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15985 SW 72ND AVENUE J ADDRESS : 702 Avgi4wk isVecordsVnicro(ImVargetswuilding.doc .. ._. .. f,..,.r M ...»......, cm flii�liil Jlill�l±Il IIIIOiIII t!II�IIII'llil IIII l{II ,Ili Ilii �lJl 1111 IIII IIII IIII illi IIII III li ' � � + � � � I � III Illlillllll,lllllllli�ll !`,Illlllllllllll IIII�I11111I►lllll�llll�ll!�iflllll{III IIII 11�"" �I!� I � ���i��� ��� I '.,. r! IBILITY STRIP p .� I I ` I I I IIII Iill IIII Illi IIII IIII IIIIIIIIIIIIII 4 10 I � IQmfn =I Cm 1 12 13 14 i Id 17 18 19 20 21 22 23 24 25 2I8 27 2I ! I �3 2 9 3 O Z I I 0 95 1 ..� �1.� . _ I_ I 1 OZ. 1 � oz r" 1 I 1 f . I -----T�-- „cam lu 4e Of CL 71 ��� ' ( r � i _ L 1� ` -f � �. �+..v„-....."......".•1�.+.w...A�..•r w•...wr•.r.,..+v.K+ww�.•rt / f Sq3 11.! Tr- 77 ,v C k='t ^{.'.1 L/ �i v / / V"c CITY OF T* D �j �' 1 � 11�i 11�.� 1 p AP'►rovod ........... . - r--y e rr �r. �., res�r,�,iibed i } j ....... ...........�.( �: SY - _ Dat©: or � fit• i�-�tR,� p,� of f ICE 1 TUA►AT Np�T10tiALL �PP,�O CD IS NOT A"N APPRnVAL OF APPROv�'t OF pt ANS C�a �jVEaS��HT� �. 0Ml,,st�NS L TIER 15985 SW 7_ E F.�IT .H U SE _. PGI of 1 .. .,.�.. __..._.. _. . r.. .....�..,.... .._ ._,.. .. . Cm fllI,'� i� l il� �� ,,l�llll IfII �IIII � �ll!►�i::llllillilil���lll�ll'►, Ua.roIi�k Mal Cm 2ll 3 2�,�f,4 u-InI 2ii f_522 .I�III�,.I►�..I il IIII �l2l�(9 i�►� II2II f 2IIIA li3ii°f; Ol4IO Id 17 IA I ® 20 ZI fE27IIII IIII1IIIILEGIBILITY STRIP o 2 3 lff f I1 12 13 14 ,,. _.�...._....___....... f 1 1 S) I I of HOW 9410ZI ITill 1111111d r � f ' 4 ADDRESS: 15195 M Ge74-Q J co r-� 0 W J i:\records\rnicrollm\largels\huilding.doc CITY CSF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM98-0024 DATE ISSUED: 01/28/98 PARCEL: 2SIllDC-00701 SITE ADDRESS. . . : 15985 SW 72ND AVE *J SUBDIVISION. . . . : FANNn CREEK TRACTS ZCTNING. I—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG -------------------------------------------------------------------------------------------- CLASS OF WORK. . :ALf GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : Q1 BACKFLOW P,REVNTRS. . : 0 OCCUPANCY GRP. . :M FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTtJRES---,------------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 5 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE ( ft ) . . . ; 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remar-ks : Plierr-e Amelotte TI — relocate fi>(t1_tt-es only Owner-: -------------------------------------------------------- FEES PACIFIC REALTY type amooAnt by date recpt 15115 SW SEQUOIA PKWY PRMT $ 45. 00 DRA 01/28/96 98-302854 PORTLAND OR 97224 _5 P C T $ 2'. 225 DRA 01 /28/98 98-302854 Phone DEAN WARREN PLUMBING ,3111 SE 13TH PORTLAND OR 97202 Phorte #: 236-4152 $ 47. 25 TOTAL Reg #. . : 000001 REQUIRED INSPECTIONS ------- This peroit is issued subject to the regulations contained in the Roo-tgh—in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other FILM/Under-floor --------------- applicable laws. All work will be done in accordance with Top-OlAt Insp approved plans. This persit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for sore —---------- than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-000I-90I0 through OAR 952-0001-0080. You say obtain copies of these rules or direct questions to OUNC by calling _J (503)246-!987. cc ------- LD s 1-i Pdy:- L_ �,�_ v-niPleittee Si gnat i-tre 7LI �Oe� .........................4....................................f-+++-'............V+ Call 639-4175 by 7:00 p. m. fnt- in i -,ispectian needed the next bi.t.3iness day ..........4-+4.....................................4.......4...................... I CITY OF TIGARD Plumbing Application RecoBy 13125 SW HALL BLVD. Commercial and Residential Date Recd U1 TIGARD, OR 97223 ^ale to a F - (503) 639-4171 Cate o CST Print or Type Related SWR a44-qt 9g ego i Incomplete or illegible applications will not be accepted Called[21z�9 8 Name of CevelopmenuProtect FIXTURES (individual) QTY PRICE AMT C iJab r niSink 9 oa f r. Address street addressswte Lavatory uDiShowerComo 900 l uD or 9 00 Si',7 s C-ly/Stale Zip shower tJniy 900 va Water Closet 9 00 rA-_r Dishwasher 9 00 Owner maning Address Swte Garoag,i Dlsoosal 9100 Washm I lilac nine I 00 l:dyrJlalC lip Phone Floar Crain 2' — - -- ail--b3ar_� goo Nagle. 3 9 uo J 2 jvl _LJO 4' 9.00 Occupant Mailing Andress Swte Water Heater — 900 /, I Laundry Room Tray 900 Q tstate Zip Phone Urinal 9.00 Name 011ier F xtures ISoeufyl 9.00 Contractor %taih9.00 ng Address / / / Suite 90 11 �j l iPnor io ssuance C�tyrStata Zitp Phone 900 aC:'icant must ) I ' 1 ✓`iC-_ 9.00 i Aftce 30 Oregon Const Cont. Boars L c s Exp.Date �— 9 Q0 ' cors license Plumbing Lac t _ Ex Date Sewer• 1st—736- information 90.0000 I ,or COT JT°usmess lax or t—feiro s Sewer•each additional 100' 1. Exp.Cate 25.00 databasei ! Water Service- 1st 100' 30.100 Name 1 later Service-each additional 200' 25 00 Architect Storm d Ram Cram- 1st loo3000 or Mautng Address Suite Storm A Rain Crain-each additional 100' 25 00 Mood!Home Space Engineer Ci estate oI Phone Cornmercat Baca='ow Prevention Cevice or Am- 25 JO Pollution Device Ces,:•:be worlt New >eddicn C -1;teration C Reca r C �1esiaenual Bacx"c.v D•evention evice'-Ary I 15 00 o ce:thee Residerbal C vdmres eenuai C I _ T— I rap or taste`ICI CanneCed t0 3-ixturo I 9 00 'Cel`anal distinction of,vont � I Catch 9asin 9�0 c i1 7/,A/(7 //4u`• mso.of Existing�umomg s_ �- 0 00 peohr i (In t s:rg-use of "TSperxady Requested inspections 4000 77dC:n9 pfooe or __ _ L �A tf ber.hr I r�1 � Rain Cram. singe`amily dwelling -' ' ccosed use of ! _30-10 � -, :uudirq or prooeny � Grease Tracs 9 c0 , m _ QUANTITY TOTAL I LL I ire .cu capping moving or replacing any fixtures' yes r No Isometri:x-,ser 2 a,rom y r"uKaQ f Cuan tv-stat f � 3 LIS __j it(yes see back of forret 'SUBTOTAL �!veoy acknowledge'hat:have read this appucatton,that:he.nfarrtaaon I 3iven-s correct that I am'Me owner if authonzed agent of-me owner and 5% SURCHARGE I a a 'hat Olans submitted are , =mvitance with Crt on State Laws. Sign to of DwnortAgant Data PLAN REVIEW 25!: OF SUBTOTAL i Mecum_nry r 11mm art 'Mat 7-9 �'' -/(7 TOTAL Contact Person Name P ons I 1 -1 7 iMinimum permit faa•s 525-5%surcharge except Residential I3s kAow I! Prevention Cevice.,unite is S1S• 5%surcnarge Costs'plmaro,cc N96 LEASE COMPLETE A$ APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced j Qty Sink Lavatory Tub or Tub/Shower Combination I Shower Only — l Water Closet Dishwasher Garbage Disposal — Washing Machine _ Floor Drain 2" I 3" 4" Water Heater _ Laundry Room Tray Urinal _ Cther Fixtures (Specify) l y _ I_ OMMENTS REGARDING ABOVE: Ci ---.- -------`- `_ F-- J J Accumulative Sewer Tally �-� Tenant Name: , P��P 0 // c� This SWR# / 6 Cr Address:. i 5 IFS75- This PLM#: r°�•r Ci - Z Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptist /Font 4 _ Bath Tub/Shower 4 _ -Jacuzzi/Whiripool 4 Car Wash- Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 _ Dishwasher-Commercial _ 4 -Domestic 2 _ Drinking Fountain 1 _ Eye Wash 1 Floor Drain/sink-2 inch 2 3 inch 5 -4 inch 6 -Car Wash Dm 6 Garbage Disposal 16 Domestic(to 3/4 HP) -_Commercial(to 5 HP) 32 W Industrial (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Staticin) 6 Rec.Vehicle Dump Station 16 Shower-Gang (Per Head_) 1 -Stall 2 Sink- Bar/Lavato!y _ 2 _ Bradley 5 Commercial 3 � Service _ 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor _ 6 Water Closet-Toilet 6 _ Urinal 6 N }� TOTALS M Total fixt,Ire values: �l�/ divided by 16= EDU h HISTORY PLM# EDU# `3 SWR# PLM# EDU# SWR# PLM# C' 003, EDU# SWR# W -ere5;- PL_M# _ EDU# SWR# _ EDU# lL SWR# Cfj-�- or Y� PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i ldsts%wrtaly doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: — A.M. P.M. MST: Location: _ BUR i -- Tenant: Suite: _ Bldg: MEC: Contractor Z/n• Phone: PLM: (hATter: ELC: 1LR: SIT: _ BUILDING BLDG(can't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace 'Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/1-otmd Dr Heat Pump Low Volt Approved Approved Approved Approved Appr/Sdwlk Not Approved1 )rovcd Not Approved Not Approved Not Apptovcd FINAL INAI, FINAL, FINAL FINAL O Call for reins 17 Rein tion fee of$_ _ uire�tfiore ext inspection O Unable to inspect Inspector: _ _� Ite / Page of _ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspeccttion Line: 639-4;75 Business Phone: 639-4171 Date Requested: — — T' / 0 X P.M. MST: Location: L BUP: Tenant: Suite: Bldg: 1�� -- Contractor: PLM: Omer: "L LPhone: ELC: ELR: jg� _ 1G+ C _�_ SIT: SiteHIJN BLDG econi) ��.P,�I�MB11V MECHANICAL F,LECT CAL SITE Site Post/Berm tlL3c�n� Post/Beam Cover/Service Sewer/Stone Footing Roof USlah Rough-In Ceiling Water Line Slab Framing 'IC o Out Gas Line Rough-In UG Sprinkler Foundation Insulation Hood/Duct Reconnect Vault B.smt Damp Drywall Fumace Temp Service M'LSC. Masonry Ceiling A/C UG Slab Shear/Sheath Fire Spklr/Aint Icknd Dr I feat Pump 10W Volt Approved Approve) Approved Approved Approved Appr/Sdw9k Not.Approved o ti Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL r O Call for rents on rl Rem q)C lion lir of S _ n faired hcliuc ncrl tttslxrlion n Inspector: `. tate 2 —� = f�C Par" „t CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection. r'1-fi Fooling Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Pest/Beam Mech. San. Sewer Gas Line -B(dg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. cvrz `) Date Requested: �� l�j CT Time: AM PM Address: 7 ✓rl Builder: Permit t' �3 THE FOLLOWING CORRECTIONS ARE. REQUIRED: 36 v c� r a r , r 17 ' ell �J (/1 Inspector: !' r �i4( cy F' /7'7' eT Date:. lG.= _APPROVED DISAPPROVEDAPPROVED SUBJECT TO ABQVEJ Call For Reinsp. / / LLEUIRiCHL PERM11 PERMIT #. ELC96­01452 ��TY OF T IGARD DATE ISSUED: 04/10/96 ICOMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2SIIIDC-00­01 S 11,Tj 3 1*-A.". ,W.,� J!g�rd,Pr"99,�72 ,td 3 171 SUBDIVISION. . . . : FANNO CREE-K' TRACTS 5 7,9 ING. 1-c' BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . ('roject Desct,iption: Installing ol.ttline lighting for a sign. ----RESIDE'4TIAL UNIT---- SRVC/FEEDERS----- -------MISCELLANEOUS------ 10VIO SF OR LESS. . . . 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5005F. C"01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : I L. I1vlITEI) ENERGY. . . . . wt 401. - GOO amp. . . . . . . : 0 SIGNAL/f-''(-)NI L. . . . . . . 0 MANF, HM/ SVC/Fl)fi. . : 0 60.1-1-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 0 V I CL/FEE-DE R----- CIRCUITS-­----­ -----ADD' L INSPECTIONS- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 400 afrp. . . . . . : 0 1st W10 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . 401 600 amp. . . . . . : o EA ADDIL SRNCH CIRC.- 0 IN PLANT. . . . . . . . . . . (301 1000 :imp. . . .. . : 0 ---------PLAN REVIEW SECTION---__.__.-.--__.__._-_.._-. 1000+ ECTION-­­-­---------­--- 1000+ amp/volt. . , . . : 121 ) =4 RES UNITS. . . . . . . . : )l 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 2.R15 AMPS— : CLASS AREA/SPEC OCC. Ot-inev,: FEES BALLOONS & BEARS type amoi-int by date I-ecpt J-15985 SW 72ND AVE PRMT $ 40. 00 El 04/10/96 96--2'77999 `PCT $ 2- 00 B 04/10/9G TIGARD OR 97224 Phone #: CONTRACTOR NOT ON FILE 42'. 00 1 OTAL REOUIRED INSPECTIONS Ceiling Cover Elect' l Sev-vi(---p Phone A:: Wall Covet- Elect' I Final Reg 2 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other flet, i, e t-e applicable laws. All work will be done in accordance with approvea plans. This permit will expire if work is not started I within 180 days of issuance, or if work is suspended for more -i—.. go_k&_V` than 180 days. Isco-ted By INSTALLATION ONL'I'------ The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: DAIL Ln ---------------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPIR. ELECIN: 1 DATE LICENSE NO. Call for inspection 639-4175 Community Development ( ELECTRICAL P9RMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 +0 / Permit # — Phone (503) 6394171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by .` TDD No. (503) 684-2772 Inspection (503) 639-4175 F Job Address: d 4. Complete Fee Schedule Below: Name of Development 5 Number of Inspections per permit allowed Andress 5 SW Service included. Items Cost(ea) Sum City/State/Zip1�,�i r'R 1 d ,�3 4a. Residential•per unit ^ 1000 aq It or less $11000 Name (or narne of business) Foch t erel f eq it or Portioonn thereof $2500 Commercial Residential❑ Limited Energy $2500 Each Manul'd Home or Modular ' Dwelling Service or Feeder $r1000 2a. Contractor installation only: 4l*.Services or Feeders ,M Inclallahun,alteration or relor:ahon J Electrical Contractor mf ��� ��! 200 amps or less $6000 Address-731110 Sy 201 amps to 400 amps $8000 401 amps to 600 amps $12000 2 City 'T ,r State Zip (4 ad2 801 amps to 1000 amps $180 00 Phone Over 1000 amps or volts $34000 Contractor's License No. Ta-—77L; CT 5 Reconnect only $5000 Contractor's Board Reg. No. 42 e a 4c.Temporary Services or Feeders Installation,aBeralion,or relocation Signature of Supr. Elec'n 200 amps or lase $5000201 License No. el �_�- P e N . -, F 201 amps to 400 amps 675 00 � — � 401 amps to 000 amps $10000 — " ,4 Over 600 amps 10 1000 volts 2b. For owner installations: �-y", /r see'b'above r�r2 011LCX-�'- 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address a)The lee for branch circuits wrfh city--- State Zip___ purchase of saryke or Aedter fee Each branch arcu4 $5 00 Phone No. b)The tee for branch circuits without The installation is being made on property I own which is purchase of earvlee or ilseder ae. 2 not intended for sale, lease or rent. EricFirs brad"arced $35 00 nch additional ipnal branch arcuit $5 00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): rach pump of irrigation circle $4000 I rich sign or outline lighting $40 Or, yv•Signal comud(s)or a limited energy Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Label*(to) $10000 _ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Pat Inspection $3500 h l'er hour $5500 ,.., In Plant $5500 —� Submit 2 sets of plans with application where any of the above ^— a apply. Not required for temporary construction services. 5. Fees: ��bb NOTICE So. Enter total of above fees $ I t) - 6%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account 8 $ Balance Due $ IQ -D rIIRIf.A1�MN�MC{1T I' r I I 1 11+I {,{Ir'1 rGl W I i IIuONI II'T. �I 1.1+tlrll' Ilr� ,{ II'I� { 'll . ,Inl 11'4 1 1'(I C U r 11 1141 '1 1!.I l U I 'I I I I'll I! I {I'II II i �I0 Pnll totr X71 it ELECTRICAL PERMIT L - CITY OF TIGARD DATE PERMIT I SSUED:C01/2 2/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 97223.8149 (503)839-4171 PARCEL- 2S 1 1 1 DC-007 11 SITE ADDRESS. . . : 15985 SW 72ND AVE SUBDIVISION. . . . : FANNO CREEK TRACTS ZONING: 1-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . Project Description: Install two branch citci-kits. --- RESIDENTIAL UNIT---- -TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SP OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 12'01 - 400 amp. . . . . . . : 0 1 GN/OUT I_I NE L TG. . : 0 LIMITED ENERGY. . . . . : 0 40J. - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM! SVC/FUR. . : 0 6014-amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0 -- - -SERVICE/F`EEDER----- -----_BRANCH CIRCUITS------- _-.__ADD' L INSPECTIONS-..__ 0 --• 2,00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPE:CTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. „ . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 ----_-_-------- --FLAN REVIEW 1100+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Own,-r-: ----------- ~- ----------------------•----------------- FEES --------- -----_. BOLLOONS & BEARStype amount by date r-ecpt 15985 SW 72ND AVE PRMT $ 40. 00 CJS 01/22.'/96 96--2751. 7 .1 JPCT $ 2. 00 CJS 01/22/96 96-275171 TIGARD OR 9722..E Phone #: 503-624-2327 PHOENIX. ELECTRIC CO E 42. 00 TOTAL PO BOX 1432 REQUIRED INSPECTIONS -- - TUALATIN OR 97062 Elect' 1 serrvice Phone #: L_* ect' I i inal Req #. . . This permit :s issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Si gnat ure applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 160 days of issuance, or if work is suspended for morethan 18@ days. Iss�Ied By INSTALLPTION The installation is being made on prope ty I own which is not intended for- sale, orsale, lease, or, rent. 4: OWNER' S 5I 6NAT URE: DATE: J ---------------------------CONTRACTOR TOR INSTAL LAf I DN ONLY-------•-_____________________ `' I SIGNATURE OF SUPR. ELEC' N: DATE: / c�- � L._ zLO _ U) __..._. -' LICENSE NO: Call for- inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # -,�Cc 4C -Oicy3 _ Date Issued Phone (503) 639-4171 CITY OF TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: I.gq-a3;-) 4. Complete Fee Schedule Below: Name of Development i.`ti A- lI C04r-t- Number of Inspections per permit allowed Address�,Sc1 F��_-S lam] '`tr�U AVS• Service included Items Cost(ea) Sum City/State/Zip_nh r}1 �0��p[�1p�._" (,3_ 4a. Residential -per unit 1000 sq. ft. or less $11000 ) Name (or name of businessrc� Q� �JL1 J�+� Each additional 500 sq it.or $25 00 portion thereof 1 Commercial Residential ❑ Limited Energy $2500 Erch Manurd Home or Modular Dwelling Service or Feeder $66 00 _ 2a. Contractor installation only: 4b. Services or Feeders Installation alteration,or relocation Electrical Contractor Q 200 amps or less $6000 z Address`]'� 201 amps to 400 amps $8000 2 Cit _ State ZI 401 amps to 600 amps $12000 2 City — p� 601 amps to 1000 amps $180 00 2 Phone _ over l000 amps or eons $340 00 2 Job NO. -3b."V-1`7— Reconnect only $5000 2 contractor's license NO. r 4c. 'temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr. Elec'n -- — — 200 amps or less License No. ql4lGl Miione No 201 amps to 400 amps $5000 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above . 4d. Branch Circuits Print Owner's Name_ Now,alteration or extension per pane Addressa)The fee for branch circuits with — - ZI purchase of service or Nfee. e. City State ` - - — p-- --- Each branch circuit $500 _ Phone No. _ hl The fee for branch circuits without The installaUrin is being made on property I own which—IS purchase of service or feeder fee. J� First branch circuit I $3500 not intended for a lease or rent. Each additional branch circuit $5 0" Owner's Signature_ 4e Misceilaineous 1Service or feeder not Included) 3. Plan Review sectiot (if required): E. .h hump n Irrigation circle $4000 Eacr kn ,oulllne lighting $4000 Signal circull(s)or a limited energy Please check appropriate Itr m and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units In one structure Minor Labels(10) $100 00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above Chapter 5 Per Inspection $35 00 as described in N.E.C. Cha p Per hour _ $55 00 In Planl i E,5 on ----- Submit 2 sets of plans with application where any of the above — apply. Not required for temporary construction services. 5. Fees: 0 O_ 5a Enter total of above fees NOTICE 5% Surcharge (05 X total hues) $ . PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 2F%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDO`IED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMFNCED. Acnme..r a 0 Trust Account # Palance Due $ i �_ J .� [,] iil V I I I .1 111`11 II IY+I l 1'I 1 1 I l �+�i U V_?'�� rya�b /� w 4`-✓\/V J.���"�,�/ N Kwv�' Y .yo�/tA �k-n .,,y'X .p��r�..r'"�G 1p'+... ,�.�,+.��',•"� •..,,,, -G• �S a'+..cT�,�c..r'�''..� �7.sn. ,.,,c. -y�'I4 mac..'u" �'a._M�rj�3•�. -kv: �� ��' 'AIp� ,�IM'y~���� 1'��s,A/' �'"��, +1pq� SMI► s�� _ ��, 1� ,.`��� �� :! ( { 1 ti 1 11 .,111 Jti 1 1 1 1 1 <�R 1 _ iI 15+— 4.. '!t 11'^ Z° 4 w!N – .�Mr J •`Sa__. ...f `� lR�y1 N fV 0 r- 0 Cc LD ate. y�.� I •f��t �i a 1 ktj w o 4-J tbA +. cQ tko tv O 41 v + �✓ � _ y�j1r3J QJ 7 .Q O G x O r-A 00 f / 41 b ' jT UN rj to l a 44 Ln U 0) air CL4 XX v bo to sl ( � A OJ a 4+ tj � m U -49 �4 � , Ci Ell LL ;FY� �� man rs�etivdasnnnnsssons,maoun— – �w� }tt� l o Am rti T.1'. g"'' +^i� �i' �. w..t ti.�?YA., • �yq►���� �,saL �"d,g�!'p+ €�,��• `.^d! �,1,, �� e�`��• a ,,,.�,�3+r� � r f. � ten. INSPECTION NOTICE l /. City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — _/_-_ -27 --- --- Date -Date Requested ��' Time- A.M. _P.M. Address ___._J /-GL=CL -- Permit Owner_ L.t L _� Lot # Builder �— (/ -- The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector -_ Disapproved Date - -- CALL FOR REINSPECTION ❑ YES ❑ NO CITYOF TIGARD �MRD PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK N l - 13125 SW Nan Blvd_P.O.Box 23397.Tigard•ORgon 97223,(SM)639-4175 PERMIT H 16 J(:; "'O DAATE ISSUED JOB ADDRESS: Its���{ ���� ]7 . � __ TAX MAP/LOT SUB: LOT: LAND USE: VALUATION: J _ OWNER `` SPECIAL NOTES NAME: : �, `1 ��' REISSUE OF: ADDRESS: LAST REISSUE: �— FL000 PLAIN/ SENSITIVE LAND: PHONE: / / APPROVALS REQUIRED CONTRACTOR / L(t2 1 L' Com. ` !(G y�tGtce Jr� -CA-C c.��� PLANNING: _ NAME: ` ENGINEERING: ADDRESS: FIRE DEPT OTNER: PHONE: ITEMS REQUIRED BUILDERS BOARD N: _ EXP DATE: LIST/SUBCONTRACTORS: _ BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAIL.S: _ ADDRESS: 4¢• , _.2 ,�J ��.-l���llS 1 t v OTHER: _ PHONE• r%,;Z, COMML.NTS: K�1I�� �C11xt -- �7 (kk1YK')I 1AC211 777, SUBCONTRACTORS: PLUMB: _ MECH: _ PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL.. DUE _ 10-432 00 Building Permit Fees �• � Q 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building Tax (5%) Building _ Plumbing Mech _ 10-433 00 Plans Check Fee Building N Plumbing y Mech �- 30-202 00 Sewer Connection -� 30--444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) LO 52-449 00 Parks System Dev Charge (PDC) w — _ -� 31-450 00 Storm Drainage Syst Dev ChM (SSDC) 10--2.30 06 Fire � .0 UC TOTAL REC N cnNr sTGNATURE Received Dy: �� / ___ Date Received: cn/3587P/18P --T* "— CITYCITAYOF TWAO RD COMMUNITY DEVELOPMENT DEPARTMENT P'TM #.. . . . . : BUP90-0025 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)839-4175 IM. P T #. : BUP90-002 5 D1Vg--� - - — ITE ADDRESS. . . : 15985 SW 72ND AVE PARCEL: 2S112DC-00701 UBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-P LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :38 -------------------------------------------------------- ----------------- EISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- LASS OF WORK. :ALT FIRST. . . . :1300 of N: S: E: W: YPE OF USE. . . :COM SECOND. . . : of PROTECT OPENINGS?---------- YPE OF CONST. :5N THIRD. . . . : of N: S: E: W: CUPANCY GRP. :B2 TOTAL------:1300 of ROOF CONST: FIRE RET?: CUPANCY LOAD:13 BASEMENT. : sf AREA SEP. RATED: TOR. :? HT. :14 ft GARAGE. . . : of OCCU SEP. RATED: SMT?:N MEZZ?:N REQD SETBACKS--------- REQUIRED------------------- LOOR LOAD. . . . :50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :N WELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y EDRMS: BATHS: IMP SURFACE: PRO CORRIN PARKING: Remarks: Add interior stub o, 11 and soffit. Owner: ----------------------------------- ---------- ---- FEES -------------- PROJECT MANAGEMENT type amM by date recpt 853 SW SCHOLLS FERRY RD PRMT $ 17.50 PLCK $ 11.38 RTLAND OR 97223 FIRE $ 7.00 hone #: 292-1991 5PCT $ 0.88 PAYM $ 18.38 JLH 01/17/90 106929 ontractor.: ------------------------------ PAYM $ 18.38 JLH 01/24/90 rONTRACTOR NOT ON FILE Ii I ------------------------------------ hone #: $ 36.76 TOTAL Reg #. . . ------- REQUIRED INSPECTIONS ------- his permit is issued subject to the regulations contained in the Framing Insp irigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Inep applicable laws. All work will be done in accordance with Gyp Board Insp approved plane. This permit will expire if work is not started Susp Ceiing Inap within 180 days of iseua ce, or if work is suspended for more Final Inspection than 180 days. z e-mittee Signature: asued By: --- LD w J Call for inspection - 639-4175 G, INSPECTION NOTICE ICity of Tigard Building Department P.O. Box 23397 Tigard, Oregon 972.23 Phone: 639-4175 Type of Inspection — Date Requested n Time__d` A.M. P.M. Address Owner. —e _ Lot # Buiider <° Ct jj U--'� ,-- The following Building Code deficiencies are required to be corrected: Presented to 114 --_-- XApproved Inspector _ Disapproved Date —;�' 2 5— •�— CALL FOR REINSPECTION U YES ONO TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2536 January 24, 1990 Project Management Group 3853 S.W. Scholls Ferry Rd. nortland, Oregon 97221. Re: Kwik Kopy 15985 S.W. 72nd Tigard, Oregon Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1985 editions of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations. Plans are conditionally approved subject to the following items. 1. Mechanicaj Plans Required: Plans referred to and examined by this office contained no plans for heating or air conditioning systems. Unless electric baseboard heat is employed, complete mechanical. system plans for. the HVAC equipment and duct work mist be submitted to and approved by this office prior to installation. UBC Sec. 302 2. Mechanical Equipment Approval :_ All heat producing and electrical equipment and appliances installed in conjunction with the construction or occupancy of this project must be approved by Underwriters Laboratories, Inc. or other nationally recognized testing agency and installed in accordance with the testing agency's a specifications. UMC Sec. 502 A Note: Where flammable or combustible liquids are used, six air changes per hour are required. As most .J. copy shops with offset printers use flammable and combustible liquids for solvents, this would be required. If flammable or combustLble liquids are not. -' present, then normal air changes per hour will only be needed. 3. Fire Extinguisher Requirements: Not less than one (1) approved fire extinguisher(s)' with rating of not less than 2A1013:C shall be provided for each 3,000 square feet of floor area or fraction thereof. The travel Smoke Detectors Save Lives r Project Management Group January 23, 1990 Page 2 distance to an extinguisher from any portion .-f the building shall not exceed 75 feet. UFC Standard 10-1 4. Automatic Sprinkler Plans: Plans referred to and examined by this office contain no provisions for the alteration or installation of automatic sprinkler System. Not less than three sets of plans for the installation shall be submitted to this office for approval prior to installation. UBC 302(b) 5. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all phases of construction and must be made available to building and fire inspectors for reference during required construction inspections. UBC Sec. 303 6. Required Occupancy Certificate: Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the building department issuing the construction permit. UBC Sec. 307 SPECIAL NO'T'ICE: DEVIATIONS FROM THE SUBMI.TTED AND HEREBY CONDITT.ONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITFD WITHOUT THE WRITTEN AUTHORIZATION OF THE BUILDING DEPARTMENT ISSUING THE CONSTRUCTION PERMIT AND THIS OFFICE. APPROVAL, OF SUBMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON- COMPLTANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL. GOVERNMENT. If I can be of any further assistance to you, please feel free to contact me at 526-2502. J Sincerely, Gene Birchi.11. ,/ Deputy Fire Marshsl_ GB:kw cc: Tigard Building Department ✓ Pactrust IN VTUALATIN VALLEY FIRE & RESCUE Q AND (� BEA_VERTON FIRE_DEPARTMENT FIRE MARSHALS OFFICE (503) 526-2469 POSTED: F�RE`G J OCCUPANT CONTRACTOR BLDG. PERMIT It PROJECT NAME PIAN REVIEW It LOCATION JURISDICTION: 1= Be. 2= Du, 3= K.C.C4 4= Tu. 6= Sh. 7= Wi.. R= CC 9= WC 0= MC COVER C;� SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing C Separation Walls u Sprinkler System r� Shaft r-I Fire Dampers (Overhead/Underground) u Alarm System ❑ Hood' Extng Systems El Conference Spray Booth El Ceiling Cover � Other It/o-f ;y s(1eG li a-Yvj 7 -,oK ce,--dt - Je. 0 L x -17 rV yU )'s f, ew r un - )-z-)o v l u t a-,y G-y tJ GEyLOO 9-7U i 49,yr CabUlDUI `I _ Date: �t` Inspector: (�) Permit No. SP 89-162 CITY OF TIGARD SIGN PEF4'11T APPLICATION The applicant hereby )plies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN 10CATION ADDRESS: k598a SW 72nd Ave ZONiNG: I-P NAME OF BUSINESS: _ Kwik-Kopy Printing AppLICANr/AGFNP: _Greg Williams ODMPANY: Beaverton Neon PI-ivNE: 649-1544 The City of tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current business tax? YES ( X) NO ( ) U.L. label I AL 770806 PROPO:,i�D SIGN: (Check as many as apply) PERMANENT' ( X) FREESTANDING ( ) FREEAiAY ( ) TEMPORARY ( ) WALL (X ) ELECTRONIC ( ) CMMZ ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 18" x 15} IPIRATION DATE: MTAL SIQq AREA (Sq. Ft.) : 23 sq. ft. _ -- N/A WALL AREA (Sq. Ft.) : 550 sq. ft. _ WALL FACE: NE EiEIGHT (Ft) : PROJEJ TION FROM WALL: 5 11 ILLUMINATION: YES ( X ) NO ( ) TYPE: Back Lit Neon copy: Kwik-KoDv Printing �_— -- MATERIALS: Metal and 9 xiglass transformers, neon & U.L. Harware EXISTING SIGNS: ane (preV_i__4u0-_a_J remQyed) _ ADMINISl'RATIVF, EXC111TI0N: N/A ( ) APPROVED ( ) HOW MUCH.----_—a ARF�1 ( ) marr ( ) ODNllKENIS: — —--- - - - PLANNING DEPARIMFNT Al sign permits must be accompanied by a scale Permit Fee: $.10.00 drawing and pl,)t plan. If work authorized under Receipt No: 106509 a sign permit has not been completed within ninety l iproved By: KL days after the nuance of the permit, the permit Date: 12-13-89 f� shall become nn.U and void. E[JUrRICAL P TI CE1ZI THAT T711r, RDCORDED OWNER OF WE P13XJIRED: YFS 1") NO ( ) PROP P,(7R,AN � AUI11ORIZED BY THE OWNER. BUTT-DING PE MIT \ � _ � - RJVJTRFI): YES ( ) NO ( App ica 's Signature 18275 SW Broad Oak Blvd. Aloha OR 97007 649-1544 cp/BKMPERMr Address Telephone N:\WORD\COM)E•V\ a Permit No. SP 89-29 CITY OI� IIGARD SIGN P[ RMI-I APPLICATION The applicant hereby applies for a permit for the work indicated or, as shown in the accompanying plans and specifications . SIGN LOCATION ADDRESS: 15985 SW 72nd Ave., Tigard, OR 97224 ZONING: _ _ I—P _ NAME OF BUSINI=SS: Uniglobe Travel APPLICANT/AGENT: Greg Williams __ COMPANY: Beaverton Neon PHONE: _ 649-1544 The City of Tigard imposes an annual Business Tax which must be kept current on all persons doinI business in the City. Do you presently have a current Business Tax? Yes ## PROPOSED SIGN: (Check as many as apply) PERMANENT ( Y.) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL ( X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMEN';ONS: 16" x 12' 1" _ EXPIRATION DATE: TOTAL SIGN Ak`A (Sq. Ft. ) : 7 sq. ft. WALL AREA (Sq. Ft. ) : _=fox. 550 sq. ft. WALL FACE: _ N.E. HEIGHT (ft_): NIA PROJECTION I-ROM WALT_: _ 5" ILLUMINATION: YES ( X) NO ( ) TYPE: _ COPY: UNIGLOBE TRAVEL MATERIALS: Metal_ and plexiglass, neon, transformers & U.L. Hardware LXISTING SIGNS: To be removed upon placement of new signage ADMINISTRATIVE EXCEP-f ION: APPROVED [ ] N/A [X] ARFA ( ] HEIGHT [. ] HOW MUCH_ _ % COMMENTS: PLANNING DEPARTMENT All sign permits must be accompanied by a scale drawing Permit Fee: 10.00 and plot plan. If work authorized under a sign permit Receipt No 102.732 _ has riot been completed within ninety days after- the _ Approved By__DS- issuance of the permit, the permit shall becomr null Date: rnd void. ELECTRICAL PE.RMIT I CERT TH�1\i E RECORDED OWNER OF THE PROPERIY REQUIRED: YES ( X ) No ( ) UR AN AU,T IZED BY THE OWNER. J � BUILDING PERMII REQUIRED: YES ( ) NO ( X ) Ar,r,t ic,Ar is Signature Add r-ass Te It,phone 3722P O _l hJ F� �. —.� 2 0 p W ., O H J LL V H O CL 0- WLin m GREG WILLIAMS Owner 16275 S.W. BROADOAK BLVD. ' ALOHA, OR 97007 649-1544 uuIGIOISE`TGtpuEL Mount wall / s S Location CA RMA P C ELITE R IGARD OR, -- — Designer T.R, Jones Date o2-/ot/99 ti67iuc. sb --ExisTi►-)G a6N PrupotFd SyU.s - -> o I Sr iG1G 11 ; � 'L,� �J�3 'h �_. i0� fi i4 /Ja aTweiZ- SiNS _ 1.y, vG:? GYIi';IGtg �4 �3 , IC 's — ct IF O - — NORTHEAST ELEVATION APPROVED FOR CONSTRUCTION o p CITY OF TIGARD 1 ci'(E ADDRE S. �,PS' I'I L - � C `C ,17 ,AS-' ELEVAT ION 2 - 9•i.(. pj T / L � L- i CITY C-Ir TIOARD RECEIFI (.W F"AYMENT H C NO: 00 102 77;2 CHECf:: AMOUNT t 10. 00 N6 M E- br-EAVERTON NF (3N CAbH AMOUNT x . 00 A Q b K E S�'S. .1 S27Y5 ',-3W LfROAD OAV" PUID PAYMENT DATE q f.),:: A--8 pEAl'EFt roti, OR 770o*7 BLOCI Nf),/,IDDRt OF' FAYMPIT AMOUNT FAI D PURPOSE OF F"AYMKINI'T AMijl.jl,4*r F,iaj[j PEPMil' FEr.'S 10.00 ttl,y'H5 EV(1) 71-11,C) AVE. 10TAI. AMOUNT P'Oltl 10. 00 �xiGTi�,c. Sr b�) 4, f> A 5i — Fxl$TIIJG r h'N Prop i rr, C (!7 G+1(c�"n} G'0!-'.?,L�1 � .. - (�� �� 17 �� 11 t �► `(� Op y�p Op -xio y - yr,. I 1 ' � G;� 1. 7717 jr I L - - A- E- Ct ATMOVED, r NORTHEAST ELEVATION _ ctry o . TIGAR1 Tntt,•�jg.. �LA1�1►�� E CD , T EAST ELEVA % ON ,2 LI 14 J Jai/✓.'�' ��+!�,pl7T r�...G1ri ��. 17° --- -- _� IE .-A--JF :7 C_ �- - _: C - P+Z- -=--77 7-4- Pio to os e d . C.►iAW Nt L. IiurERVAC QT' SIrNS, CARMAN CENTER T14Av,(0 , OQ SCALE owNeR:PAC TRUST 1 2 3 sl&N CoN RAcT-OR %CAVERTob3 NedN owher; C.-iter' wILLI ALCM�SZ75 CM-13�ookk blU3. QtiooToo , as � left. 6%ts '°s-6�4-1544 r}��3 Sr9 90U-C H EAST EUP-VAT ION 1 _j n fj_ �G ��•L :'�Z _ — � war LW - '� •, - � h rs1', ; r .s-�-� �S`I• r 2- ti RECEIPT OF PHYPIENT RPC NO- ;?01F16506 CHECK AMOUNT ().00 c A.-44 I-MOUNT r .Oil P(MENT PHTU-, I *-,1 7-99 BLAI. 140,'ADDRi r010 PURPOSE Of PAYMENT AMnL)N r ui i o CO LD 00 0 t4t Jul I o L7 P4 ELF l) V ' r I Z OY o Q0� I J I ZOan N Z 0 a p Q•mO� '� � 1-1 t� Q M I 1 > 3.<,A 0� �_ LLA Ln C14 C) N Z fi r r CIO Ln V � LL) J ' o i s t t L" u