11602 SW 98TH AVENUE w WNWHU =WIWI ., vamaxw
11602 SW 98TH AVENUE
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ADDRESS
PERMIT N 0. 3 q
PERMIT CHARGE none
0li��cZ CONAECTION FEE /.2 6-r). _
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE ��� �%�- INSPECTION FEES;
CONTRACTOR PAID BY DATE
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SIZE OF CONNECTION _ ASS;:55MENT PAID
12 e-
November 2.1, 1978
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To Whom It May C3ncern:
Subject: RBfun,l to Bola Emphis for Permute for White Pine
11
I'ateta�s. v >� ��� .•
The Building Permit charges are as follows:
5201.00 Building Permit
1.00. 50 Plane Examination
0/04 State Surcharge Fee for the permit..
5:509. 54 Total
Of thR Ahnv® total , tho $100. 50 ;)len cllerr . felo and the $8. 04
State Surcharge Fee are riot refundable.
Balance:
Building Permit. #2243 201.00
Sawor Permit �f�1739�� 1235.00
l Street System Development 480.00
Park S%/stem Development 120.00
.. 0
TOTAL REFUNDABLE' $2036.00
I would recoamnd this be approved subject to City of Tigard Code.
Yours truly,
/ Edw rd T. Walden
Building Official.
ETLI/pl