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16680 SW 126TH AVENUE
KING CITY
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of inspection 6�4(
Date Requeste/d,, 4-1 Time X A.M. P.M.
Address I"� , Permit #_ _C!
Owner
Builder —----- — - -�—
The following Building Code deficien s are required to a corrected: /
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Prevented to _ �L- pproved
Inspector — I Disapproved
Date _
CALL FOR NF,INSPECTION
L I YES [-.] NO