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12590 SW 114TH DRIVE 4 N O s F-' .A H d H C9 11 h 1 12590 SW 114TH DRIVE FPTIFICATE OF CITYOFTIGARD (c. OCCUPANCY COMMUNITY DEVELOPMiNT DEPA", 'fiNT OREGON RD PERM.'i ' 0. . . . . . . . MST9 1-027 13126 SW HWI Blvd. P.O.Box 23397,DpM.OnVon 97223(603)e3g,4176 oiwm ISSUED: 08/07/9e SITE ADDRESS--* 12590 SW 114T DR P A f?C E L 103 A CC WIG`., S�_qAp!y I C WA, 5 ,_�111T GrNOVE SjjBr) ZON1146 R--4. BLOCK. . . . . . . . . . ¢ LOT. . . . . . . . . . . . . 19 CLASS OP' WORK. :NEW T YVIE' OF USE. . . :SF OCCUPANCY GRP. :R3 OCCUPANCY LOAD-020 4 TENANT NAME. . . R P Fa 0 t'-k r, 2 Ownerr FOUR D CONSTRUCTION P0 PLOX 1577 BEAVERTON OR 1)70'7','3 Phone #.- 641 -093r, contractorl F:'O(.,)R D CONSTRUCTION P0 BOX 1°-77 DEAVE"RTON OR 11075 Phone #.- 641-0935 Peg #. . 1 71037 Dcx.,uponvy of the above -r-vfvrenred buildiTip is hpi-eby given, and certifies thrt compliance with the State Of Ormgun Spec--ialty Cad F?% for thia grol.1p, 01'.1c:Mpancy, and use undpr which thF., re4prenced ptol-mit w.1% issi-iod. .......... F- I RE DEPnP'f Mr-NT SLULDING INSF R BLJILDIW OFFICIAL POST 119 CONSPIC.UOUS P.LACF-' -A INSPECTION NOTICLS City of Tigard Building Department. 13125 SV Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171 Inspection• Footing Plbg. Underalab Hoch. Rough-in r !\ppr/Sdwlk Found. P1bg. Top Out Gas Line Poet/Beam struct. San. Sewer Framing -Bldg. Poet/Beam Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. �jGyp. Bd. - h. Date requeetedt 4a - % �[—��/ T PM Address:_, __ Permit to Builder: T119 FOLLOWING OORRICTIONS ARE 119QUIRM 1 M Inepwtor: J,A_Z. 7t.� �� Date& APPROVED DIBAPP 'APPR("n SUBJECT TO AWWF Call Ior Cainsp. MMINAM INSPEC_'ION NO_1(JE City of Tigard Building Departjent 13125 SN BalI Blvd. Tigard, Oregon 97223 Inspection Lin eC-0-PhnCe); 39-4175 Business Phon 9-4171 Inspection: (u�(uJ� �[/f/T Poo t plbg. Underelab Hoch. Rough-in Appr/Sdwlk �— )Pound. Plbg. Top Out Gas bine FINAL- POOL/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain insulation -Plumb. Plh9. Underfloor Nater Line Gyp..Bd. ) -Rech. Date Requested: 1Q- � 1 -� ^ Times AH PN Addreeet Builders LI D THE FOLLOWING CORRECTIONS ARE REQUIRED, Inspectors + Dates _.__APPROVED nISAPPROVRD APPROVED SUBJECT TO ABOV-_ —Call For Reinsp. NI SERCTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Buninean Phone: 639-4171 Inspection: _— Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out 4ai".iM FINAL: Past/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Ba. ) Date Requested: Time�A'�AM _ PM Address: /5��n� Permit is ���� Builder:_ -I - THE FOLLOWING CORRECTIONS ARL REQUIRED: Inspector: _ Dates! APPROVED _^ DISAPPROVED APPROVED SUBJECT TO ABOVE For Reinep. J .wUVRAMMULM AO PECTION NOTICE City of Tigard Building Department 13125 Sp ;W1 Blvd. Tigard, Oregon 97223 Inapection Line (Rei--O-Phone): 639-4175 BueineGn Phone: 639--4171 Inopection: ____Footing Plbg.Plbg. Undorslab Nech. Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer ![arcing -Slag. Post/Beam Mach. Rain Drain 7neulat'on -Plumb. Plbg. Underfloor Nater Lina Gyp. Ed. -mech. Date Requestedt /"� _Times AN�_� Addresses / 4`J Zf/ `� Permit Is� �� Builders Z//L� ' THE VOOLLOWING CORRECTIONS ARE REQUIRED: ' Inspector:_ .Ca /__.. ---- - ------ Dates— APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE _Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 1.3125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171 Inspection: - --- -----d_-.----_...._ Footing P)bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL.- Pont/Beam INAL:Post/Beam Struct. San. Sewer ----" Framing -.Bldg. Pos' 'Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Wate r Line Gyp. Bd. -Mech. Date Requested: �Ci -C1c� _ Time: Addr•:+ea:_�!/�� Jrr� Permit fs`-Y f--�r� Builder:-- THE FOLLOWING CORRECTIONS ARE R.V,UIRED: 09w � y Inspector:_ _- ' ✓ - -- ^- Date: h �� APPROVED DISAPPROVF.O APPROVED SUBJECT TO ABOVE Call For Reinip. INSPECTION NOTICE City of Tigard BulldlAg IN Part-'-at 13125 SN Rall Blvd. Tigard, O-.,gon 97223 Inspection Line (Rec-O-Phone): 639-417` Bueineus Phcne: 539-4171 Inspect ion: ._ _ Footi-vi Plbg, Underslab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out fiaa Lintz FINAL: Poet/Beam Struct. San. Sewer ( Fr ing I -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor r. Water Line Gyp. Bd. -Hoch. Date Requested: t+ Z` _- --Time: 11H _PH Address: i�'7" I C ( 1 `M Permit #t Builders THE FOLLOWING CORRECTION4 ARE REQUIRLDt e - +- V 7 _ � } Inapeatort +0 Data: I "PROM yDISAPPROVED APPROVED SU"rT TO ABOVE Cal. For Reinap. INS PCOrION NOTICE City of Tigard Building Depa.-taent 13125 Nil Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone►: 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Pound. c P1bg. Top OUS Gas Line FINAL: Post/Beam Struct. San. salver Framing -Bldg. Post:/Beam Mech. Rain Drain 'naulation -Plumb. Plbq. Underfloor Mater Line Gyp. Bd. -Mach. Date Requested: J1' I-f(�- Z -Timet �_AM7 P11 Addreus• ii� � tf -{ : _ Permit fit` THY FOLLOWING CURRECTIONS ARE REQUIREDt Inspector:. --- Date:` -APPROVRD _^- DISAPPROVED APPRI3V/ED NrJUJRCT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 131.25 SW Ball Blvd. Tigard, Oregon 9722.3 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6"9--4171 tbq. Inepection:Footing / Und�eralab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Lino FINAL: Pont/Beam struct. San. Sewez Framing -Bldq. Post/Beam Mech- Rein Dral.n Irnulatfon -Plumb. P11jq. Underfloor Rater Llae Gyp. Rd. -h.ch. Date Rnquested:_ 6 Z --_Time: ---AM '�.L�-`�' Address: + �L_/��1L. Builder: THE FOLLOWING CORRECTIONS ARF REQUIRED: Zh 9 z- 1•tRl+�•rt >>-. Date' PI'I'pn✓Ffr DI�I!lHIDY1D APPROM /111JTO ham rrll Fnr RntneP. INSPECTION NOTICE City of Tigard Buildina 11—wirtment 13125 OW hall Blvd. Tigard, Oreton 97223 Inspection Line (Rec-On-Phone): 639-4{175 Busi.ess Phone: 639-4171 Inspection: (�W� �7!! �-) — Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Ra1n Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. Bd. -Meeh. Date Roquentods ✓ �r1�- ( 'L�+ Timer -Z--AM PM Address: ,/�� l t- t\�1 r \r /: Permit #:11 Builder:"__ b THE FO' ./MING OCIIMCTIONS ARE REQUIR?Da .01 �wr Inspectors Date:__ moi~ f APPROVED _ V DIBinP/PROVEDAPPROVED BllB2E T TO ABOVE ��Call For Reinsp. INSPECT 10N NOTICE City of Tigard Building Department 13125 7 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4,175 Nusinena Phone: 639-4171 --- Footing Plbg. Underelah Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -:Ldg. Poet/Beam Hoch. Rain Dram Insulation -Plumb. Plbg. Underfloor ter Line Gyp. Bd. -Hoch. Date Requented: L% d — T 11N PH Jsdd re n a• Permit �� Builder THE FOL".OWING CTIONS ARE RSQtI!RED: Inapectot: /� _APPROVED DISAPPROVRD APPROVED SUR.ISCT aQ ADM Call For Reinap. INS_PCCTION NO.'ICE Citq of Tigard Building Department 13125 am Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: P t/' am St ct. San. Sewer Framing -Bldg. o /Be M Rii. Drain Insulation -Plumb. �Plbg. Underfloor /JM/iter Lino Gyp. Bd. -M,�ch. Date Requested: '^7Time: — AM PK Address:_. _e2:a�1/ &2. Permit #: Builder:— // 7�tL_ THC FOLLOWING: CTIONS ARE REQUIRED: rnspector:., . / Datst_-__/__Ll�� XA.PPROVI7D DISAPPROVED APPROVED SUBJECT TO AROVF Call For Rainap. � 1 INSPECTION NOTICE City of Tigard Building Department 13125 SN Uall Bled. Tigard, Oregon 97223 *.nsrection Line (Rec-o-Phone): 639-4175 Busi.ness Phone: 639-4171 Inspections _,__ r__ rti.n Plbg. Underslab Mech. Rough-in Appr/Sdwlk ound. J �D Plbg. Top Out Gas Line FINAL: Poet/Beam Struat. San. Sewer Framing --Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina Oyp. Bd. -Nech. Date Requested: /i —PM Address ��`7 D l/// -_ Permit #i- -I C l - .T` -71 J Builders_ ID,_„ L THE FOLLOWING GVRRECTIONS ARE REQUIRRD: /r Inspector: ti f! _ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Re4nep. suwywr+u.�r.:a�u�`...••.•••.,,••..•.••_"•clyt:a4wNA::.4wrtflcr�MYihi+b � ...„- - INSPECTION 12TICE City of Tigard Buildi.eq Departxent 13125 an Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Bucir-as Phone: 639-4171 Inspection: Plbg. Underalab Mech. Rough-4n Appr/Sdwlk Pound. Plbg. ''op Out Can Line FINAL: Poet/Beam Struct. San. Sewer. Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requsated: � 7oZ—' _TimetAM r PK Addreast /l 5-`i 0 Permit +t Builder: TBs p'oLLOWING CORRECTIONA ARE REQUITED: Inspector: ' w �+ Dat-e: ���^! APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. C17YOF71GARD MASTER p'FRMII• OOMMUNrrY DEVELOPMENT DEPARTMENT ofteonfT,ERMI r #. . . . , , , : M5T91 -0271 13126 SW HWI Blvd. P.O.B23397,TOM,Oregon 97223(603)631-4176 71 639-4171 DATE ISSUED: 03/1214/9c':' `SITE ADDRESS. . . . 12590 SW 1. 14TH DR PARCEL : E:S 0;::;i=,t_ - WG9 SUBDIVISION. . . . : WALNUT GROVE SURD ZONING: R-4. . BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .9 PUILDING REISSUE: DWELLING UNITS: 1 B sSEMENT. . . . . . . . :(316 s f CLASS OF WORK. :NEW BEDRMS:3 BATHS:4 GARAGE. . . . . . . . . . :484 s-f TYPE OF USE. . . :SF FLOOR AREAS----___._.__._ REQU I RFI) CYPE: OF CONST. :5N FIRST. . . . : 1027 sf LEFT. . :8 ft RIGH"r. :6 ft ()CCUPANCY GRP. :R3 SECOND. . . :773 s f FRONT. :;='0 ft REAR. . :5` ft STORIES. . . . . . . THIRD. . . . :0 sf REPUIRED-- ------- --__.____.-- f(E I GHT. . . . . .. . . .;-2,0 f t TOTAL--.----.-. 1800 S f SMOKE DETEC TORS. :Y FLOOR LOAD. . . . :40 as f VALUE. . . . . $ : 104405 PARKING SPACES. . :0 Remarks : PLUMBING -___---•---__.__..________.---------------_- SINK S. . . . . . . . . . : 1 CLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :6 Wt'.TFR HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 FUB/SHOWERS. . . . :4 I_AUNLOY TRAYS. . . :0 CATCH BASINS. . . . . . . :171 WATER CLOSETS. . :4 SEWER L i rvE I ft ) . :0 GREASE TRAPS. . . . . . . ?0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1.00 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft , . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 --__-_-__-_.__---- MECHANICAL - -____--- _.._..-- ----------------- FEES FEES -_.--_-___-.--_-_ FUEL TvF'E5-•----------- UNIT HTRS. . :0 type amol.►nt by date rer-pt /GAS/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 03/04/92 - OAX INPUT:@ BTU VFNT FANS. . :7) BPRT t 445. 50 JLH 03/04/c3 - I-UHN ( 100 ; . . : 1 HOODS. . . . . . : 1 HPLC $ 289. 58 JLH 12/70/91 FURN ) a00K. . . :0 WOODSTOVES. :0 BSP[. $ c��'. F:8 JLH 03/444/92 - FLOC''< TURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 JL.H 03/04/9: - BOIL/CMF ( 3HP:0 OTHER UNIT S:0 PARK f 500. 00 JLH 03/04/92: GAS OUTLETS: 1 MPRT f 42. 00 JLH 03/04/92 - 7wtier: ---- -------____._..__..______._______.__.____ MPL_.0 $ 10. 50 JLH 03/04/92 - 1 (JUR D CONSTRUCTION MSPC t 2. 10 JLH 03/04/92 - I.'O BOX 1.577 PPRT $ 1.7-7. `50 JLH 03/04/92 - P5PC $ 8. 88 JLH 0.:x/04/92 - BEAVERTON OR 97075 Phone #: 641-•0935 FOUR D CONSTRUCTION f-'O BOX 1977 BENVERTON OR 97075 F-'hone #: 641-0935 71037 ----------------------------------------- $ 3158. 34 TOTAL rti►s permit is issued subject to the -eculations contained in the - -- -- -- REQUIRED INSPECTIONS ------- igard Municipal Code, State of Ore. Specialty Codes and all other Font/fat-ind Insp Fireplace Insp aeplicablr laws. All work will be done in accordance with approved Post/Beam 5tr1.1ct Gas Line Insp plans. This permit will expire if work is not started within 18Q Post/Beam Mech,an Insulat ian Inst) d;ys rf issuance, or if work is SI15pend! for vorp than 190 days, Plm/t.inds; lab Insp Gyp Board Insp PLM/Under-floor Rain drain Insp mittee Siclrtat1{re : Me0lanical Insp Water Line It►sp Plt_tmb Top Ot_1t Appr/5dwlk Insp '.1PH 11V : F•► .aminq In,u Met:hanic,al F inaI Call f�,r inspection - 639-4175 �1 --------------- C1 OF TioArRD SF WE.h CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT Cf yoFT1 7 & E'ERM I T 13126 SWFWIBMd. P.O.BGx23ti117, 011M w FERMI i #. . . . . . . : SWR9 •-0047 Ted,lkpon 07223(603)Q3p 4176 SITE ADDRESS_ :, : 12590 SW 114TH DR 3UBDIVISION. . . . : WALNUT GROVE `�UBD PARCEL: f3LflCK. . . . . , . . . . - LOT, . . . . ZONING: R-•':. . . . . . . . . :9 i'ENANT NAME. . . . . : ----- -_---- USA hiU. . . . . . . . . . LASS Of= WORi{, - . :NEW FIXTURE UNITS. . . YF'E OF USE. . . ;SF• DWEL.L.I.N6 UNITS. . : 1 INSTALL. TYPE. . . , NO. OF' BUILDINGS: 1 BU WR IMPERV SURFACE. . f�emarks : ' Own a r-: ------------•----- r,OUR D CONST'iUCTION _-�� -`_--__-- _-__.__._ FEES PO BOX 1577 type •amo+.;nt by date r•ecpi ' PRMT $ 1900. 00 JLH 03/04/92 -- BEAVE:RTON to 3 17075 INSP $ 33. 00 JL.H 03/04/92 -- Ptione #: 64t-11935 Conte _ i CONTRACTOR NOT ON FILE F,�,ori P #: ------- ----------- --- 1935. 00 ------- ----------- ---1935. 00 T01-AL This Applicant agrepj to comply with all the rules and regulations _ REOUIRI:.D INSPECTION'-, _._.._._•,. of the Unified Sewage Agency. The permit expires leo days from' elder Inspection _ the date issued. The total amount paid will hP forfeited if the ----�" � permit expires. The Aoency does not guarantee the accuracy of the —_—_ - side sewer laterals. If the sewer is not located at the measurement y_ - given, the installer shall prospect 3 fee,: in all directions from the distmce given. If not so located, the installer shall purchase A "Tmp and Side Sewer" Permit and the Age"nccv will instail a at ral. r m . L tee ralr)ntIti_i� t %suer_l By . Call for- inspection - 639-4175 ------------- I 1 - CITY OFTIFA KD C1IY0FTMRD PL..I,!Y18 I NG PF RM I T COMMUNITY DEVELOPMENT DEPARTMENT omoon F'i7 RM I T #. . . . . . . 13126 SW FWI BMd P.O.gm 23387,Tlpad,Ornm 87223(003)630-4176 J G 451'TE ADDRESS. . . : 12590 SW 114TH OR � p'ARCEL; ._S 103r.-;._-WG9 SUBDIVISION. . . . a. WALNUT GROVE' SUBU- ZONING: R-4. 5 BLOCK. . . . . . . . . . . L.01 . . . . . . . . . . . . . S9 CLASS O1= WORK. . :NEW GARGACC DISPOSALS. . - 1 T'YGE OF USE. . . . :SF WqSHING MACH. . . . . . . it BACKFLOW F''REVNT'RS. . :0 OCCUPANCY GRP. . :R 3 FLOOR DRAIN',)'. . . . . . . :0 TRAPS. . . . . .. . . .. . . . . STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . ;0 F I X FUREB-- _____._.._.__. LAUNDRY TRAYS. . . . . . ..4" "F RAIN ORHINS. . . . . : 1 S1 N1;;i. . . . . . . . . . a ! GREASE" TRf:PS. . . . . . . :0 LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . :0 TUR/SHOWERS. . . . : SEWER LINE (ft ) . . . . :es WATER CLOSE.TS. . :4 WATER LINE (ft ) . . . � t 1041 T)ISHWASHE'RS. . . . -. 1 •, fiArN "BRAIN (ft ) . , . : :0 f•�r:lnark5 : 1='OLJR D CONSTRU%TION TIF >t 1380. 00 JLH 03/04/9;2 'U DUX 1577 SPRT $ 44: . 50- JLH 03/04/92 •- BPI._C $ f1�3. 058 JLH 1.2/30/91 BEAVERTON OR 9707n B5PC $ 22- 28 JLH 03/04/9,2 641-0935 aF;LrC � -`80. 00 JL.11 03/04/9,: - PARK $ 5'210- +7.+0 JLH 03/04/92 - I�'lumbing Contractor:__.. . ____.___.__._._.� MpRT s 4,2-$x71 JI-H 0"/0:4/9x? - r� MPLC $ tO. 50 JLF-1 03/04/92 h15PC $ �:. to JLH 0:3/04/92 il'IdreSs: 1592 3 51st,AVEyPPRT $ 17'i. 30 JL41 0:3/1)4/9x'' i t y a Hilla�boro,OR _6t at 1!a -._..OR _____ N�F'C t 11- 88 JI._.H 0,3/64/9E i ipa__ - _ 97123 _ Frhonel!1: _640--5T70_...- µ 'e r# M t_.. 19907 -----~--- - ! his permit i 'c isSurw4REQUIRED INSPECTIONSd 4i_xbJect to the reg- _ ----_ 11ationw. ('onta ►neci in the Tig8t'd Murricira.l Foot/fuund Insp Rain dr�lin InSF, '-ode, State of Or-e. 5pec::ialty Codes and all Post/Pe-am Struct.. Water I. ine Ingp other applicable laws. A1 .1 work will ba none Post/Bt-am Mwr_han AIPrr/Sdwlk Ingp in accordance with approved plans. This P) M/undslah Insp M1srh�anicml Filialper^mit will expire if work is nut stalrted PL_M/Underfloor Plr.rmb Final within 180 days of issf.xance, or if work is Mechanical Ingp Building F"in��l •' usc�e ,cled for more than tao days. Plumb Top Out Erosion -antrol Framinll Ingp (.rAwl Drain Fireplace Inst, Gas Line ) r x%1=' f� Insulaction Insp Gyp and In Art i-1ariz d-PIUMbing Cnntrwrtot^ Signature Contractor Notesa Call for lnspertion - 639-4175 fi;;m brs,,, 14- CITY -isITY OF T I CARD RE CE.I p-r OF I'AYME N'I' RECEIPT NO. CHECK. AMOUNT 4843. 34 r'oUR D co urRUCTION CASH AMO(JNT' a 0. 00 )RESS Q PAYMENT' GATT= r 03/04/92 GUBDIVISION PURPOSE OF PAYME N'r AMOUNT Iii?1 D PURPOSE OF PAYME::N'f AMOUNT' PAID NUIO_QxiVC PER+f 445. 50 PLUMST14G PLgM 177. 50 MEC,HnNICAC. PE: 4a. 00 8'f. BU1;.D PE R 33. 26 PLAN CHECK FE. 50. X113 SEWER USA 1904A. 00 gErWN.R INSPECT 35. 00 RES i DE NT I AI_ TRAFr Y C FEES 1260. 00 ?ARKS SDC 100. 00 STORM DRAIN SOC ,"80. 00 MASS TRANSIT TIF FEES 100. 00 t 0T 9 WALNUT GROVE" 1 c'"i90 13W 114TH r)R l nl`AL. AMOI.lNT PAXD _ _.- _-) 4843. 34