15352 SW THURSTON LANE }
r
w
ul
N
r'
� I
t
i
f
- 15352 SW Thurston Lane '—
CITY OF T'67AkD
Pi UMBING: PF8RM: 3ClTYOFno.mMI'r No. 391
015
COMMUNITY DEVELOPMENT DEPARTMENT
OYF WN
I t 125 S N Hall Blvd.,P.O.Box 23397,Tigard,0 regoi.97223,(503)639-4175 DA'TE: ISSUE13: el/ S 69
JOR ADDPESS : 153,52 SW LN
TAX MAP/I OT SUB: ASHFI)RD OAKS L'T :03. RK .
I-AND USE :
I O'T SIZE::
I'TIEM: NO : NO
WOWK CL.ASF-.) : A!.TER61 WAI'VP M-USEJ TRAP
USE *TYVIE: 9J*NGLE FAMIL.Y UPINAL ElKVLOW PPVN'T*P T
CONST.'TYPE : VN I AVORA'TOPY I'PAP PRIME.W
O(*.1'CkjP. GIPP. 11.113
DISHWASHIEP
DISI:VJSAI-
NO . WA51-41W3 MA(:341NE
DWEI L .LJNI*T'G : L.AUNDRY 'T'PAY DPAIN (DIA
FLO(: P DRAIN
SINK SE.WEP f F1
WA*TEP HE-:A'I*F-.**.r4 S'TOl:4M/I1AIN (F*'T'
C.)'I'Hl*-'.:A
ISI-MANKS :
W G i'VE-EN '1111M h JILILIE PIZ-AM11, $1.15 . Oo
N
E 133321 45W TI-41,11-115111IN L.N
R '11:113AND Ort 9*7223 FIX'T'URE S
S'T'A*T1L: 'TAX
UTHER
C
0
N (7A*T'ANDE*l-LA JOHN
T
R JOHN CWTANDLU A
A 533AI SE: DE'l 1:4 10 ('�I
C OP 9*71.P-3
T
0 PHONE (503)
R75
PE:(.,PIS'T'PA1J.JN NO. 3.1.498 TOTAL,: $
This permit is Issued subject to the regulations contained in Title 14 r2ENO.
of the TIVIC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be done In accordance with the plans and I" I NAI..
specifications and in compliance with Wl applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall current city
business tax permits This permit will expire and become nu!1 and
vold 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 requl;cd Inspections are requested and approved
Pe Itt e Signature
Issued By
y ('At I V01:11 TNSPr---C'T'T0N 639--4175
SEPARATE PERmi IrS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
P.O.Eaa 73397
CITY TY CSI.. TIG,A R D I'[-.I- )M BI NG 1au5 LW HaU Blvd.
Applicarrts must hold Oregon Registration to conduct a plumbing ) -: Tigard CR 87723
businr.s r„mrrsr he _ I I-,R M I
property owner/operator net hiring outside help. 639.4175
FAddraes
Devebprrsern
-- Plumbing Permit No.FILI�C-
C��
0814-21-oto DUAN. PRICE A.MT
- Map.No. FIXTURES
Block ^KAxliviskM _Sink 7.50
----- ams or name o stnessT-- Lavatory -- 7.50
ToM + S_v ;?_ E'k-n Tub or Tub/Shower Comb, W 7.50 -
A1 Ing fe50 _--- - __-...
Shower Only - 7.50 -
Owner City/State Ztp Water Closet 7.r,0
�
Dishwasher
14--------- -- 7.50
Phone Garbage Disposal _ 7.50
-- -_-- Name -- - Washing Machine - - _ 7.50
J FZ f1C. Floor Drain `-- 7.50 - -
ar rng ress ---- Phone Water Heater _ -7.50 ----
Occupant City/State - Zip - Laundry Room Tray _ _ 7.50 -
Urinal 7.50
--- Name Phone Other Fixtures(Specify) - - 7.50
inp ress Phone 7.50
C-4 ----- ------ 7.50
Contractor City/State ap 7.50 -
E r ?12-1 MISCELLANEOUS
City Bull.TaxNo. Sewer 1 M 100'
__ 30.00
State s. arc No Mete s s o Sewer ea Addn.100' 15.00
(Resdentias) WAter Service 1st 100' 20.00 - -
1 hereby"1xr*ledge that I havo read this application.that tho information Water Service ea.Addit.2001 15.00
green is oonect,that I am registered with fbo State B"ddw's Board,and also Storm 8 Rain Drain 1 st.100' 30.00 ---
have a State Plumbkq license that the numtws given are correct,that all -
plumbirm 14a1.vvi'he done in accordance with applicable provisions of Ore- Storm 6 P:Jn Drain Addit.100' 15.00
pon Revised Statutes Challort 447 and 693 and applicable codes and that -- - -_ --
Mobile Home Space 25.00
no help will be wnpk;tier d unlesg licensed cindORS 6'93 (11 exo"A from -
State(egistration,please gree reason below). Baric Flow Prevention - -
HOMEOWNERS-I he eby o9rWy that I am the owrrx tr �k+Vfoperty de- Device or Anti-Pollution Device 7.50
scribed above.of which k-cstion I propose to make a plumbing►.:Aailatl for Any Trap or Waste Not
MY own use and 04,'a property Is not bekV rxxMructed for sale,lease or rem Corry.A fid to a R.xwm 7.50
- --- --..-.-- --- ----
Catch I)asln V - 7.50
kW.M Exist.Pktmbing-- 40.00 Par Hr.
- - -- Spwr alty Requested Inspoctlons 40.00 Per Hr
�' �
Ahvle of Pkxrtbktg within
yg81an EAWV Bldg. 15.00 min.
AU p New Bldg.or Build.Addition 26.00 mkt.
Pow L�-ai.n a famil
Describe work mese[I addition❑ alteration; repair C] 1 - 15.oc) -
t2 be done residential non-roof dential I - -
Existing use of -�
NAk*Vor�roportY- -_..- ._----_-.._. . __ --- _ M-TOTAL
u"of
b�u
or pR>patty_ --- ------__ - -- -Y �,1�fURCH/►,IIOIN. .
NOTICE T3"L
ThM parmlt baoomeo MA and voW M work or oonatruotlon authorized is not com- - ---- -- - --
t'>torsoacl witlin 100 dd"Aw M oerm ft don or work M alMPwdod or abandoniW ler
a porkA of 180 days M arty time abler work is oonrnwrtatd,
"CW o0slofflo 21
Date lantmW by
a.
_ �� �' '� �"l�i \.�Y���,r �.^"WYE�4}'�r� { ��.il.�'�w` "1ld�'.'.-i+Yl�a`%�'�"'L 4pi14`�+��•�y`~-^K
R �yb, ��'�,1" °j¢p� � ;4,�,i�' ��, '�'�, t� s�Ui.1���� "�•�j4�~--- 's- .'� �r ,�+'�'St:>�
ti �•G7 y; ��n� "6��i�` _ „� i,t�r! ,;��,�1�,�� ��i�rc '. ^ ti�, S;�9jq
1-i
Ln
Z
41 Win
fj
Qro '4-A
04
10
Woto
cd
_� _
ff) 10 It
►,,,� N
a1 rn „p to's
p
q .`J ON
to
aCy
-c as o � � � °' ,n• _��•��.'1
w
L4Y'C'i' 6�.aGri'GY..__.. axwe crew m 'Kbeaw ..�� ... 3 ,1 Jy •�`�
tap"fa
�K\��r�K+. rev � �N r�'•,+v .i�� "h.�� .,...� 371 .�' ,�,+,.- y`
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of In?nection -
Date Requested _ ~�- /G) U CI 7me A.M. P.M.
Address /`� '� I_ .t t
Owner �'�/� ��'k '_�_ Lot *
Builder
The following Building Code deficiencies are required to b4 -orrected:
1 I �1 yc �7 Z- 3
Presented to pproved
Inspector LJ Disapproved
Date �V _
CALL FOR REIN PF,CTtON
L YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-417�5� ]
Type of Inspection �C- �
. 3 Q l_i��--- —
Date Requested L -- - b�
L� � llme`,t A.M.—P.M.
Address % c� ��l 2-f,L I Permit
Owner Lot #
Builder - —
The following Building Code deficiencies are required to be corrected:
Presented to — ^— ---- ------- 1K Approved
Inspector C — _ Disapproved
! O
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391 \ ,
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested —.---�—�—
Tlnw E-,r 4 A.M. P.M.
Permit
Address �- LYS-- # —_—
Lot
Cwner ��---
Builder ,C 4JL L V' f, 1� ------—-------The following Building Code deficiencies are required to be corrected:
A, _
Presented to -
Approved
Inspectur [A t iepproved
Date —
CALL FOR 3W3PFCT1O.N
t'YEa O No
W w F ff XW,M'WfiW-jL10� MELLOW
INSPECTION NOTICE
City of Tigard Building D3partment
P,O. Box 2339
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested/-_� me____ A.M._
Address `� S 5 L S• G� `!61s�7 permit # ��� Z'
Owner Lot #
i�
Builder (��_:E
The following Building Code deficiencies are required to lie corrected:
�_ ^ ✓ 6 �L
Z'
Presented to ,,�'
—r ---'- FT Approved
Impactor
L �1 Disapproved
Date
CALL FOR RF,INSFEC 'ION
EJ YE8 No
Nor-
i
--- --------
I)I.1:I:i...1�:I:NG; FaE:1�IM:l:'T'
CITY OF TIGA RD / 1:)E:PM*.I:'T NO. 13t.11139016;.?
CITYOI 7161111110
COMMUNITY DEVELOPMENT DEPARTMENT I)A'T'r-.:-' 1155t.W.D: 2/1.0/B9
13125 S.W.Nell Blvd.,P.O.Box 23397.Tigard,Oregon 97221,(50315:19-4 17ti A 1:M . F)M T' .NO. 8901.6r?
SW T'1111.4415 11.11N I N
I Ax1,15AA !;IJH Atil-11-:1)ND OAMi T ; E-M, F)K
1 OND I.Jl*il::. 1:441 -151,1)
STZI::" . V61-00*1*10N: Ili 0; 13313 L&A'VIALKS
1:--PONT : ii?0 Pr-".AA :I.0
WOFM Ni:..W DW*J.A-. 1.1N:I: 1'5 ;
.1, 1 EF"T: 6 111GH'Y' : IM3
3 F:X I WAI I (:X.)N%'l
I'All.11-Y NO . E.E-DPOOM :
G0N':5T' . TYFJF:'. : VN .3 N ki. W
(A."17, 143 1:4401
N: W
OAL. APF..6 ; :1.0 7 6
NO I S T' : 3.096 ROD:: 1::J141-.: WE K T.,
V0 2ND: 780 1)r I F—'A !:i1::.PAF4'?
BA!Ai:MI::N I"? 5E.PAP"t
MEKZZANX NE::'? DASL-Ji' 'I
F:1._001:4 L.0 A D. /10 d1l 1.0 V T 15 F:'R I<L.R,?
PLOW((.';PM) YF;.!5
I.W'.Al T Yi- r t,A FIDUP . ACCF.-.-1:051?
(:)I::* NO . M31.3i.,RtiI
1'.A -6-:ESSLAr
.* T' I
0 Hi I I I i JAY PEA-41VIXT $305 . 00
W
N lai JX 7i'15k-i9:1. P11 AN 14I*.:V1'Ei:W 1111/10 . 00
E OP VIE,
A'I E. 'TAX $19 . P15
I.It:"11
C 11'111i:N T 1461:401ii.S .
0 JAY a IA"( !i;TOPM) Illaso . 00
N
T $600 . 00
R i, to 1:0,IX 11*0 14 1'?5 0 . 00
A 1 7rn1:11.) OP, 97F.?R3 P FIL PAT*D < 1111/10 00''
C
T I I It WC' (50'3) 60A---P-M3
0 rI6 I I'M NO :'1110 1 01'
T01 Al.. Ill 1. 5 0.1 15
F&*.:CE:1l7'r NO. /0? 53 o
This permit is issued subject to the regulations contait. d in Title 14 ............................... ...........
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby TN!5l:+.'L—lJ0NG
t:il:i:Wlii 11
agreed that the work will be done in accordance with the plans and F001 'I.N(,.',
specifications and In compliance with all applicable codes and I f)(.)N '1.(:)N WAL I 1:,'A.I.N 1)[Iol'.NI-s
ordinances The issuance of this permit does not waive restrictive , A.I S T Fit E'A M WA'I'K.P LJ:NF.:'
covenants Contractor and subcontractors shall have current city 1*1 1:4 A 1:
(".JAY API--IFICI-105W
business tax permits This permit will expire and become null and 166 F:'I NAL..
void if work is not started within 180 days,or if wnrk 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 i 14
all required Inspections are requested and approved I 1 0 U:I!:.
I
L A T 3.ON
c�e W- -
Permittee %lu e
A
&410-43
Issued by I L')W
SEPARATE PERMITS REQUIRED FOR WORK 01 HER THAN DESCRIBED ABOVE
CIN OF T167A RD P90HIT NO. PI-01.63
CIV OF tWIAIRD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON 0 A*1'E 15 S UE.:D 1.()i89
L 1--3125 S.W HallBlvd-PO Box 23191 Tigard.0wqonq7223.(503i63f)-4175 I1:41M . 1*-*,M*I, .NO . 4:Y01.
AJUI ADI.A4E.G'5 . 1,"51552 iiW I-N
TAX MAP/1-01 1!5AA 15L)U: AGHF,C)FID CAKE; LA :2:11. UK .
XTEM: NO:
Nl::V WATE11 C11-05L.:T' 3
1::*AM:E I Y U141NAL. 8101 OW P114VINIM
0)0!:1 ! IYPE : UN I (.)V(:)P(.N*l('44Y 3 'T'WAP 6-'I:*4:l.I"IF:-'W
.7 "15
P 151-40WETt 2 (".PrAGIE I'P1
AP.
1,01:41 l;:-(;i : P WASI-VENC,
L-Al.)NI)PY T PAY EILA)UP . 1)1:4A:I:N MV-)
DPAXN
151 N K 51H-WEA-1 (F-r)
50'OPM/PA134 (F T'
0 M 1'.1 I-EA:4 .JAY $1.410 . 00
W
N P CICIX
E
R X ljr*:!j
A 1'1*..:.' 'T'AX
0 11'K:.R
0 14A V T'!1 KIFN
N
T
R I.)1:1
A 1A. w I-cI car 97L-�P3
C
T IDVIONI:7. (503) 604 6 6't.::o
0
RI'tL: T(:)1 0L 111".11.17 . 00
m;':( EE:i:P*r NO.
This Permit IS iCSLIed subject to the regulations,.olaiinrdin,Tlflc 14 .... .... ........................................
of the TIVIC, State of Oregon Specialty Codes,zoning regulations '1::Ql- 1 j- pC. TONti
and all other applicable codes and ordinances. and It is hereby " N
PL F)
agreed that the work will be done in accordance with the plans and . L IN 1.)E W�s L.A 13
Specifications and In compliance with all applicable ceJes and 1:13!5 1 & Ph"(1)m
ordinances The Issuance of this permil,does not waive restrictive WO I 1 01 L.'J.NI':*.
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void it work Is not started within 180 days,or If work Is suspended or PA 1,N 1 1:1 A'T N til
abandoned for a period of 180 days any time aftei work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
4�
k2A-' ! -
Permittee Signa&e
Issued RV 04A9 A* �ii
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C1W OF TIGA RD -,n� 1E.-F-41"ITT NO. ME:8901641
CITY OFTIGAIRD
COMMUNITY DEVELOPMENT DEPARTMEN r ISSUED: a/10/89
13125 S W.Hall Blvd.,P.0 Box 22397,Tigard.Oregon 97223,(503)639A1 75 Rl M- PMT .N(7 H901612
,JOH ADDPIESS : 1-5352 SW LA
lox MAP/L.01, M-0. :I.!5A6 ASFIFOAD OAKS
I AND L.7 2:1. BK
NO :
00PI< (:,I ASS : N[i.W [ IMNAIIJI: < 100K 1, AJJ, FIANDI W <1.0
1:-'oMj:l. y Ft.JPNA(A;.:. 1.0010. AIP HANIA.41 101(
ONS1 TYI-*:1t-.: Vtoj I::L.00P FOWNAUE' EVAP - (:,0(AA-:A
F, .(311171 IRA 11"U1+ VENT FAN 3
Vl:;'N'T VENT . SYSTEM
NO (31-jr) HOOD 1.
DWI-A—L. - UNI T'S : 1. 1:0. 15-301-11P, :I*,N(:;:I:N1:-:A:4A*1'0P(CIOM
DI FOCOMP 30 5011P PI::J-*AJ:P UNJA'!ii
I:A FMAMP 50.HAVI
01,111."14
GAS 'PITPJAc., (Ajyj 1;:.*F 5
I.
IAN I'-1PLS911`
Pe..MORKS
0 M 1.L.,E I:-,I JAY
W
N P 1-1 7 41:1.0 . 00
E ON 1:41;,:V'J:r-.'W $10 .1-A
RtaGa PES 9;3() !10
e.? . 03
C
0
N HEY-)i I.t4c;
T
R 0/15 NW r.-.13151
A
C
T F*410NE (503)
0 W.) ZA f�.?l I
R VOTAI $5FI. diel
NO.
This permit is issued so iblect to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby 3:NGPIH:(-,'T 1ONS
agreed that the work will be done in accordance with the plans and G,A T, 1 1:N E.:
specifications and in compliance with all applicable codes and BLAM
ordinances. The issuance of this permit does not waive restrictive Pit 1.N
covenants. Contractor and subcontractors shall have current city 17 1:NAI
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 wo,k has
commenced. It shall be the responaNlity of the permittee to assure
all required inspections are requested and approved.
lu-r
Permittee Siginat'r
Issued By - . _ __ 5,&, )
i-W
14 JA61444'1144-10j 6410
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
5l."_:WE J4 PERMIT
11:111'-JIMIT NU, : %FF)"0 1*60
C1YOF TI67ARDCATEE'U4;M DT!:i5U : P/1.0/89
COMMUNITY DEVELOPMENT DEPARTMENT (
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
I.V:on NUMUI 1-1 V,5 f 1. 16
�-JUD: N.,fl.-IFORD UOKS 2:1. RK
1.•.11N0 1 IS E- 51:17
TA. N: 1!5 TUVI : PN(.,: 1.w
W011K CI W:;5 NEM
i1.*1:NCl.-E FAMU.-Y
c.m.ri 1. liq -Icl Uf the, UriJ.-l''Lecl
.Irnov1% to WJAI 1111.1 1-1.11talli Ig.1
I;)erI"A.t expi'l-olil 1.i30 -121-Uln the Cifitte iW16t.le(J . 't 1-1 IF.-) I.il t a:l.
ill-i 4:1 14:i :1. b IVA T cl I- e:1. 1.(o CI J.41 1.11 P 0 r in.1. 1. c?X p J.r 'T-hi! A-fJOI-K.'y (JI131101111, 11-111:11t (;11.WA
o'll thf.e la'l) If thiv.1 vie!wfor. a.9i
.111LIA c)% -) 1. 3 :1.1.1
licit Icic*fil"Fecl ot 110 pi PC.
clirelctt.1,01111i thle the inisrailler %his.11
P(VI-.In:l.t lallcl thlia Alf.--.-iricy w:i.11 is I aLtc4i lilt I
I:XI U Pllli.:i i IN IIA S . 'I ENAN I 'I'MPPOVEMEEN1
I N G 1.)N YY*�ii
I(") UIn, I;31.AX'.PS
$315 . 0
0 la BOX �.I*-3291 CONNLA.A 10N LIHAWGIF 411. 1100 00
W
I'U; 1 1.) 1 TNE 'TAP T.Wil*Al L .
nl
JAY
0
N 1:) Ill Et(3X f.Mr.193
T
R Y 1 1 V2 1) 011 9;(P'0*13
A
C
T (N NO . :301.09 TUYTAI.- Ill 1. :1.3.15 00
0
DEXE.11XII NO .
..........................
This permit is issued subject to the regulations contained In Title 14 P11 k,,, I TN%PE("TJ:(JN5.
of the TMC. State of Oregon Specialty Codes,zoning regulations N
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with We plans and
specifications and in compliance with all applicable codes and
ordinances. Thp issuance of this permit does not waive restrictive
covenants. Contractcr and subcontractors shall have current city
business tax permits -hilt permit will expire and become null and
void If work Is not started within 180 days.or it 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 assur-
all required inspections are requested and approved
(J/1 (';;f
J4
Perw 7ttem;s,
n9;�r
oil.I 10H, TWil'F;.J:*1 TON 63l.;V417';
Issued By: .6vi
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF
PLAN CHECK APPLICATION
�, ,� � PLAN CHECK N LLa "
7CIiYOFTIGARD PERMIT N IL,z
COMMUNFTY DEVELOPMENT DEPARTMENT OREooIV /�. DATE ISSUED
15125 SW HO Blvd. P.O.Bku 2339-.Tipud.or*gm 972Z7(SM)&W4176 -
JOB ADDRESS: �J j-�� S Th u-s Ci✓1 �� � TAX MAP/LOT
X51 -i.�ASI
SUBS�-7iv Cl Oa LOT: _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: _ _ _ LAST REISSUE:
FLOOD PLAIN/
_ SENSITIVE LAND:
PHONE: _
APPROVALS REQUIRED
CONTRACTORI PLANNING: _
NAME: A� vi �� I C+ _ _l_ ►� C. ENGINEERING:
ADDRESS: U6,0 .2 ► FIRE DEPT
-(4 ja OTHER:
PHONE: _ - _((� ITEMS REQUIRED
z
`�Jlu'l ARCH/ENGINEERLIST/SUBCONTRACTORS:
BUS TAX: _
NAME: _ - CALCULATIONS:
ADDRESS: TRUSS DETAILS:
_ PARKING P:.AN:
LANDSCAPE PLAN: _
PHONE: _ OTHER: -'
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
OI (—Z 10-432 00 Building Permit Fees
�( y
61 G3 10-4.31 00 f lumbing Permit Fees /yy, ,. v
10-431 01 Mechanical Permit Feas 6/0-6ct �lv,
10-230 01 State Building Tax (5X) ,Zbr.-26 „2�•
Building /6i•.t,'
Plumbing 7.04,
Mech AV 3
10-433 00 Plans Check Fee3 /�)- --
Building --710
Plumbing _
MR c h 10 - 3� 30 443 00 Sewer Connection (20X)
&j� 30-202 00 Sewer Connection (80X) 1T— �-
30-444 00 Sewer Inspection _3
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) - y
31-450 00 Storm Drainage Syst rev Chrg (SEDC)
10-230 09 1RFD (95X)
10-435 00 TRFD (5X) --
10-230 06 Washington County Fire N1 (95X) _
10-435 00 Washington County Fire Nl (5X) -�
10-220 00,, Amart/Wedgewood / �
/ TOTAL � yL
REC N
APPLISba _ -
Received By 3
�� Date Received ��