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9720 SW DURHAM ROAD-2 9720 SW Durham Rd. — I u 3 O N rn I wrw w w w w w INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone/: 639-4175 Type of Inspection _ ) /�i'Z-`'�`' Date Requested ��/ �� _ Tim _ A.M. P.M. Address L3 ,/z Owner _ _ Lot r c BuilderThe following Building Code deficiencies are required to be corrected: Presented to Apprnved Inspector __.,.�—_--_---- __-- L Di-approved Date AOL— CAV. FOR REMSPECTION L ) YFS L1 NO or 11MAMM �, SEWER CUNNE(.`1'T1UI1 V1 E:R 111*T CITYOFTIGARD '\CITYOFTWARD PER1`11 ,3 w t<1)0—03 6 7 COMAUNITY DEVELOPMENT DEPARTMENT tt7 0 IDRIIII. PE"RI11T 13126 SW HWI Blvd. P.O.Box 23397,i,,qard,crow,n 9ZZ4 t6w),63(VA176 DA'T'E JSGLJED: 09/20/90 F-3 FT 1';". 0 L,D R E'-'S 3. . . : 0'--'i c 0 ;-.)W 1)(J R I-I I'l It 1) VIARCEL.- 261141'.4(4- q -INI 3(JBD1VJ`S1UN. . . .. .. Z(. NG: R-4.5 1 O'T'. . . . . . . . . . . . ,. I'ENnN r NAME.... LISA NO. . . . . . . . . . :4P38V F1 X'T U R I-E LJ III I'T S- - CLASS ('.)F WORK. . . -ODD DWI'*L L 1.N G tJ 11 J: (S J- - TYPE: OF USE:. . . . . NSI- NO. OF PL.11.1-DINGS.- I. TN S 1'0 1 1 T Y('E. . . . -BUSWR TI1PI::.'RV (;(JRVACF- - - ��enia-rks,,- connect existll-jq house to sewer, sert,ic tarik nio.tst be I:)t.tniI:)ed --.trid fa. 11ed-. all ii1sl3eetiovi of the filled tank. is -reqLti-red. Owl,le-("-, FEES 1:*RANK NELSON type aniol'(11t by date *r e u.p t. '4 7221 $3 W D LJ R H 0 M R1) PRMT $ 1500. 00 I*III S P $ 1,35. 00 GR 9*7224 1119C $ 3000. 1,10 - IN I-Irv. 0 1 PAYM $ 453 - 0 0 DCR 09/20/90 rent:-raeto. (I. ................. GAVIN PRATT GOVIM PROIJ E*XC0VA*T*T1qG SE RANCHO Gl*. 1-11(.A-1.3DORL) OR 97123----0000 1-11-1ov1v #.- 503-649---7*770 $ 4 5;35. 0H 7'0'1'A I. 0— - 33575 RE(MIRED INSPECTIONS This Applicant aareps to comply with all the rules and requIstiont, Sewer liisI:)eCtxo)1 of the Unified "Jiewayp Agency. The permit expires 120 days from $-.3ePt-ir: I'alik Fil]. the date issued. The total amount paid will be forfeited if the ...... ............................... pewit expires, The Agency does no', coirantee the accuracy of the ....... ............... side seer lat@rA'-s. If the Sewer is not located at the meisurement ...................... ............... given, the installer shall prospect 3 feet in all directions t-ov ........... the distance given. If not so located, the installer shall purchase ........ ........... .................. a "Top and Side Sewer" permit and the Agency will install a lateral. _ ,W.._,_„_.......... .,_,._......__...,__. ............................................ ................—, ........-_........._.............__..____»..._.__..- " *-*-- **................ 1.. 1;1.1-r e ............ ... .--............. ....... IssuedPyt ................................... .................. ........................ Call fo-t, j.11speetiori 639-4175 CITY or-.- 'TIGARD REC.L11 OV PAYMENT RECEIPT N 0. NAME ; NIELSEN, FRANJ- CI ECV AM01UNT ADDPES13 : 9720 SW DURHAM RD CASH AMOUNT PAYMENT DATE TIGARD, OR 9722-3-- W72)(1 SW OUPHAM RE-) PUPF'C)SE OF PAYMENT AMOUNT F,AID Pl.JrW:A-)9r OV PAYME'NT Atiouiq'r PAID SEWER USA GWR90-0367 StWl;.J-' INSPECT SWP C"HC.; A-lr-'U OF ASSESS TOTAL AMOUNT PAID 4535).Cio i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 A n Tigard, Oregon 97223 I`Y' Phone: 639-4175 r Type of Inspection J Date Requested_ o Time ` .._ A.M. -P.M. Address _ .� ~° iPa VIt#'11?a02 t 3 Owner _ !/ ••'' //_ Lot # Builder cy-' -- - c��{�� 75,4 -';2_ The f glowing Building Cale deficiencies are required to be corrected: Presented to _ — --� Approved Inspector '�� ❑ Disapproved Date CALL FOR REINSPECTION 0 YES ❑ NO