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11720 SW 114TH PLACE w Im fw pff W 11720 SW 114TH PLACE O0 C 0 cr dD 0 E-1 0 IT N, 1 I '4 MI L) FQ 5' `f U fn m ij _.ritq r ,4 0 rr) M tL4Fq m r, CL rl E-4 4-) cn 0 04 Sc a to 14 - //Tao .s �v, ii ��. 7 a � , o e. Owner �n vOu ; der'' T ._ erg;,/i e � ,pI 1,0 �p �t /� kone : 0 - 10 i 01 I I� I zli IIIo N9 ' F- � a ZQ w �.. ,.- 00 U ►- O H dA a a -w •, u. r ui ` > I CL CL . d I i t ct I v n. m M W n w W- w Wr In In off .n In 0 0 N1 sca vi+ '' . I jf e Al eeam Mai .'f` r � � Gard cn Wtnde� - — :, S P�:o Daor 5 s ._:: 4-1 p M b: G ,,X ie Oi 1 � e �Os el'-L- ,4_6[/17 a n h p•f r,�pa✓ vsck�t awl W lFMF oar 4 COX or �:�yw'�'+�; ,�{ �W� .'uA•,a fir���G���rcy�.�,ll. `{��k�r � �1+' ti�'�;3+'� x:�x;�`14,4�'� f�y,�,�. 0C .� t. r CITY OF rIGARD 'VC ra :� OREGON Owner:...H-arbe. it..-�x...(lA.l~x.� .etts.........................Permit No..D.10.1............. Building Address.......11-7.2.0.. ......... Certificate is hereby given this.....1Q.th..day of......Au.guat............. 19....2 . that said building may be occupied and • that it complies with all rPgii:rements of N j the Building Code for the My of Tigard, as approved by the Tiberd City Council. l�, • _ - /� ate, $ -------------------- .................... �' ( Building Inspector Spy W =r r i - ,. ,.��r� sarseatasaz._ -nfft.x�r•.�. _�'r�.t.—�xm�s�. b�'�aEere x` ,• �(� i.C.�' iW.l �arrr,:c y` �� i1 pig^� V „� y.1�r� ♦ i.,.�j�,�'�nr4i- �IN�it r_T��'" F� x'�' '7�;'�tN�. �T.',l!"i K0 16IT "B" 1'740'7 CITY OF TIGARD Ck:HTIFICATE OF OCCUPANCY AND RELEASE OF RFIiTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to vhieh a restriction of occupancy was, on October 31 , 19_L4 0 reconled in Book 1;"H , Puge. ',Hl , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRII' ION OF PRU1'ERTY: Tax Map 191 34M, Tax Lot 2000, lot 13 -- 114th Place UWNF.R: Herbert E. _Morissette, 81dr. BUIIDING FERMIT NUKBFR: flini This in to certify the said structure meets with the require- meets of the Building Ccde of the City of Tigard and the above referenced restriction is hereby released and termtrwted. IN WITNk;,5 1-11F:HF:OF, the under,igned authorized officer of the City of Tlgnrd has caused this certificate and relca!,e of restriction to be executed this -_._19th day of n„ LLI.L- �, 19 -2q ��� ` Title: ii STATE OF OHk=N as County of Washington on this 19th__ day of nuuust � 19 -1b, personally api-nared before me the above named _ _, whose sig w lure appears hereon and who ack11 edged to hat he executed the name in his uffi�al capacity on behalf of the City of Tigard. Notary Iic of Oregon My Cummission expires: 11-5-78 1 waits 1NUM9j?" Oar«w d%V 0M#1 r• •� h --- c C 2 O o mw ADDRESS �/Z �'-- PF Rf'II T NO. -_ 1 PER111T CHARGE OWNER CONNECTION F ESE PAI' . 8Y f YPE OF BUILDING r� DATE CONNECTED SERVICE RATE INSPECTIOP FCE .CONTRACTOR & PAID BY DATE SIZE OF CONNECTIZN /-�� ASSESSMENT (SAID i I I City of Tigard INSPECTION REQUEST T i for INSPECTION TIME: _.__ PERMIT NO. : DATE: 2(7,��_7s DATE ISSUED — I Z OWNERS NAME : ADDRESS: //%'moo s•.ov.//yL- _ _� . C 0 N T R A C TO R : TEST : Air CJ, Water Q , Visual p , Laboratory p I RESULT. Approved Disapproved 0 Pending p S KETCH: I I I I I I i s I I PECTOR DATE [OTE: Attach supplemental tett data beret] I I i City of Tigard -A- INSPECTION REQUEST 1 / for INSPECTION TIME : ` ..PERMIT NO. : _... _ DATE' - ' /(: 1 "7 DATE ISSUED:_._L-L OWNERS NAME : I Jt/:J 5 .5 Ai /�,,i--_ ADDRESS `2 / 7 F -- CONTRACTOR . TEST. Air 0, Water r] , Visual j Laboratory ❑ RESUU: Approved, Disapproved O Pending p SKETCH'. 77 771 43!� INSPECTOR DATE [NOTE : Attach supple;lentol toot d ata heret] i I . City of Tigard I R ilVSPECTioiV REOUEST for IINSPECTION TIME : PERMIT NO. : _ DATE: 1,6741 DATE ISSUED:--L—i.. OWNERS NAME : a!e/SS7`/" - IADDRESS : 2L6 CONTRACTOR : TEST: Air O, Water 0 , visual Laboratory p I RESULT: Approved O Disapproved Pending p SKETCH. / I N I I I I INSPECTOR DATE COTE: Attach supplemental test data hereto i I I City of Tigard INSPECTION [BEQUEST for I INSPECTION TIME: "'' ��^"� PERMIT NO. : I IN: DATE: / /A?-7J- DATE ISSUED : Z OWNERS NAME : – OV ADDRESS: — - CONTRACTOR : _ .___C_ ��_�[ _ � '3'r= Cl I TEST : Air ❑, Water[] , visual*l Laboratory p T RESULT: Approved D Disapproved , Pending p I R I � SKETCH: to f .S-G'`6ic/EwT' ki.,cid I I I I I ZzaINSPECTOR DATE I ENOTH : Attach supplemental test data bereto] I LNC 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME: _ W-A P PERMIT NO. : DATE: DATE ISSUED : I Z OWNERS NAME : - ADDRESS: AME :ADDRESS: &jola-V-�­2 CONTRACTOR : --- TEST : Air O, Woterfq� VisualK, Laboratory O I RESULT: Approved , Disapproved O Pending ❑ _ I SKETCH: { 5- { 12. INSPECTOR DATE CNOTL Attoch supplomentol test data her et] I J w w w w w w w w w w UNIFIED SEWERAGE AGENCY NO. 5017 WASHINGTON COUNTY OA I F _-1_o`25-74 CITY OF ----- --- n -T�gard APPLICATION FOR SEWER CONNEC FION PERMIT OWNER: __ _ _ amb.es_t _E._ mo. ssette_ . OWNER'S ADDRESS:.- BQ�_gJ,��_�Y -Dolph STREET Portland CITY T_IP BUILDING SITE: LOT _ __._ BLOCK ADDITION TAX LOT NO. _ _ TYPE OF OCCUPANCY _ ADDRESS 11720_ S.1i. 114th Place DWELLING UNITS 1 FIXTURE UNITS SURCHARGE IF APPLICABLE gr _ PERMIT FEE 525 INSPECTION FEE 25 _ TOTAL DEPOSITED O `_ (NEW) (EXISTING) BUILDING SEWER SYSTEM __ Fannu Creek The Applicant agrees to comply with all rules and regulations of the UnifieR Sewerage Agency. APPLICANT -`l-(� .-/__�. 1-•�t� r SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE INSTALLER i RECEIVED BY { _� v- ` I GENCY OR ITS AGENT) COMMFN TS: ((// This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. W W1 W1 ff i.Mw'•R.+a!�1.wia'+'MIAMMM'/M.M�'Mlfi,kyr..`�M'1MFAl"A1AM�71 '^•.'T^+---v.^.�....w... ...�.y ...;..M"yRl Tornw,.'�.r Nw�•w..,y,..-.. „w..�....ay,R.rnnwrtpr�ad..w^,r+.w.,N+M«+vn CITY OR 74 NG 0101 BUILDING PERMIT APPLICATION TIGARD DATE_ _ 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN A JD APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER l`;8r1;1C?it Lo flklria filttY ADDRESS 11720 •`"` 114th rPl aco BUILDERPHONE — B�IgA ENGINEER BUILDER ARCHITECT DESIGNER STRUCTURE [:]NEW _ ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [:]STORAGE❑SL.AB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE T� BLDG.TYPE FIRE ZONE_ PLAN CHECK BY i3A HEAT. construct now aingle family rssidooce to lie constructed According -- to approved plans----no basemont ----attached garage CO'C, LOAD � FLOOR LOAD ��i� HEIGHT N_O1134_.STORIES AREA — VALUE 41),979 BUILDING DEPARTMENTSET BACKS FRONT 20 REAR ' j-4 LEFT SIDE 11-5d RIGHT SIDE f ^ --T ------ -- Permit ---------------------- - -------_-------- — THIS PERMIT IS MSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check ° REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE — Y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICAbLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total 2 4n,9 BY APPLICANT fln AGENT Approved Receipt No -- ADnRE.55 ------ — --- MON - ---------- i•• hj DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ) Contractor 5�X,., `�_"'�`lia✓ �/JJ C.rtLtd]j i� (3uT d No Z'71tH Permit No.00 c7 Lo jG _ Rough-in --- — /2_ -74 IY1,hDK Fixture �. p�� Final HEATING _— S� c V4 n�f`��nor1_ � Pt-10-c, (2tfMOde:' Con tracto _— _ L)L) Olt ►��� P+Cks R) Ea IPermit No. 21 S — 7� ,'T Gas or Oil -- — ---- - W _ •Qy/}L,^i SIC To )Pt9✓.rL. Rough-in ---- -- - ---— Ir.f1�� ®-s� MUt'] _ _ Final ----- -- -- -- - -/� SEWER Final" f�Nr►t�-S _ Final DRIVEWAY Final Storm Drainage A^ (Rain Drain) Final Sidewalk Curb&Street Final A roach BLDG. DEPT. f INAI TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final RECEIVED 6915 1974 EXHIBIT "A" CITY OF TIGARD CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential structure (s) on the following described lands prior to the record- ing of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a release as soon as a final inspection determines that the construction to satisfactorily completed) DESCRIPTION OF PROPERTY: Tax Map 151 34OC, Tax Lat 2000, lot 11 --114th Place ADDRESS OF PROPERTY. 11720 S.W. 114th Placa _ NAME OF OWNER: Harbert F. Morin attaa Bldr. -�� ADDRESS OF OWNLR: BUS S.W. Dolph Portland IN WITNESS WHEREOF, the undersigned has caused this restriction to Us executed this2iydday of petnhsr lg_ZL. OWNER: � 1 t,. Name T1 TTq APPROVED: By: tl<..v7�--- Ji ding Off icia .� City of Tigard STATE OF OREGON ) ss County of Washington ) 19 /V r Personally appeared before me the above named ,and acknowledged the foregoing iintrument to he nluntery act and deed. INDI"XLU MU OF OREGON ■ M+�t a r t' P u b l r a'[ 0[ o n �� °� W°�hbgh+n My fommissinn Expi[p3; ch J Eiecp �and 1.Ci..w R�of Can that the ofthm fn"rw� of wMins so OC94.04 ad facer d M bfth of iko d of bid clow" ... WINW91 "V had end Mai of ttim. ROGER TNQAASSEN, a,stim of Recvd. 8 EMef" OCT 31 1Q i 3 f tl 173- I Cy 9 it of Tigard and INSPECTION REQUEST _ for c>L C7 J:, . ( IL, �J I INSPECTION TIME : PERMIT NO. : ---.—. DATE:/ Z— DATE ISSUED'_ Z -L I OWNERS NAME : c., .� !J`'`, — _ I Tf+ ADDRESS : t --�- ----11 --�---- — CONTRACTOR :--------------- TEST , ONTRACT0R :------ - -- —TEST A r "j , Water ❑ , \distal O , La` ,ratorr n RESULT. Approved ❑ , Disapproved) 1 Fending J SKETCH' 73 *:�SPECT0R DATE 4 [OTE : Attach supplemental test data heret] i f UNIFIED SEWERAGE AGENCY N0 - -- 4.936 WASHINGTON COUNTY DATE 11-13-73 CITY U F Tigard _ APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _._ __ Ronald Douglas Const. Co. , Inc. I OWNER'S ADDRESS: ._ 8521 S.W.Barbur Blvd. I STREET f _Portland_ Oregon - - — — _ - CITY STATE 71P BUILDING SITE: LOT--- 13 BLOCK -__ _ ADDITION 114th Place TAX LOT N0. TYPE OF OCCUPANCY - Residence ADDRESS 11720 S.W. 114th Place I DWELLING UNITS 1 ___ FIXTURE UNITS - - SURCHARGE IF APPLICABLE —_ PERMIT FEE ___ 450-.-- INSPECTION FEE TOTAL DEPOSITED 475 _ I , 6NEW� (EXISTING) BUILDING SEWER SYSTEM _ - __ Tigard The Applicalit ,Igrees to comply with all rules and regulations of the Unified Sewerage Agency. 1 APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE 4" ------- INSTALLER _ 1 Y RECEIVED BY f �CY OR IT-� 4'ri OENCY OR ITS AaENtI 1 Al JJ COMMENTS: This Application and f)ermit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. M AN AL H .A, 1 1 71 ..' m eNrc•w..Er.ro n AetEPrtn ._ N - IN/Vtl M1'IIAM Of TN[ RONALD L. NOT SUF T A.Ee�N Pt�;lfl1 ` RNSTRUCTI K' aja. p oTK Mill &.*. BARRUP-t ti Is m LOANS POW&W 'a'e TOTAL OCULOCTIONe WA[NINOTON[QUARE d1ANr N,StAVRRTf1►P'7 P MtOluUNf770 WT/ss/NAMONAL WANK •• i OCN .. w` , _ OP f7A/sON I i +: # a 3 2-06 i '+:._ �. C °' X1'00000 5 3 7tir' .�...-- UNFAI ITE /J -Y"FTURNFO ?LARD t PAT"I /� _� f ❑ /1�-1-C UNIT!"O STATES NATIONAL BANK Or DREOON I` 1 NOT 9UPPICIENT FUNDS 7. P\TMrNT STOPPED REASON DRAWN ON AMOUNT 2 I.INCOLLECTrO FUNDS e. SIONATL'RE r 7 DATE 0. AMOUNT 4 ` V FNDORSrMENT 10. ALTERED •l Irl .- Y ' O ACCOUNT CLOSED 11 a[►[R TO MAKER a a. 111Ue11 TO LOCATt 12 OTNM� --- --�--- ----"" -- \- r NARK .. .. �a WE CHARGE /i % YOUR ACCT. 7 AAA J � 1 i j a •, . 2219... IRLo t.. DOUGLAS sTpUciriON Cp, i 244-061 6 R11U1� BLVD, 77 6521 B.W. �► N 17zi• _ lel- �t►HtiRHt►F ...... _ OLW.RS —_--�- C�+�` e► - Uwe FRwMIr Nrwrow e ONAL eN.a.. QP O*�IIO�N 4 2 �8r t 1 1.1 CITY OF TIGARD 124" S. W. .Main srroo 11GARD. 0R§Q*N Arlt APPLICATION FOR BUILDING PERMIT New Construction a Demolish ❑ Addition ❑ Remodel ❑ Move❑ 20NING u_7 DATE ISSUED---11-11-71 BUILDING PERMIT BUILDING FEE $ 74.00 No. DATE RECEIVED 73-275 BY — PLAN CHECK $� recording -� OTHER $ .74 state VALUATION 519.520 TOTAL S 88.74 RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE: FURNISHED WITH APPLICATION LOT 0 13 MAP A CENSUS TRACT _ JOB I—_ Architect or Engineer Ronald L. Douglas Const. Co__L_ Inc.__ Address 8521 5.W. Harbur Blvd. _ _ _Phone 244_0615 _ Owner__ Sent• Address !`Phone_, Builder Sala -- Address Phone— BUILDING USE Sin•11c Res. U Multi Res. ❑ Comm. ❑ In ustrial ❑ OCCUPANCY GROUP—1—_ No. of Stories_ Total Height__ Area of Lot 4 Type of Constructior; V XWX1qMx1m11tX V Floor Area e --_ 1 1200_ 2 _- Set Backs: Front 20' Hack 25' L.Side_5' R.Side —5'(_�"1 Private Sewer Pipe Size 4" r_ Sewer use Tigard Septic Tank ❑ Water Service Pipe Size_- 3/4" Storm Sewer © Ditch ❑ Urywell❑ Street and Curb Requirements ____Ax J a t i nj _ Driveway Width 18' of Parkinq Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED` FIELD CHECK PERMIT APPPOVED BY+ �. It is understood that all work will conform with applicable Lodes and ord nanees of the State of Oregon and the City of Tigard, Oregon, anti that the building will no-)t be occupied until a Certificate of Occupancy ha• been issued by the City of Tigard Building Inspector. Signature of Applica9t EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue s release as soon as a fissl inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: bOORESS OF PROPERTY iT j bUff OF OWNERS .....�. , 1-,,=T 1A _ r t . ,D ! r l✓ AV RE.9 OF OWNER t :i`��t....r. _L L.f,f IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of , 19_. OWNERt APPROVEDt Title Byt Building Official City of Tigard STATE OF OREGON ) ss. County of Washington ) J , 19 j.;'- Personally sPersonally appeared before as the above named and acknowledged the foregoing instrument to be voluntary act and deed. �. . ,i.�. o ary u t for Oregon my Commle• on Expirsst !� �L THE UNDERSIGNED HERE13Y APPLIES FOR APERNIIT FOR THE WORK M-HEIN INDICAILI) uUILULgrINor -- U OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OvrNEf-'-vOtlr 7 . . LOT NO----- - �.vr�EW JOB ADDRESS / / 7 7-U S'Gy //C! `4- lJ<< ' ARCHITECT _ 9 ENGINr f I? _U11_Oc t /L.� / ADDRESS [jll--14E-.'JAL DESIGNERS TrT� UZE _ 0.14EW Cl Rk'!,InOEL ADOIrION ❑REpAin [jRcNE-NAL C]FIREDAMAGE ❑DE.-AOLITI ftESIL�E^ICC ❑COrtM []EOUCATIQNaI ❑GOv'T ❑RELIGIOUS❑aai10 C]CAa PORT ❑GARaGE ❑STORAGE C]SLAB C]FEr l`CI_UPAt;_Y_ `sANO USE ZONE pIOG.TYPE ?LFIRE LONE= PIAN CHECK 8Y _� HEATS �EIIER PERMIT n� 2 int ��7LQ FLOOA LOAD LFIEiGHT! NQ.5TORIES AREA—;- �U NO.BEDROOAIS T'VALUE SIALOING OEPAR TMENT SFT BACKS FRONT REAR �,3 r LEFT SIDE RIGHT SIDE °^_:rnI t (� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON I ;-..An Check U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRCL,I THAT 1 r` WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ARID SPECIFICATIONS AND IN CohlPl IANCE%,. S'.17 iOtll n ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREIIT CITY BUSIN :ata Tax C I 2 LICENSE. SEPARATE PERMITS RECUIRED FOR SEWER, PLUMBING AND HEATING. Total I SDC — r PDC# 1 a, APPLICANT OR AGENT Appruvt�f ! Receipt No. dnnRF55 Hon 50C — POC — S # SEWER CONNECTION S SEWER INSPECTION S SEWER SURCHARGE S Comalellt3 : ' Y .:I C! LY �� TE0. I'd Mechanical Perinit jig, 8i9 Permit New Insuf l,,tion Replace (1 Relocation t Ailditiim I Alteration ❑ Fee- -1-!a 7t { _ TOTAL IcONTRACTOR OWNER �� -72 -5' WORK ApnRLSS PHONE �l - ' �� _ APPLICANT l�t Girl ,�_.--- iscat Input Rating (BTU Per Hour) Vent Size lue Size—i/ ' �•-- _�—� F � ._ UEL OIL L] GAS ELECT ❑ OTHER F ITEM _ _ NO. FEE or Issuance of Permit 3.00 Boilers Over 50 Hp NO. FEE_ 1Jcw_Unc�cr 100,000 51U _- 4.00 _ - - Air Handling10,000 CFM --- - 25.00 2fy over 10 .00 0 000 BTU 5.00_ _ Air Handlin Ov-r 10 000 CFI1A 3 -g_ 5.00_- _ MoorFurnace 4.000 EvaPoretive Coalcr ,•,•311 F oor • Susr►ended -q,0p Vent Fan 3,00 ------ - - - -_ _ _2,00 ;InsialVen ts `_ _ 2.00y-Vent System 3,00 4.00 _- -'�-� epair- Neat & Coolingi '-"'-- _ Hood _ -- Roilers_Under 3 HP _ _ 4.00- _ Domestic_Incint+rator — 3. 90 oilers 3 to 15 HP _- _1,50_ Comm.-Incinerotor _ 5.00 oilers 15 to 30 HP 10.00_ -Other Not Liated � 73.00 oilers 30 to 50 HP 15.00 -" -- -- 3.00 NSPECTOR'S COMMENTS ITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS ,'PROVED BY DATE ISSUED BY `-- ----• I— DATE :ECEIPT NO. - -- ,�ew tY_ re ...,*�-- Signaturt of Applitant �T ' ! � ,,•• "•r . -�pL w �.YV "�•�.�'"1=+i?•e'!iC i'}iQ"'f�S'►� tts ne}rpt�r it 111 CI +i I IIt i � 1 f If I Zoe ,�01' I i I i i soy C.� ISO# O r A4