11794 SW 126TH PLACE ADDRESS:
11794 JV
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT C;E:RTIFICOTE OF
13125 SW Hell Blvd.Tigard,Oregon 97223.8 i99 (503)639-4171 OCCUPANCY
AAA,. PERMIT #. . . . . . . : MST`?. � ►,
639--4171 DATE ISSLIED: 01/06/94
PARCEL: 1 S 1 33DD-1 1700
a I TE: ADURE13S. . . : 11794 SW 1.26 T'll PL.
SUBDIVIOION. . . . t VILLAOF AT SUMMER LAKE: PARI; 4 ZONINL7:R• 4.. 5
. . . . . . . . . . . LOT „ . . . . . : 15-11
CLASS OF WORK. tNEW
TYNE OV USE. . . :I::IF
0Ct:UPANCY GRP. :R3
OC:CUP(INCY LOAD t F 26 4
l"CWINT NAME'. . .
Remarks : PATH J .
Owner: _...._ _._...,...___.._..__.. .........__. ......
DON MOR I SSETTE HOMI:=S
15555 SW HANGY RU
SUITE * 201
I_AKL OSWEGO OR 97035
Phone #: 620•-'7538'
Contractor: _....__._._.. ._,._•...__._._._ _..._.. ._..._. _ .._._._._. ...._
DFIN MORISSL.TTE B1.)II.._DFfZCi, INC.
5000 SW MEADOWS RU
SUITE 151
LAKE: 05WE BO OR 97035
Phone #s 620--7538
Reg #. . t 3553
Occ,u pAnc:y of -the above referenced bl.li ldinia i. s hereby gi vnr�, al»ti r_er t i f i em
thc- c-umplianc:e with the estate Of Orpgon Sp,y;.•ialty Ccde5 for the group,
oucUpancy, and use under which th(� vF-ferem-ed permit was issited.
F I RE DEPARTMENT W i NG IN 'CTOR
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T-(X3*T IN CONSPICUOUS PLACE
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INSPECTION NOTICE
City or Tigard Buildlog Departaent-
13125 SII Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspoction:
Footinq Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strur_t. San. Sewer Framing *111dgH.
Post/Beam Hoch. Rain Drain Insulation Plbg. Underfloor Water Line Gyp. Bd.Date Requested:_ ) Time: PH
Address: / -/' / CAP Permit
Builder% . _
THE FOLU-4ING CORRECTIONS ARE REQUIRED:
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Inspectors Date: o
APPROVED - DISAPPROVED �- APPROVED SUBJRCT TO ABOVE
Call For Reinsp.
INSP!!CrlON NOTICE
City of Tigard Building Department
13125 SA Bell Blvd. Tigard, Oregon 07223
Inspection Line (Rec-a-Phone): 639-4175 l mese Phone: 639-4171
Inspections
Footing Plbg. Underslab Hach. Rough-in ( Appr/Sdwlk
Found. Plhg. Top Out Gas Lina FINAI.i
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pibg. Underfloor Wate Line Gyp. Rd. -Mach11 .
Date Requestedt , / /-J Time: AM PM
/ - / /
Address: Permit
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Builders
THE POLLOWTNG CORRECTIONS ARE RLQUIREDt
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Inspectors ✓s Dates_
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APPROVED bISAPROVED _ APPROVED BgBJRCT 1b ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Beninese Phone: 639-4171
Inspectlon:_ _
Fcot'.ng Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Retiuestods 12-!7 , Time: AMC/�__PM
Addresst I. I l (^1 1t 1 Permit ft 3 /
Builders
TNS FOLLOWING OORRFCTIONS ARE IREQUIREDt �P
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Tnapectort 1-• �11[��sG �� _ Bate' 1- - '_� 5
REPROVED _� DISAP'PR/OVED APPROVED SUBJECT TO ABOVE
,ICa11 For Rsinsp.
MR ETr-ION NOTICE
City of Tigard Elul,' ieg Departa3nt
13125 SIR Hall Blvd_ T.,,ard, Oregon 97223
Inspection Line (Rec-O--Phone)s 639-4175 Businean Phones: 639-4171
Inapection:y
Footing Plhq. Underslab Hech. Rough-in Ar,..:/Sdwl.k
Found. Plbq. Top Out Cam Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Dd. I -Hoch.
Date Requested: r_ r TimBf AN Pl{
Addreao: � (q 1 ,2(dl- P.mait #1q-3 -0It- 1
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Builder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapedtor1 t Date:
APPROVED DISAPPROVED APPROVED SUBJECT 7" ABOVE
/' Call For Rainap.
INSPECTION NOTICE
City of Tigard Buil.disg Departsont
13125 9W Ball. Blvd_ Tlgard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:_
Footing Plbg. Underslab Hoch. Rough-in Appr/£dwlk
Found. Plbg. Top Out Gas Line FINAL:
Poat/Beam Struct. San. Sewer FranLng -Bldg.
Poet/Beam Hoch. Rain Drain Inetslation -Plumb.
Plbq. Underfloor !/Neter Line Gyp. Bd. -Hach.
Date Roquesteeds�/ I( - l Time: AHL/ _� PX
Address: A�^•1_ I T �Z14''h �� ^`Permit #t���--�71
Bul lder: 1�'�Y\c} � r�k
THE FOLLOWIM CORAICTIOMB ARE REQUIRED:
Inspector:
G/ APPROVED DTSAPPROVED APPROVED SUBJECT 11 ABOVE
Call For Reinsp.
MSEK0!I0N NOTICE
City of Tigard Building Department
13125 SM Ball Blvd.. Tigard, Oregon 97223
Inspection Line {Rec-O-Phone)r 639-4175 Business Phone: 639-1171
Inspection•
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINALs
Post/Beam Stract. San. SewerFramainq -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Cate Reques ads- ! � , 13 _Time: G�1 -FK
Address:_ I ' l( Permit #t.
Builder,
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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-ifl.CA.a.b A7 •+-s+-- Gt'irE.ti..� .A��,ss �... �t�.��:�
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Inspector, bates
APPROVSD DIs"PROVED APPROVED SUBJECT TO ASO"
call For Reinsp.
T.4S^ECPION NOTICE
City of Tigard Building Departmnt
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O.•Phona): 639-4175 Rusineee Phone: 639-4171
Inspection:
Footing Plbg. Underalah Mech. Rough-in ApFr/Sdwlk
Found. lbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requesteds it -1-1 ^��3 Timet AM rM
Address: Z �7I Permit It 9 3- /
Builders
2 1176
THE FOLLORiM OMMOTIMS An R>WIUDI
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Inspector: — Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ADM
_Call For Rsinsp.
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Ii7SP$CTIG.. N(YfICE �,
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oren 9727.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,_
Footing Plbg. Underelab VACh. Rough_tt *0'� Appr/Sdwlk
Found, Plbg. Top out Gas t. FINAL:
Poet/Beam Struct. San. Dower PralaLW -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. bd. -Hoch.
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Data Requested:_
/ I/ + _ Timet AH PM
Address& i 1 7 I ( Permit #t13 0 y-0
FOLIA)WING CORRECTIONS ARE REQUIRED&
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Inspector wA ADates 'i 1 � J `1 3
"PROVEDDIBAPPROVED APPROVED SUBJECT TO ABOVK
�� ` Call For Rainep.
NI SPBCTION pro::moo
City of. Tigard Building Departdamt
13125 811 Hall Blvd. Tigard, Oregon 97223 I
Inspection Line (ROC-O--Phone): 639-4175 ; Business Phone: 639-4171
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Inspection:_
Footing P)bg. Underslab Mech. Rough-in Appr./Sdwl.k
Found. Plbg. Top Out Gas Line rivAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -MOCh.
Date Requested: _Times 1+11 PM
Addroes:_AuI R� 1 \ Permit #1
Builder: 1. �_ ," ` (Cl�-- �
TBE FOLLOWING CORRSCTIONS ARE REQUIRED:
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Inspect3�:PROVND
� / �. Dater
DIBAPPRUVtD APPROVED SUBJECT TO ABOVE
Call For ROinsp.
INSPECTION NOTICE
City of Tigard Building DOParta wt
13115 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone): 639-4175 Business Phone: 639-4111
Inspections
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bcam Strutt. San. Sewer Framing -Bldg.
(,Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
II ` �
Date Requested+ (U J `j Time: f "IAN
PK
Address: 1-H �ZW + ' Permit
Builder, �.�Y` Ea ts5
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: -.-- — -,- --_ Dates- r�
APPROVED _— DISAPPROVED APPROVED SUBJECT TO ARM
/ Call For Reinsp.
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INSPECTION NOTICE �. f
City of Tigard Building Depart-mmt
13125 SN Ball Blvd_ Tigard, Oregon 91223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Peat/Beam Struct. San. Bawer Framing -Bldg.
Poet/Beam Mech. (•AaJn Drain Inaulatl.on -Plumb.
Plbg. Underfloor Nater Lines Gyp. Bd. -Mech.
Date Requested: � Times AM IMI
C 11 � 11 X
Addresse_ ,,II_i_(_�� � ��l0 1 _____.__ Permit #:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: - Dater
j[ ___APPROVED 4_- DIBAPPROVRD APPROVED SUBJECT T ABOVE
Call For Reinsp.
INSP?CTION NOTICE
+
City of Tigard Building Department `\ ,
13125 SA Mall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Pootin Plbg. Underslab Mach. Rough-in Appr/Sdwlk '
nd• ✓ Plbg. Top Out Gas Line FINAL:
Post/8eem Struct. San. Sewer Framing -Bldg.
Poet/Beam Mer_h. RaJ-n Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Reque�te)d: ^/ - -
2- I Time: /I�2 /AM�/�
Addreees� ( y Z-b Permit #t`/JQQL' f 7
Builder: Vtv\, -7
FOLLOMING ODRRRCTIONS ARE REQUIRED: e; I 1,
PA"-zo' Ai
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Inspector: Date: / _27-q 3
APPROVMD DISAPPROVED _Z"pp,"D SIIBJBCT TO ADOVR
Call For Reinsp.
INSPECTION NOTICE rhl
City of Tigard Building Depa.+d+nt
13125 SW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Doting 107- Plbg. Underslab Mech. Rough-in Appr/sdwlk
ound,/ Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -B1_:T
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requeste
d
:_ ` _ Time: AM PM
Addrene: I l 12 to — _ _� Permit /:2_3L()Q-
Builder:_ _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L1 2 V C
Lam ) Y2
(tA1-'�'�
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lnspoctor: Date: -2-7-53
APPROVED _ D2.4APPROVED APPROVED SUBJECT TO ABOVE
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C'7\ Call For Reinep.
CITY OF T I GARD RIP*,.;-VEfR PERIvIii 'I
COMMUNITY DEVELOPMENT DEPARTMENT PE",R m I 'll it
13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639.4171 WE lZiSULD;
PORCEL.- 1!35 1
.iji3D1VIs1tJN. VILLAGE AT' L-)U!y11'(1L.R LPi-(L' r'-'FI RK 4 Z ON f NU s R --4. 5
BUILDINGI NG
I F-.1)3)LJE DWE.LLING UNITS: I BASEMENT. . . . . . . . :0 s f
OF' WORK. NEW BEDRMS:5 1301'Hil : ,3 GARAGE. . . . . . . . . . .390 5 f
ur u3a. , . is LCWR MEALS- -- - r�Luuipu) sE.,rBnL:Ks
YPE OF' CONST. 5N F I RS'% . . . 1659 s 10 f-t RIGHI . :b ft
..'i_LLPFMLIY LJRF'. 1? 'U,C0114V. . . s f; V PONT, 20 f u r;L A R. 3 1 rT-k
Es. . . . . .. . 7+4 1 RD. . . . s f REutif RED----
. . . . . . . . ....( ft.; I C)1 AL 4L'3 s f SMOKE DE1iEG'Ti'!DR!3.
L_D(JR LOAD. . . . 4O psf V F-ILUE. . . 118754 PARKING SPACES- 1
PLUMBING
. . . . . . P I I . FL-130k DRAINS. 0 PACK`�LOW PREVNTR5. . :.O
WATER HID ITERS. . . 1. 7'RAPE). . . . . . . . . . . . . . ..k2l
(34LIADNY Ir RAYEj. . 0 LRTUA . . . . . . .. 17;
L H LLCSL TEI. SEWER LINE (ft ) . :0 13REASL RAPG. . .
9+4WISHE RG. . . MITER LINE (ft ) . : I I Z:0 UTHEP F-IXTURIL-S. . . . .
" 'I
AAC7 -;' D I SP. . 1 RAIN DRAIN (ft) . :0
NG MACH. . 1 Sat RAIN DRO INS. I
1YIECHONIC(IL
PTRIFI. . zo t Ypu amo uIlt b d ckt e cecl.;t
"J VENTE'; . . . . . . IZI 'TIF $ 1520. 00 JFJ I Z 11) �1
1 0 1._:.'T Lj VENT' Ff-IN1,3. . UPH I i; 4t30. 50 JH OWE,
.;Q19 <00V 0 HOODS. . . . . . LIPLC $ 312. 33 JLVI 09/0 1 0-3, 93-E'4.-•
) =-100K WOODC51"OVE5. -.0 LA 5 r-I r_ s a 4, 0,5 X 1 013/-RL '9 4
CLU DRYERS. p I ssDC t 280. 00 JH 09/ L/93
0 T I C R UN I'T I F44RI-1 250. 4"0 JI•[ OWE/43
Gp,-,: avrLUS. I MPRT 45. 00 JH 092ii. 9 3
-MOLL I I i . L1.4 212 FXV')/0L.'/9:;
J NI MOPISSLT74. HUM[ S 2. 25 JH 0 9/a.: 9
SW LSE` W)'y 11) 114-11. 5. 0 J!_q 09;122/9'
L'01 FIT)VIC 7. 38 JH 09/22,x9
OR 0
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_;vavi. 24 To'r PL
pprul, ii ilsupc stitjpcl to the requ'ationi contained in tnt REGUIRED iivsF,s.crimz
ji,d Mr.;C4PAI Code, State of C4. EFfciaity Codis oid all other C00t/fOUnd lf)Sp rit-ep' lice Insp
irdance with approved L'c)st/Beam 1.*)trLkC_'t: Cias Line Insp
LLJ 'hin W "'Ist /Desm Median InSUlAtion Iyisj
lm/i,mLlslab Tnsp Gyp Poard In-�,
1/U'ili_?1 f I cl o Rain dj.-Ain J.,
I um b T o U u t MUP„nclwlk 1,
Ga I I f u r ins pect i un 639--;4 175
ULWER CONNECTION
PERM I'T
CITY aF TIGARD M T
P E R T it. . . . . . . : SWR93--041
COMMUNITY DEVELOPMENT DEPARTMENT DPTE ISSUED-
13125 SW Hall Blvd.Tigard,Oregon 972234199 '503)639-4171
PARCEL: IS1330D11700
ADOREP' ,. ia�b]'H PL
J. 310 . . . VILL-AGE (4T SUMMER LAKE: PARK 4 ZONING: R-4. '"
. . . . . . . . LOT.
361
NO. .. . . . . FIXTURE UNITS. . .
[IF WORK. — :NEU DWELL 1 NG UNI"1'S. .
Yr'E OF USE. . . . . :SF NO. OF BUILDINGS-. 1
D".!:`3 W r IMI.-'LRV SURF(Al,�E.
14 TH
FEES
11,LRISSE1111 HOMEStype zk rn C;'..z T-1 t by diit v
--5'_:, SW 13(4N6Y RD PRMT .200. (110 JH 09/"--
#
Of3WESO OR 97035
Tie it. 62'0-7538
RPC TOR IvU T ON FILE
r e
REQUIRE7D INOPE"TIONS
nrV,.jcart ap,tes tt cosply with all tre -•jes and regulation- Sewer tnc;pectioti
t�c ;!rifled Sewage Agency. The persit expires 182 days from
date sued. The total alount Paid Will ba `crfeltee If the
��'Iit e�,-,res, 71-a Pgenty does not Suarantee tme accuracy of the
:ide sewer laterals, if the sewer is not located at the oeasuv,psert
"I'10, the -Irsaller shall prospect 3 feet in all directions fi-os
1,e distancE ;lvfn. if rct so t. ball purchase
i 'ap and 15.tf spwir` c'E-14 1, a
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for inspect ion 639-4175
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CITY OF TIGARD — RF-"C;Flr-`T Or PAYMENT RECEIPT NO. o93-244440
CHECK AMOUNT = 5065. r-'4
NAME s MORISSETTE9 DON CASH AMOUNT s 0. 00
ADDRESS s PAYMENT DATE s 09/22/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 480. 50 PLUMBING PERM 147. 50
o. MECHANICAL PE 45. 00 ST. BUILD PER 33. 66
PLAN CHECK FE 73. 58 SEWER USA 2200. 00
SEWER INSPECT 35. 00 PARKS SDC 250. 00
STORM DRC4IN SDC 218171. 1210 RESIDENTIAL TRAFFIC FEES 1410. 00
MASS TRANSIT TIF FEES 110. 00
C.0
ui
LOT t54 VILLAGE AT SUMMERLAKE 4
11794 SW 1216TH r'l-
'TOTAL AMOUNT PAID — — — --> 5065. P4
UWSWHaUBbd PLNCK/RECT i `""l/V�CITY GF TIGARD F08"UM PERMIT 0 MS19.L O �f 1
COMMUNITY DEVELOPMENT DEPARTMENT TwreLom°'_f-Im
(S03)639-417' DATE ISSUED
JOB ADDRESS: f 1 77 TAX KAP/LOT /S 33b-b 11-7nO
SUB• �� �' LOT: / JT-7 fes. LAND USE:
VALUATION:
Qm SPECIAL NOTES
NAME: j1 �rIS t')')( �, REISSUE OF:
ADDRESS: JSS�S �ln� F�3 4101 LAST REISSUE:
FLOOD PLAIN/
PHONE.: SENSITIVE LAND:
CONTRACTOR 8PPR0VALS REQUIRED
NAME: PLANKING: YT�'+A�C' t1�' O�
ADDRESS: _ _ ENGINEERING:
FIRE DEPT:
PHONE: _. OTHER: 7%f
CONTR. BOARD #: _ _ EXP DAZE:
,NEMS REQUIRED
SUBCONTRACTORS: PLUMB: YI '� LIST/SUBCONTRACTORS:
MECH: � .Ej
TdfDJ71YUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: � � —riol TRUSS DETAILS:
ADDRESS: OTHER: _
2 i
PHONE: _+LJyLIS�
PROPOSED BLDG. USE:
COMMENTS: V Lt— G`f � ��C'�G.1 U ' -
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ADPL I,ANT �I G 'ATURE
Received By: Date Received: '
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
hiskLwa 10-432 00 Building Permit fees ✓ g�.5�
10-431 00 Plumbing Permit Fees f , S o j;Sv
10-431 01 Mechanical Permit Fees S.00 `/S.e•
10-230 01 State Building Tax (5%) 3 3.GG 33•G G
Building 2 0 3 "
Plumbing
Mechanical Z. Z)
10-433 00 Plans Check feesY �257) 7 3•SY
Building 312. 33
Plumbing
Mechanical
10-230 06 Fire
Sc� ( 30-202 00 Sewer Connectiont2- ZZGu
30-444 00 Sewer Inspection 3r 3�
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees / L'
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) SU
31-450 00 Storm Drainage Syst Dev Chrg
(SSOC) a2�_ -I-V
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
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.........
1
TOTAL 5 315.2.x( Z G S 0&
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