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14905 SW 74TH AVENUE ---- 14905 SW 74TH AVENUE y rt ;�,�J✓�4 INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested �` Time A.M. ` P.M. Address _� i _ _ �- ' Permit #A_ Owner 1P Lot # Builder The following Building Code deficiencies are required to be corrected: n --- -- JV Presented to Approved Inspector _ Disapproved Date CALL FOR REINSPECTION ❑ VES C7 NO IWN 4*'EER PERMIT 34093 Unified Sewerage Agency of WashingtonCounty CITY OF Tigard DATE 9-3-87 OWNER: Ernest Rivas PHONE : 620-2711 OWNER' S ADDRESS : 14905 SW 74th TYPE OF INSTALLATION, ❑ BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAP TYPE OF OCCUPANCY : ❑ NEW © EXISTING ❑ SINGLE FAMILY ❑ COMMERCIAL ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 ADDRE`="S OF STRUCTURE : 14905 SW 74th Ave . Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not locate..' at the measurement given, the installer shall prospect three feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit at the ,urrent charge and the Agency will install a lateral. FEES : PERMIT FEE 35 . 00 CONNECTION CHARr,E 1 , 100. 00 LINE TAP INSTALLATION _ S SUED E3 Y OTHER TOTAL ] , 1.35 . 00 � _ DATE OF I SSUANCT APPLICANT DATE OF EXPIRATION SERVER PERMIT ADDRESS OF STRUCTURE 14905 SW 74th TAX MAP 2S112A TAX LOT 1300 QUARTER 12 — --- SECTION ___ LOT BLOCK OF RCP PPROVED BY �A?' 9Z" SUED BY DAT�OFISSUA-NCE D . U . ' S 1 REMARKS 4" pipe regd . sevi t,--k it-, h(- :,::wn-d and f i ITe7a 7 anainapected by c LTV