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11265 SW VIEWMOUNT COURT 11265 SW VIEWMOfJNT COURT N a) E O S E O 4J a, N 3 � illi m ; E O r-1 O L.) C3 N�1 p� V4' -0 FI x � a - - - � cl H liar cn o tr1 :s - Ln 114 I City of Tigard � INSPECTION REQUEST for I INSPECTION TIME : PERMIT NO. ' .- ---- DATE '. /-2- O. ' ._ _—__DATE '. '-2. /? / ,;'1 DATE ISSUED'___L-_L__ O W N E R S NAME * — tet/. -- I �___J-.__. IADDRESS . i/�Co , �%✓ r/��k..tcl�. .L7 I CONTRACTOR :—.--------- TEST . ONTRACTOR :—.— -- ----TEST . A r �7, Water [I , Vislta , La'- ,ratory n RESULT: Approvers Disapproved J Pending 0 ^SKETCH'. i INSPECTOR C,ATE 'ach ;upplemental fest data heret:01 A City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : - DATE: DATE ISSUED:.._Z L- OWNERS NAME . A5DRESS : iia I CONTRACTOR :-_.----- -- ( 'FEST. A r J, Water J , Visual M , La'' .tat•)ry Et RESULT. A,.;:)rove , Disar)proved 1 Pending C7 SKETCH: - -' I I i ' INSPECTOR DATE � ICNOTF : Attach supplemental tent data hereto 1 � W WLWjj! ll!F XWLW City of Tigard INSPECTION REQUEST f o r NSPECTION PERM!'V NO. — DATE . Ly- DATE ISSUED'- OWNERS NAME : . A D D R E S S C N I f�A C T fj R : TES] -J, Water Lo RESULT ' Approved [I Discpprove n d in g SKETCH: zel 2-L INSPECTOR DATE 5DIT ' Aftoch SUpplemenfol test Jura h@ret 01 w lux wl qF city of T i gord INSPECTION REQUEST for INSPECTION TIME : JL-�, 'y PERMIT NO. . . — DATE . ..'n//Z/.�3 DATE ISSUED—!-1— OWNERS NAME : ADDRESS * C,)N T R A C T O R :_ _- _-------__.___ ----- 1'ES1 t �� , wfiter !�., ��i�„� �n RESULT ' Approve �, GiscpproveO � — __..nding J SKETCH: INSPECTOR DATE [NOTE: Attach supplemental test .: u+a heretol Iw � ifs 11lf t � f l amity of Tigard INSPECTION REQUEST I for °NSPECTION TIME. PERMIT NC. .' .--- DATE : C. .' .— -DATE : DATE ISSUED :! OWNERSNAME : II NAME : A n D R E S S: ,ClN rRAr�TOR ; EST v ierp , '.abc�t') r I RESUL" ioved L;! uppro-,ad G tvidi'lc; SKETCH: I I I I I i INSPECTOR DATE I [NOTE : Attocn suppiemental test auto bereto� 1 rw City of Ti g a rd INSPECTiON REQUEST for iNSPECTION TIME : /2,'0C) PERMIT NO. -- DATE.- 1 "1;,' 73 ')ATF ISSUED'___L_Y_ OWNERS NAME ADDRESS : C,)N1 RA OTC) La - rr:4 17 TESJ _j , Wflier L . �g . RESULT SKETCH: ki �N_SkCTOR DATE 0 E:NOTE Attach supplemental fent : utrl nerell i 2 UNIFIED SEWERAGE AGENCY NO__ __.4881 _ WASHINGTON COUNTY DATE ._-_-_1- F CITY OF J` APPLICATION FOR SEWER CONNECTION PERMIT � OWNER: -- �oZ. L,1/V"7 i /-��yS�t►h -- �� �r'f�� OWNER'S ADDRESS: _ 7 LE STREET _ CITY STATE — ZIP — - BUILDING SITE: LOT__9;--3 __ BLOCK ___-___ _____ ADDITION1/tf—wMOonor .` TAX LOT NO. _ TYPE OF OCCUPANCY S1 put, IT FhM+IL_� ADDRESS ____�12406 5,w J//&VwMOV!6•_% CO E--r DWELLING UNITS_____. FIXTURE UNITS SURCHARGE IF APPLICABLE dr PERMIT FEE _qO INSPECTION FEE -- EE TOTAL DEPOSITED 5 �. S. +A (NEW) (EXISTING) l,UILDING SEWER SYSTEM _�.1___— T6�'4'2� The Applicant agrees to comply with all rules and re ions of the nified Sewerage Agency. APPLICANT SEW R PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. Q of LINE SIZE .--------_--- INSTALLER __.- ---_--._-._-_-- -- --.--- RECEIVED BY__64r__0e�7l b 1411 IAOENCV OR ITS AOEN71 COMMENTS: - This Applicati, and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. wwtl lilQlll§I? "A" CITY Cl/ 1110W 1wildentlal Structure Occulwncy Restriction KNUW ALL K.N BY THZU PRli;iVM, That occupancy of reAdentlal :trueture (n) or, the foll.oving dencrit)ed lands prior to the recording f of an occupancy yeruit releasing the restriction In the Dee.. Records of tanhington ^aunty, Oregon, in prohibited by the ordinance of the City of TAMm, Ore®un: DMSCRIYTION Ur i'RUI'utTY: 7,0,K c.o 7- 3 SC X-) AD OF IHOULTrY: /2� 'S , .v �4,/VjOVh+II L�ultf �fAN." lF 4w•'": 61C)L c+MHlfl Civ tjT01 1J1']ME tF UM21: LLti21 e-13 iw TILZMAL,L Z^t. Gyf�w,l60 IM WITMM-, ''-IUjEeu', t,ie undersigned hL :aui,ed .hi,, restriction to be executed thl.. day of ' OWtfP:H Maas Al MVED: f T.tle By: bulldlnf. (;icial C.ty of T14prd VATE Of OtW)ON ) ,s. County of ira,hingtcxi ) 4f , 19 — Personally etswtally -kpireatred refora me the above naarrd &/ r _ and &-Anovled`ed the faro oing 1nC.t.lvaent to be volu: ary act and dood. r✓ IoYfOregon ' � ! My Ccwn'seion taalree: d )ll c � 1820 14JQ1IPIT "A" CITY MJF TIOARD Revidentlal 5tructurr: Occupancy Rer.triction K14OW ALL KJ1 BY 'flIl'SE iNE,FR'i';, That occupancy of residential r.tructure (s) on the folloving described lands prior to the recoitling of an occupancy permit releasing the restriction in the Deems Reeordu of Wn:.hington County, Oration, In prohibited by the ordinance of the City of TiMmi, Oregon: D1r4CRIPTION OF PROPERTY: 7A9 L07- 3500 5 e ADDRIZO OF PR01 ERI Y, NA& OF Uu`m• L�(a✓M��IH Cis STOi�y /�r1ME 5 ADDUij OF UWNKH: j M i IQ F E'CSp v T 1iZi &,�L�� 0%9-06 o IN WIT*.,Z u7[I:RLUF, the undersigned ha., caused thus restriction +.o be executed thi /��_ Uy of OWNER: J Name APPROVED: l: T.tle Building U clew rq�1r rw+d_.._.............. w-+a City of Tigard tll T►1 UMMM.P"«+°+ �/�(�•rb P•� 13TATIK OF OR=1 ) s a. 7 ©Owlty Of '.b;hington Pernonal-� -tjgAared before to the above named and a:knwledge,1 the for%%t tng 1...n.+..sttLLruiii444��4sttrit--- to be �yL volw..ary act and need. 1Wtary Fusion tuf rOregon es My Comtasion moires:: ?J 045 O I J Vim_ �4A � gg 5 I � .erg i I ' CT1'Y OF '1"1riJllEl19, �Oran= clrrmit Tsqued �' .1a9 1� _ 14,rmft No•--�3=�� I Gyty»all Afplication Approved Building Depart ent G,st of I96tailatiaasy __, Poe for Penal Applicant shall fill in cost of inFtallation only, 10 � - Date _ _ above this double line. street Sewer Pwndt_.—_.— Application is hereby made to �jld, hingPipes or Fixtures according to pinns and specifications and scrip/bonus`given belofw: Location of building-Number and Bloch - -----_- Addition— ___-----_-- - ----•------ Name and Address of Ownet�+_11'E -- - 9 Name and Address of Plumber _._ Po, Building (Old or Newl. �"�4�-_- —_ Heigh! in Stories---.------ - .- Occuple�d aa.- --�--- .�- i SCHEDULE OF WORK NUMBER �_ NUmBEQ FUnVRES f New I move Wpl'ee FI7`TURES _ I New^j Me" "P41111 Water Closets _ _ Fountains, Drinking--- Rath Shower._ +4 _ -- Fountains, Yard — Bath Tub_ _- Fountains, Sods -- Basins __._� __ f_- Not Water Tank...-..-- Sinks, ank_.._..--Sinks, O*di I t Sinks, Bar Sinks, Dishwashing _ _ _I—_--_ Sinks, 310 _- Automatic Dishwasher-d Drains,. a rigerT stor__�. Laundry Trays __I_ Drains, Ice Box_- Drains, - _ -- Drains, i:loor_ _�� ___�.____ VTrinsls Drains, Area—.--__'-_ ql� Catch-Basins, Yard Rain Drains— (' 1 Catch-Basins, Garage . Catch•Basins, Sub o — Automatic Washer_ ___•____ I,__ _ Water Pemit No. _ ______ -_ Bldg. Permit No. _ REMARKS: ^ O IMPORTANTI--Plumbinq shall not be Instalted In any building, (either new, altered,or repaired), except as shown or designated on the corresponding building plans as filed with, or required by, *he Building Department in accordance with the provisions of the Building Code and Ordlnnnce 61.14 of the City of Tigard. rF;, the plumbing syglem according to this descrirtion, plan�and specific ions and he Plumbing Code of the 1 agree to install l Clt� Tigard. J Plumbing Firm_ --- - - - —- - --- Supervisor