71 !A':i:WLI"' IMPEFIVIOUN AAFKA:
FA:XTLJI4E (NIPS : 1ENAN1 IMPPOVEMENT :
OWE"LLING, UNITS : 1.
NO. Or DI DGS .
0 111I.-LEP ,.IAY PKQMJ:T 11135. 00
W p . m . BOX RSL�911. C'ONNr-.:CTT,(.)14 (7,1-11ARGE" 00
N OP 1 INE "I'Ar) INSTALL .
E
R
C 1111 I-EP OAY
0
N ')AY MI.I.A.-E-11 BUTI DFIrt
T p . m . BOX 23R91.
R
A TIGAVID Op 9*72�!15
C PHONE* ('503) 684-75,13
T
0 PEGISTRAT TON NO. 3010Y Tart,m- : lit ' 1155 00
R
NO.
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIREO INSPEOTIONS
and all other alpplicabin codes and ordinances, and it is hereby ROUGH—IN
agreed that the work will bo done In accordance with the plans and
specifi.allo,is and in compliance with all Applicable codes and
^.,dinancet I he, issuance of this permit does not waive restrictive
coveneri',s Contractor and subcontractors shall have current city
business lax permits. This permit will expire and become null and
void If work is not started within 18(1-jays,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested And approved
Perm ign I u re
Issued By U CAL.L. t,'OFII IN5PLOTTON 639-117,!11
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOFTIFARD PLAN CHECK APPLICATION
�1 PLAN CrIECK N � 7 2Cny2.
COMMUNITY DEVELOPMENT DEPARTMENT o�� / DATEIISSUED
13125 SW Hall Blvd. P.O.Bax 23397,rmywl,'>vggn 97129(503)GW4175
JOB ADDRESS: _ lO5;S SVL' )(1616r 0,- TAX MAP/LOT
SUB: Ueve- t-ghd, LOT: _ S� LAND USE:
VALUATION:
OWNER v SPECIAL NOTES
NAME: REISSUE OF: _
ADDRESS: LAST REISSUE^— -
_ —��_�• FLOOD PLAIN/ ---�-- —_
— SENSITIVE LAND:
PHONE: -- -- Y
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: J4,j C', Z�C �— ENGINEERING:
ADDRESS: _ a _ 4_3-xq / _ FIRE DEPT
�— T 14 ar,8 OTHER:
J
PHONE: - 7. ,3 _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: CALCULATIONS: _
ADDRESS: _ _ TRUSS DETAILS: -
- PARKING PLAN:
LANDSCAPE PLAN
PHONE: � —a i OTHER: ~`
COMMENTS:
PERMIT H ACCT 11 DESCRIPTION AMOUNT AMIOU^R PD. BAL. DUE
10--432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees /; _5'^
10--431 01 Mechanical Permit Fees -
10--230 01 State Building Tax (5%) p G
Building r' —
Plumbing
Mech
10-433 00 Plans Check Fee _ 116 - —_
Building W(1
Plumbing
Mech
30-443 00 Sewer Connection (20%)
_ 30--202 00 Sewer Connection (80%)
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52--449 01 Parks I System Dev Charge (PUC) _
52-449 02 Parks II System Dev Charge (PDC) .
31-450 00 Storm Drainage Syst. Uev Chr•g (SSDC) -
10--230 09 TRFD (95%)
10-435 00 TRFD (5%) — — --- _-
10-230 06 Washington County Fire N1 (95%) —
10-435 00 Washington County Fire H1 (5%) — —
10-22 00 Amart/Wedgewood _ -
TOTAL
� REC 1.
Received By: _ A_ � Gate Received; /fir
10
P.O-em 23M
nr mCITY OF TIGARU PLUMBING T�' SH"r M"'a•
AOk, ust iloW � Itn Vsuatio �n5
n to condW a dPERMIT b�7
business«mint bo propMy ov+nnerhape+at«not artside hel .
�/
N"d Dw`'t°_-_°." it
PlumtrnK Permit woe -��.7 �-
Addrew
ORS 614-21.410
al1Ml t�'FIICE AMY
Job Ta Lot Map.No.
Address FIXTURES _.
LAA __ alocic . SubrfhAeb�' - ---- —- 7.54
Waine Lavatory
7.60
a nam --- - -- --
Z ' J
L Tub or Tubr-34 of Comb �_._._ 7 SO
Shower ONy l 7.50 —
— —
Owner Watertlosof 7.60
Dishwasher 7.S0
PrAm Garbage Disposal7.50
Name c�
y0 7`•'^� � WashlnyMaune ----- I _7,50
------ -- - _
Floor Dram 750
cess - Ptww Water Healer �— — - - 7.50
LaurdryRoom Tray _ 7•50 _-
Occupant City/State -- ZIP ------ 7.50
00wFbcMree(Specify) -- 7.50
7.50 - -
7.50
t,^.onbacllor — --- -
&9SCILLANEOUS _ r '—
sawar t M 100' 50.00
35"f%xiom Sm.LkSswar•ea.Ad*-loo - - - - 15.00
.
wales Sarvloa 10 100'
20.00 --
1 hereby ackm 4atfpe O-11 have rowel file appkason.to" WSW Servior,wa.Addit 15.00
given is ooreeet.lila 1 am moviered wllh Ow Sala WAda's doend.and Neo Saorm i RwW Drain I at.100• 50.00
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no help wfll be wn+ployad a iese Ieerraed under ORS 603 (if arampl 6vm
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an F�da tlld0. — _ 1600 ngn --
_ Naw .or 9uld.AddWm 26.00 rrMn
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