16740 SW ROYALTY PARKWAY x
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16740 SW ROYALTY PARKIAAY .
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INSPECTION NC►TICE
City of Tigard Building De,nartmen
P.O. Box 23397
Tigard, Oregon 97223
�Phone:639-4175
Type a4 ;ntpection --
gate Requested Tim A.M. _-_P.M.
Address .L"`-!._ Permit # —�
Owner— �G ' p Lot
Z I -- --The following Building Code'deficciegcies are to ired to be corrected:
'
All ---
00,
Presented to !"T"npproved -—+
Inspector - ----1,y9_461 J Disapproved
Date —
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CALL FOR REINSPECTION
C7 YES 0 NO �/,�
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UUG, CITY CIVIC ASSOCIATIOd
APPLICATION FOR ARCHITECTURAL AND STRUCTURAL CHANGES
NAME: DATE' � G
ADDRESS. 7 4L 6vaz� �� PHONE:
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TYPE OF CHANGE REQUESTED: _y _
ATTACH A MOPERLY =I TF.D DRAVMlG, SHOWING PLAN AND ELEVATION, TO THIS FORI L
NAME OF CONSTRUCTION FllU i (IF OTHER THAN RESIDE1470:
1. ADJACENT PROPERTY OWNMS WILL BE INFORHED OF THE REQUESTED CUM. IF THERE IS
AN OBJECTION, 'lliE OBJECTION WILL BE RETAYED TO THE RESIMT ASKING FOR THE
CHANGE.
2. SUBP,TTT 111IS PORN AND AM iPANYING DPAWING(S) TO THE K.C.C.A. AD1,IINISTRATUR.
3. F;AJOR STRUCTURAL CHANGES ARE SUBJECT 'TO REVIEW BY `THE K.C.C.A. BOARD OF
DIRMURS.
4. A BUILDING PER14IT MUST BE OBTAINED FRCH THE CITY OF TIGARD FOR ALL IMOVEITEVTS
COSTING OVER $500.00. CONTACT ED WALDEN - 639-4171.
APPROVED - ARCHITECTURAL REVIEW OOhMITTEE:����.?�t
DATE:
APPROVI:,D - K.C.C.A.
SATE