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11231 SW 95th Ave.
W WNWK
% CEkTIF'ICA'TE:: OF
CITYOFTIFARD OCCUPANCY
COMMUNITY DEVELOPMENT D CTIYOFTIGARD PERMIT M. . . . . . . : HUP882489
T \ OREGON PRIM. PERMIT 10. r 88c 48'�
13125 SW Hall Blvd. F.O.60x 23397,Tigard,Or �
aeon 97M(603)839-4175
DATE ISSUED% 06112f90
SITE ADDRESS-1 11231 SW 95TH AVE PARCVL r I S 1 35L A
SUBDIVISION. . . . a GLARNART ACRES; 7-ONiN(;e R- 12
BLOCKe . . . . . . . . . e LOl.. . . . . . . . . . . . . 15
CLASS OF WORK,. aNEW
TYPE OF USE:. . . a SF
OCCUPANCY ORP. eR3
OCCUPANCY LOADv
l
TENAW NF IE. . . e
kr,matrIf,e r
Ownrer e
DAN E ANDERSON
9363 SW BEAVEkTON•-HILL►DALE
N NWY.
HE::AVE:RTON OR 00000 -0000
Phone 441 001)--000--0000
Contractors
D. E. ANDERSON INC
7 363 SW BEAVE:RTON HIGHWAY
BE:AVERTON OR 9:005
Phoney Me 297-7666
Reay #. . o 46:344
Occupancy of the abovra referevicw(i building is hereby qiven, and certifies
the compliance with the 'State Ut Ot-p-gon 1-3perria) ty Cadem for the group,
oct upanry, and une tinder which the i-eafvii-e nceerd permit was t%lued.
FIRE. DEPARTMENT ILDINO INSP -CTOR
BUILQ 0 OF'F1CIAL
POST IN CONSPIICUOUS PLACE:
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INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �!!! �
Date Requested_ _-�r ime A.M.
Address Permit # u
Owner Lot #_,
Builder _-- ZC—'
The following Building Code deficiencies are required to be corrected:
1�1 1C _ j i0ME;f ''T;M y "r'tt Lvt C��.L1t7, O CC,J #4 el
IF
Presented to _ t�I Approved
Inspector _ LJ Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
I
INSPECTION NOTICE
ty of Tigard Building Department
P.O. Box 23397
s,'C'JW Tigard, Oregon 97223
Phone: 6394175
Type of Inspection4-0
Date Requestedl_ Time A.M.. P.M.
4
Address lam_3f _ � '� Permit # �-_
Owner —_ Lot #_
BuilderThe following Building Code deficiencies are required to be corrected:
�J
Al �,/GT �Lv Tc.LLi'PC7i',�IZ C S c:_J i�A�Cv
i
Presented to ' _ �� Approved
Inspector C" — Disapproved
Date gel,
CALL FOR REINSPECTION
❑ YES ❑ NO
WMKjrW
ro i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone: 639-4175
Type of Inspection
Date Requested :?" g--9,e Time A.M. P•M•
Address r, Z1 --- __-- Permit
Owner
BL..Ider
The following Building Code deficiencies are required to be corrected:
'`1 l rt P�Ze,t--'
tr 4
T---1 14 1g�l 17►�L7 I n1_ r-.-_��c��y
Presented to _ — ❑ Approved
Inmpectur disapproved
Date --
CALL FOR REINSPECTION
C] YES Cl NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97223
Phone: 639-4175
Type of Inspection
Date Reques'Ad_. �"� � Time )� A.M. ..__—.__P.M.,/
Address �.� —_ Permit #
Owner _ Lot #
BuilderThe following Building Codi deficiencies are requited to be corrected:
ESD ,U0a&L9 .n /-/,A /1.-S
�"�3 _ ;�i% `�l GJN' M 'Tr✓ C�[��-.�( f-C�r4���i�T7C•ti ✓Li 1/T"7
�•�'LLC�rr�GT xlrr.ir t�ca!� �`T�o�IT"e5j` 'T:?'=ra i<.. I:��,j2 c,,
E/.cc'rX,CIA 1L. T--,t,at_
V1,iv
7 S I/\1 Imo. 1��C'�=Tt`_ 1/L-'[1�11�T �McT' Lifr�� �� ✓.l Y,,.1.�d,c
rresented to Approved
Impector / ' -6—sapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
2 INSPECTION NOTICE
G City of Tigard Building Department 1
P.O. Box 23397
Tigard, Oregor.97223
Phone: 639-4175
Type o Inspection
Date Requested_�L.� Time A.M. P.M.
Address ___ �_ �— Sf' - Permit #_.
y
Owner Lot #_
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ __ ___ ___- __Approved
Inspector _� _ [� Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building aepartmen� 1
P : Box 23397
Tiga ')regon 97223
Phone: 639-4175
Type of Inspection
Date Requested .� f— Cs l'i Time. -A.M. P.M.
Address Permit # r
Owner _ _ _ Lot #
Builder tzL._o-:.The following Building Code deficiencies are required to be corrected:
Lalli �°O,??S,/• C'"d �; Z.S _— .�_----------
4 , S_� � o?:•jG -= /s" .>rrir.-�SES _ _ ..—
Presente(l to _ 'Approved
Inspector [j Disapproved
Date / l e
CALL FOR REINSPECTION
D YES 1:7 NO
INSPECTION NOTICE
City of Tigard Building Department /
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
l
Date Requested —� �/ ` Time A.M. _P.M.
Address ---_--- /.�.�� Permit #
Owner Lot #
Builder ---
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector Disapproved
–...
Date
CALL FOR REINSPECTION
C7 YE8 1:7 NO
t ® • i
INSPr-C'rION NOTICE
City of Tigard Building Department J
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Time_ . A.M. P.M.
/ 17 Hermit # ^1 -1`1
Address _ !
Lot
Owner
_ #
Builder
The following Building Code deficiencies are required to be corrected:
t_
Presented to Approved
Inspector X Ll Disapproved
Date `—
CALL FOR REIN5PECTtON
YES ❑ NO
�I
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.
AddrP.SS , / ->— Permit
Owner — __ _ Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
/7�5 u vJ9 ri o 4; iti 5 c AA7/a 6_ 414 r Cvuwlyl c:"7 �
/�P�llo✓c.:D /�S /�JdJ�?t
Presented to -�. Approved
Inspector _ - �_ Disapproved
Date
CALL FOR REINSPECTION
0 YES 1�1 NO
1
INSPECTION NOTICE Co
i
City of Tigard Building Department
P.O. Box 23.397
Tigard, Oregon 97223
Phone: 639-4175 \\
7 y ,
Type of Inspection —
Date Requested_ �l�l lime A.M. PL.M,.
Address
5 — Permit
Owner.. / --
Lot #
Builder ���:krs '��' ✓I�1S----
"ihe following Building Code deficiencies are required to be ceirected:
.c Q u,.T W
T `
Presented to __- ---TApproved_.
Inspector _. �Q. _ _ �_� Disapproved
Data
CALL FOR REINSPECTION
❑ YE$ ONO
i
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.
' `�
Address � L' � rmi
Owner Lot #
Builder
The following Building Code deficiencies are required to he corrected-
Presented to ❑ Approved
Inspector $approved
Date
'CALL FOR REINSPECTIC►N
AYES L-1 NO
INSPECTION NOTICE
City of Tigard Build, ig Department
P O Box 23397
Tigard, Oregon 97223
Phon
175
1p, �-
)
Type of Inspection
Date Requested / — � "�� Time A.M. i P.M.
Address Permit
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
V
Presented to _ _ Approved
Inspector
I Disapp►ovr-:�
Date U
CALL FOR REINSPF,CTION
❑ YES I-] NO
INSPECTION NOTICE
1
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: ,639-4175 p
Type of Inspection -' ✓ �L�L� It- &"e'- 1
Date Requested l� -������I Time A.M.-0
Address _1�--3/ Permit # ��
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
�.
r
1
/
-- -- ----
Presented to
y�� Approved
Inspector
_--_
Intpeatot ✓ / _ C...� Disapproved
Date f �,
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department C Z�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
7
L
Type of Inspection >
a.
Date Requested__ 1�//Z� Time P.M.
Address ZL_�., —,L�, _ Permit
Owner __ Lot #
BuilderThe following Building Code deficiencies are required to he corrected:
IV
Presented to --_4 oe Approved
Inspector _�� —' _—_ Disapproved
Date _- ---f- �� — _---
C'ALL FOR REINSPECTION
E YES ❑ NO
y INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 23397
l� Tigard, Oregon 97223
Phone: 639-4175
7
Type of Inspection
Date Requested / —,Fy __ �i�.M. _P.M. I
Address
------ _.___.-.-----..-- -- Permit #. 1
Owner
Builder–,�!/Lv----- ) --- ---- ,
The following Building Code deficiencies are required to be corrected:
1
i
Presented to - 1'- Approved
Inspector Disapproved
DateJ l
CALL FOR REINSPECTION
C:1 YES 17 NO
i
CIY
OF T16A
RD AUI!_DO. : PERMIT
PERMIT NO. : BU882489
CITYOr�TWARD j
COMMUNITY DEVELOPMENT DEPARTMENT
TE ISSUED: li/ 8/89
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Omgon 97223,(503)639-4175
F' IM.PMT.NO. 882489
JOB ADDRESS: 11231 SW 95TH AVE
TAX. MAP/LOT 1SI 35CA SUE!: GtARHART ACRES LT:5 BK:
LAND USE: R12
LOT SIZE.: VALUATION: $ 67,411 SETBACKS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: 5 RIGHT: 15
USE TYPE.: SINGLE FAMILY NO.BEDROOMS: 3 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 2 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.L.OAD N: S: E. W:
TOTAL AREA: 1490
NO.STORIcS: 1 1ST: 1490 ROOF CONST: C FIRE: RFT•^
HEIGHT: 18 2ND: AREO SEPAR? RATED:
BASEMENT'? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? AASEM'T
FLOOR LOAD: 40 GARAGE: 400 FIRE SPRKLR? ALARM?
FLOW(GPM) DETECT? YES
HEAL •. IifiS_�_--- --_- HDCP.ACCESS? _C(]RE?�_
PLAN CHECK, BY: rlt
REMARKS:
REISSUE OF NO. 881709
LAST REISSUE
FEES:
W ANDERSON DAN E PERMIT $337.00
N 9363 SW BEAVFRTON--HILLSDALE PLAN REVIEW $40.140
E
R beaverton or FIRE DEPT
STATE TAX $16.fl
OTHER
C DEVELOPMENT CHARGES:
N S
ANDERON DAN E SDC(STORM) $0 ICOR
T MEADOWBROOK DEVELOPMENT SDC(STREET) $600.00
R 9363 SW PE:AVERTON•-HILLSDALE T'DC(N1 ) $25*0.00
A
C beaverton or 97006 PREPAID ( $40.00)
T PHONE (503) 297-7666
R REGISTRATION NO. 46344 TOTAL: $1. 453.8;',
This permit Is issued subject to the regulations contained In title 14 RECEIPT NO.-----------------
1
uf the TMC, State of Oregon Specialty Codes,toning regulations
and all other applicable codes and ordinances, and It is hereby REnUIRED TNSPECTIONS
Agreed that the work will be done in accordance with the plans and FOOTING SEWER
spFcifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The Issuance of this permit does not waive restrictive POST R BEAM WATER LINE
covenants Contractor and subcontractors shall have current city
business tax permits TWd permit will expire and become null and PLP.UNDERSLAB CITY APPRCH/SW
void if work Is not started within 180 days,or if work is suspended or SLAB F I NAL.
abandoned for a period of 1110 days any time after work has PLB.TOPOUT
commenced It shall be the esponsibility of the permittee to assure FRAMING
all required inspections r re sled and approved FIREPLACE
K'LACE
GAS LINE
INSULATION
GYP. BOARD
Permittee Signatow
Issued By L,? t-fflR- 1N9PFCT-ff3N 639-+F17`-, -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOFT167ARD SEWER PERMIT
�,��, PERMIT NO. : 5E882499 Ll/
CITYOi TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 01100" TE ISSUED: 11/ 8/89
13125 SM,Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 P I M.PMT.N0. 882489
JOB ADDRESS: 11231 SW 95TH AVE USA NUMBHR: 39117
TAX MAP/LOT 1S1 35CA SUB: GEARHART ACRES LT:5 BK:
LAND USE: R12
LOT SIZE:
SECIION: 35 TWP: is RNG: lw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rifles and regulations of the Unified
Seweraqt_ Agency. The permit expires 1.20 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not quar--
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement given. the installer shall prospect 3 feet in
all directions from the distance given. I1 not so located, the installer shall
purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. c 1
O `-- � FEES:
N ANDERSON DAN E PERMIT $35.00
E 9363 SW BEAVERTON--HILLSDALE. CONNECTION CHARGE $1,250.00
R beaverton or LINE TAP INSTALL.
�._ -- ----- — OTHER
C
N ANDERSON DAN E
N
T MEADOWBROOK DEVELOPMENT
R
A 9363 SW BEAVERTON-HILLSDALE
T
beaverton or 97006
O PHONE (503) 297-7666
P-1 REGISTRATION NO. 46344 TOTAL..: $1,285.00
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO. I N:1 Q 1 /
of the TMC. State of Oregon Specialty Codes.zoning regulations ___-------`—`-------
and all other applicable codes and crdinances, and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH--IN
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required m9r,)peTq,.q ar sled and rpprov
Permittee 3 ore
;�
Issued fayftt- FOR-NfSI" —
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W
CITYOF T167ARD
MECHANICAL PERMIT
A,..g PERMIT NO. : ME8$?_.49$
cmot kARD
COMMUNITY DEVEL.OPMENT DEPARTMENT UMON
13125 S W Hall Blvd.P O.Box 23;197,Tigard.Oregon 97223.(503)639-4175 TE ISSUED: 11/ 8i 89
P IM.PMT.NO. 882489
JOB ADDRESS: 11231 SW 95TH AVE
TAX MAP/LOT 1S1 35CA SUB: GEARHART ACRES LT:5 BK:
LAND USE: R12
LOT SIZE:
ITEM: NO: NO:
WORK, CLASS: NEW FURNACE (100K 1 AIR HANDLR 00
USE TYPF : SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K,
CONST. TYPE: VN FLOOR FURNACE E:VAP.COOLER
OCCUP.GRP. : Rus HEATER VENT FAN 3
VENT VENT.SYSTEM
BL.R/COMP (3HP HOOD 1
NO.STORIE5: 1 BLR/COMP 3--15HP INCINERATOR(DOM
DWLLL.U14ITS.- t BLR/COMP 15-30HP INCINERATOR(COM
FUEL. 'TYPE GAS PLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS t
HIGH PRESS?
REMARKS:
n FLES:
W ANDERSON DAN E PERMIT 110.00
E 9363 SW BEAVERTON-HILLSDALE FLAN REVIEW $10. 13
R beaVerton or FIXTURES $30.50
STATF TAX $2.03
-- -- --- - - ---- OTHER
N
T FOUR SEASONS HEATING AIR COND.
R
n POBox66409
C Portland Or 97266
T
0 PHONE" (50;3) 775-5919
R REGISTRATION NO. 48283 TOTALS tip.66
This perms+is Issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations ----------------------
and
---------_—_--__----
and all other applicable codes and ordinances. and It is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and GAS LINE
specifications and In compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive ROUGH—IN
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FINAL
void it work is not started within 180 days.or it work is suspended or
abandoned for a period of 190 days any time after work has
commenced It shalt be the responsibility of the permittee to asq„rF,
all rerin rr 1 i coons a requested and approved
000,-
f'ennitf e Srgnahnr
Issi.ed By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIFARDPLUMBING 0. : PERMI T
clTroFa�ERMIT NO. : PL.882497 /
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 SM Hall Blvd,P O Box 23397,Tigard.Oregon 97223.(503)639-0175 TE ISSUED: 1 1 i 8/89
.IOM ADDRESS: 11231 SW 95TH AVE
TAX MAF'/LOT ISI 35CA SUP: GEARHART ACRES LT:5 PK:
LAND USE: R12
LOT SIZE:
ITEM: NO: NO:
WORT, CLASS: NEW WATER CLOSET 2 "TRAP'
USE TYPE: SINGLE FAMILY URINAL BY.FLOW PRVNTR
CONST.TYPE: VN LAVORATORY 2 TRAP PRIMER
OCCUP.GRP'. : R3 rub SHOWER 2 GREA'ac i RAP'S
DISHWASHER 1
GARBAGE DISPOSAL. 1
NG.STORIES: 1 WASHING MACHINE 1.
DWli:LL.UNITS: 1 LAUNDRY TRAY PLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
FEES:
w ANDERSON DANE
N 9363 SW BEAVERION--HILLSDAL.L.
fl beaverton or FIXTURES
STATE TAX $5.88
OTHER
r
0
N
T WOLCOTT PLUMBING CONTRS INC.
A POBox872
A
Cl Gresham OR 97030
1
O PHONE (583) 66.7•-1781
R REGISTRAIION NO. 23847 TOTAL: $123.38
This permit Is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
--------------------
and all other applicable codes and ordinances, and it Is hereby RFOUTRED INSPECTIONS
agreed that the work will be done In accordance with the plans and PL.B.UNDERSLAB
specifications and In compliance with all applicable codes and POST R BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and P'LB.TOPO11T
void if work is not started within 180 days,or if work is suspended or RAIN DRAINS
abandoned for a period of 180 clave any time after work has FINAL
commenced It shall be.the responsibility of the permittee to assure
an regruUe�dinspe�e requested and •�Iorovecl
f'ernnt ee Signature
IssuedBy ~ l l-
t Rf t F ftTe I H9f+C-T
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGrARD M� A-ink PLAN CHECK APPLIC:AT 1.ON
cnyvENT v ry PLAN CHECK H
COMMUNrTY DEVELOPMENT DEPARTMENT, PLRM]-L N
19125 SW HA 6Wd P.O.Ba,2x197.TlWd.Orpw,91227 OW)�',17b E .CIQ�.'.1.A-.:�._...._._-
�1' � DA'TF ISSUED
//02.3 ,5-c- .� l_ �_,.. -�_._._ 1 Ax MAI-)/I or
:;Llfl: ���.�lilQ..✓� L.OT: _._.S_... ..._._ i ANDUC;f Z... .__._ _....__._.__._...
VAI.U A I [ON:
OWNLR SPECIAL NOIFS
NAME: _ REISSUI.: OF:
ADDRESS: 1__ L.AS-I REISSUE'.:
FI..00D PLAIN/
_ SENSITIVE LAND:
-` APPROVALS REQUIRLD
;UNI RACJ OR PLANNING:
NAME : _ - -- C- �_;�LCD til -� --_ _._.__. ENC,INLLRING:
FIRE DEPT
PHONE: 1J� -- ITEMS REQUIRED
LIST/SUBCONTRAC1-ORS: _
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: _- — .._ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: _ _ - OTHER:
COMMENTS:
PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNI' PD. SIAL [SUE
-f 10 -432 00 Building Permit Fees .`0 ___•_,___,_� , ,11 u�
10-431 00 Plumbing Permit Fees
�- 10--431 01 Mechanical Permit Foes .5y
10-230 01 State Building Tax (5X)
Building - l . g=)
Plumbing
Mech _-� Ao 3 _
10--433 00 Plans Check Fe
Bui lding
Plumbing _
Milch _ �C.i L f! I3ST-j
l 30--202 00 Sewer Connection
30-444 00 Sewer Inspection
51--449 00 Street S;stem Dev Charge (SDC) -
S2--449 00 Parks Sy-itom Dov Charge (PDC) „5J
31- 450 CIO Storm Drainage Syst Dov Chry (SSDC)
10-230 09 LRF-D
10- 730 06 WaAhington County Fire M1 (9,-,%)
-l7.0 00 , - drt./Wodgllwuud '
101 AI 76q.8ti
REV H -tGt _.�7 __
APPLICANT !,IGNATUItE
Rocwived fly : _._._ ',../ Date Received: �� 'C � s �
Meadowbmok Development
D:$. Anderson, Inc.
933613 S.W. Beaverton Hillsdale Hwy. • Beaverton,Oregon 97006 • (603)297-7666
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A REPLAT OF LOT 2 BOETCHER'S ADDITION SURVEYOR'S
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