13030 SW WALNUT STREET-1 erJwOWIA*�i/I,I.NNar�w�«MIY6YYMA6�+A(f.!r7lill f�IfMMr. .. .c,.:HAdnty'.'aaa3�i+N:,.
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1:030 SW WALNUT STRPTIT
INSPECTION NOT1cr-
City of Tigard Building Dt>_par,[_"'*nt
13125 311 Nall Blvd. Tigard, Oregon 97223
Inspection Line (pec-O-Phones 639-4175 nuairuss Phone: 639-4171
Inspections____ --
Pouting
Plbg. Undarelab Mach. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out (Sas Line PINI
/
post./Daum Strutt. Framing -Bldg.�5�� •Z
Host/Ream Mech, Rain Drain
insulation ..Plumb.
Plbq. Underfloor Water. Lina Gyp. Bd.
-loch.
//_ �,1 Time: AM PM
Date Requea/l:edt —
'
t
Addruse I of,- lrmifit` /
Bu.'.lder:— _.
THE POI.I.OWINO CORRECTIONS ARE REQUIR202
Dar_et
PPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call For Reinep.
1 SEWER CONNECTIONCITYOF T11FARD
`
PE R 111 Y
COMMUNITY DEVELOPMENT DEPARTMgNT CRYOFII�4Rp r'ERNI'•r #. . . . , . . : 5WR91- 191
«Noon
13126 SN Hv t Blvd. P.O.Box 23397,Tipnd,Lkepon 9'1@29 476 DATE ISSUED: 10/2J/91
SITE AD,''/;iESS. . . : 130.30 ;:�W WALNUT ST PARCEL: 2SI04AC-01800
SUBDIVISION. . . . : ZONING: R-6
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
I f'ENANT• NAME. . . . . :
USA NO. . , . . . . . . . FIXTURE. UNI'rs. . .
CLASS OF WORK,. . . :ADD DWELLING Una I TS. . : 'l
TYPE 0F=' USE. . . . . ..SF NO. Or 14011.0INGS: 1
INSTA!_L TYPE. . . , :BUSWR IMPE;V SiURFAC;E. . : r s f
Remar:rs : Connect existinq SDF to sewer, ho+.rsH existid prior to 7--1-70. Septic_
tank MIASt: be primped and filled with gravel. Inspection of filled tank reqLiired.
i7wner: __._.__—_—__.___.______------ ___________. __..____._____ FEES
9 SHRAUGEP type ,amol_int b7l date recpt
1.3030 SW WALNUT ST F'RMT $ 300. 00 JLH 10/23/91 —
INSP $ 35. 00 JL.H 10/23/91 -
l'I CARD OR 9722:.3
Phone #:
Contractor:
OWNER
1-'hone #: 3 335, Q)0 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to -.,*ply with all the rulas and regulations Sewer Inspection
of the Unified Sewage Pyencv. .he permit expires 120 days from Septic Tank Fill -�
the date issued. The total amount paid will br `,rfeited if the
Permit expires. The Agency does int guarantee t'r: accuracy of theside sewer sewer laterals. If the sewer is not locatf i at the measurement
given, the installer shall prospect 3 fe;rt :n all directions from
the distance given. If not so locatWr,, the r•r,;•ller shall purchase — ^ —
a "Tap and Side Sewer" Permit and tie :l install a lateral.
wet mittPe Signatt.ire :
( sso-ted by .
iI r:or nspect Ion — 639-•4175
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! CITY OF T I CARD -- RECE:I PT OF PAYMENT PEC:E I PT NO. y 9 1.—21119 9 8
CHECK PIYOUNT 3:35. 00
NAME. n SHRAUGE. RCSEMAPY CASH AMOUNT 0. 00
AUDRESS e 13E130 SW WAL.NU'f PAYMENT DATE r IV.,/r_''3/91
TOARD, OR 972P3— SUBDIVISION
`
PURPOSE OF PAYMENT AMOUNT PA 11) Pl.IF1POSE: OF PAYMENT PMOUNT pull)
SEWER Uhol~ 300. 00 SEWER INSPECT ;�'�i• Q�Q�
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SEWER PERMIT
TM AL AMUUN-F°A I n _ _ y 335. 00
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8875 S.W. Beaverton-Hillsdale Hwy., Portland, OR 97225
(503) 297-4881
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