12155 SW 127TH AVENUE WFMIINM
12:..55 SW 127TH AVENUE
`I
N
i
0
CY_
" W V
h
o -
Ila
' � a
N
Cl)
} y W
O t,
J
or
.-I d
N
r
City of Tigard
gyp. INSPECTION REQUEST
for
INSPECTION TIMEPERMIT NO. :
DATE: DATE ISSUED:
OWNERS NAME :
i
ADDRESS : Ll
I CONTRACTOR :
TEST: Air ❑ , Water ❑ , Visual fU , Laboratory ❑
RESULT. A,Dproved"14 , Disapproved ❑ , Pending []
i SKETCH:
I
I
INSPECTOR DATE
1 [NOTE: Attach supplemental lost data hereto
EMBI.T "B"
9.191
C'xT C OF TI;ARD
CERTIFICATE OI OCCUPANCY IND RELEASE OF RESTRICTION
The City of Tigard hereby certifies that the occupancy of
the following described structures or premises with respect to which
a restriction of occupancy was, on March 25 , 19_x,
recorded in book n;,7 , Page 767 , Deed Record of Washington
County, Oregon, �s hereby authorized and approved.
DESCRIPTION OF PROPERTY:
n 1.1yuad Tl, 1,1;,.1) 2,I ,, ,.s-innun Trni, -l.9
3•
OWNER: Ji.m nray5i, 7i:.
BUILDING PERMIT NUMBER:
BUILDING AUDREa9: t ; -, y7 tj�-n,,w
Thics is to certify the said structure meets with the require«
ments of the Bciila,rig Cude of the City of Tigard and the above
referenced restriction it hereby released and terminated.
IN WITNESS WFEEREOF, the undersigned authorized officer of the
City of Tigard has cauoed this certificate anti relea:,e o: restriction
to be executed this 25th day of June , ly�•
'title: Cin RERIIFR_
STATE OF OREGON /
County of Washington )' AGO .ce,d..(f'...?7., .-..to,7X.✓Q..�AM-"
8001 t.Rl'N. Dit.gcw M ha Mtdo R fbM,nne
P9
on this 25th day of June i�74, personally
appeared before me the aL• ✓e named Doris whore
signature appear:, hereon and who acknowledged to me that. he executed
the same in hip offica.l capacity on behalf of the City of Tit,ard.
/ Y.ZZ
otary u61ia.4S egun
May sc n expiren:
WK
w
Y
STATE OF OREGON e<+,
County of WoshlrKw
I Roger Thomson Dlrecror o/ Records
and E�ecrlom and Er-Of�INo Retarder of Cnn-
Ziwyanc" for said County, do hweby unify
the within Instrument of wrltlnp was
received and recorded In book of reeorde
No. _-
..--- _
of sold Ca *V
Wlrneu mY hand and *cif affixed.
ROGER tMOMSSEN, Director of
aeemds 8 iMefk>ti
.17 c1r
Oeouty
10 si AH 'ria
wiiirffff
JUN W MANX
EXHIBIT "B" i
CITY OF TIGARD
CL•:RTIFICATE OF OCCUPANCY AND REI.EA:iE OF RELMICTION
The City of Tigard be:eby certifies that the occupancy of i
the following described structure or premises with respect to which
a restriction of occupancy was, on 19 ',
recorded in Book , Pam , Deed Record of Washington
Ccunty, Oregon, is hereby authorized and approved.
i
MCRIITION OF PROPERTY:
6'
t
OWNERr. ^raf^..,rn
i
1 BUILDING PERMIT NUMBER: -;;_ —
i
BUILDING ADDRE;S:
Th13 is to certify the said structure mects with the require-
mento of t a Bulldine Cyte of the City of Tigard and the above `
1
•�l ;� �i referenced restrictiun i:. hereby released and terminated.
� l4 I r`, 0
IN WITNMS MIEREOF, the undersigned authorized officer of the
-4 n
° City of Tigard tar, cauaed thi3 certificate anu releaue of restriction
�___.___ da of
n
to be executed this 2 'th1 Y June t 19 •
'
rW Title: G1
STATE OF OREGON
u County of Washington )
11Oc2tR ORLN,Mr«+a.n/11O.n00 6 LI
On thin 25th day of June , 19 74, personally
appnored before me the above tamad Doris Nert18 , whone j
siF)iature appears hereon and who acknowledged to we that he executed k
the same in his offical capacity on behalf of the City of Tigard.
Nuturyt:',11r,qr elon
My gpamm ae n expires:
!381 v,F 362
t
• CITY OF TIGARD MEC� 4NICAL PERMIT
7 PERMIT NO. _ray l/�_/?'1__---- -
RECEIPT N0. /0377
DATE FEE -ft of— -
., . on:
1.
•Permit shall be obtained prig to c•oiie�cesewhich arettolbecome
• 2� Perm
•shall be obtained for al app
a: fixture to the building. or changes to burners and
3. Relocation, replacements, alterations, E i
duct work require permits•
led must be inspected before cover up•
4. All work to be concea
ce ❑- Rerocat3 on ❑ Additio F� Alteration ❑
New Installation
Replace OWNER
4_ wORK ADDRESS .�CCOINTR. [� /.:z
ADDRESS ✓ ' /, r , ,.r�' "
r-��A 4� APPLICANT �� ---
m
TELEPHONE NO. , -i -_'��-.'_._. 1-
,/ TELEPHONE NO..
FURNACE - MANUFACTURER _� Vent Size FlUe Size
, .
HEAT Input rating (Btu Perrr ,,Hour) - - - ______--_-.�-------
FUEL OIL ❑ GAS a ELECT U OTHER ---
Main Floors Basement
TOTAL SQ FT. Top Floor `y _.-
GENER4L -
�- -' N0. FE
N0FEE ITEM
.
ITEM .
00FBO
ilers Over-J-0For Issuance of Permit - .00ir Na»dling 1_�,��0 C�thew - Under 100.000 Btu ir Handler 10 000 CFM nw Over 100 000 B u 0va orative Cooler
Floor Furnace en e M
0 _ _ entF sari _------------Well -- 1.10or -�usQ- Ven S sm�'Ins ell Ven-s 001;-
_Nc'od .t
weir - Heat &_Cool�n x.00 _ r�omes,_c Inc�nera or
Rollers Under13 -_� - i.o m.iInoc �3ra�o'r � � �•�
Boira
lers -�0 5 H— 10.00 Otiie - e - -.---' T
Rollers 0
INSPECTOR'S COMME14TS
✓� � ISSUED BY DATE •
APPROVED BY DATE _ - ____ - "'
- - � :�''._.�.C�._.L'•'l:Gam••t .---- __.�..�------_
jmature of App�.lcant
I
I
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO.:
DATE : :,iy,72e DATE ISSUED:�1.-1
OWNERS NAME :
ADDRESS : —�'---r� '-�-��`= =�.,� > S_5 .���_ / fK.
i CONTRACTOR :—_--
1
TEST. Ai►❑, Water ❑ , Visual ❑ , Laboratory ❑
RESULT. Approved ❑ Disapproved ❑ , Pending ❑
- Pref -1 r
SKETCH: �Y
P/!I r
i
72)
S
i
tr r
,
`'INSPECTOR DATE
EN OTE I Attach supplem*ntol lost data hereto]
-- i
i
I
I: .
1
I
,I
1 ALL SPACES MUST 8E ENDORSED
PP!CR TO APPFOVAL OF THESE PLANS
PUBLIC \VO. .;> D-FT• GY
�,,,/�,,
_ ��� �'h' D.1TE�cs�
CITY
lJ i.t.. -
.%
N. ?t•
NATURAL GA: EY
t
C'Y---.
T. R. K'. Q LY---- U,:T:
-- --
City of Tigard
QNSPECTION REQUEST
for,
INSPECTION TIME" : '¢ lt1 PERMIT NO. :
DATE: DATE ISSUED:
OWNERS NAME : 0 s L 1 ,
ADDRESS : /2 /S S- _5 (" ;P
CONTRACTOR :__ "14 146
TEST: Air ❑ , Water ❑ , Visual ❑ , Laboratory ❑
RESULT: Approved;e Di-approved ❑ Pending ❑
SKETCH: "
IN PECTOR DATE
COTE : Attach supplemental tett data he►et]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : ___.__-_
DATE : DATE ISSUED :_/______
OWNERS NAME : � ��r�rnev-
AL)DRESS: _1�LS_S_Sc�� �7T
CONTRACTOR ,
TEST : pair G, Water❑ , V:sualo, Laboratory I]
RESULT : Apnroved )e, Disapproved pending O
SKETCH: C
y
SPECTOR DATE
COTE: Attacn supplemental feet data heret�
t as s as s� arPffs
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' I
DATE: DATEISSUED :--LL-
OWNERS
SUED :.._LL_OWNERS T
ADDRESS: �� 5 S fig/ / a7�
CONTRACTOR :
TEST : Air f], Woter13 , Visual p , Laboratory p
RESULT: Approved Disapproved p Pending p
SKETCH*,
INSPECTOR DATE
COTE: Attach SUPPIOm"" t.st data be►etol
t � �
City of Tigard
INSPECTION REQUEST
for
lel
INSPECTION TIME : PERMIT NO.:
DATE: q1� DATE ISSUED:_.L1_
OWNERS NAME :
ADDRESS : / ' -� �� �.2 -7
CONTRACTOR : 1 t' - �,--Z--F-� ) ! (c:'.�`-,L'ff✓j
� 0
TEST. Air❑, Water Visual�. Laboratory
RESULT: Approvad:4 Disapnroved ❑ pending ❑
SKETCH:
INSPECTOR DATE
TOTE : Attach supplemental fest data hereto]
City of of Tigard
INSPECTION REGUE' ST
for
INSPECTION TIME : PERMIT NO.:
DATE: DATE ISSUED:-
OWNERS NAME : r'-1' aft
ADDRESS : a l S 5� .5 1�v /a 7
CONTRACTOR :_
TEST: Air 0, Water o , Visual* Laboratory []
RESULT: Approved Disapproved 0 , Pending ❑
SKETCH'
INSPECTOR DATE
COTE : Attach supplemental test data heret1
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: -75' 1 Iii DATE ISSUED :-- / /_
OWNERS
ADDRESS: / a / S—!�_ S
CONTRACTOR : .---- ,r"y21l
TEST : Air [I, Woterp , Visual ❑ , Laboratory p
RESULT: Approved Disapproved ❑ , Pending O
SKETCH.'
IN ECTOR DATE
INOTE uhtach supplemental tett data her eta]
PLUMBING PERMIT APPLICATION
Jurisdiction of
Type of Fixture Fee Permit No.
Permit fee
Water_ClosetsToilets >> �' �' Permit Issued
Bath Tubs _ X77 Apprnved by
Lavat.o Wash Basin _ /:�� Building Permit _
/ Showerc' Peceipt
_ _Simi ts_i Di shwa shin �_ _-
Sinks Kitchen
Sink y Ordinary - Location of Building
Sinks., Bar--------- -- -- - f------__- __-
Sinks., Step _ --� n-�_--'- / ----__---- -------
_Automatic Dishwasher_
_ Laundry Tr a sName & Address of Nner
_Drains Floor
'
Drains Area --••-
Drai_n_^ Refri_�;erator -------
,/ Rain Drains U
_Automatic Washer cr Name & Address of Plumber
ounUTT. -if n "in� _ --
- Soda
Fountains* o - _ -
i Hot Water Tank _ _ � � _ 4f.::19 N. E=UN",0N AVE. 2F1-1 109 -�-
�'_ Water Service
_ Urinals - _ _ BuildingJOId or (Iew)' Alter, Repair or_
- Cater.,-Basins -ward- _ Ins al _
Lawn_Sprinkler_ SystemSwimming Pool -_.-----•-----
- _Sprinkler System ------
(, , ,���--- . 7,77
This permit becomes null and void if work or cor-+.ruction authorized is not
commenced within 60 days, or if construction or , rk is suspended or abandoned
for a period of 17.0 drys at any time after work is c;,,„�nenced.
All plumbing firms must be licensed by the City of Ti.gare and post a $1,000 bond.
I hereby certify that I have road and examined this application and know the saln
to be true and correct. All provisions of laws and ordinance:; governing this ty
of work will be complied with whether specified herein or not, the granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction or the performance of
construction.
C
Signature of Applicant
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : ----
DATE :
O. : ,_.__DATE : 71/41 �L DATE ISSUED:---Z-1—
OWNERS NAME : --
ADDRESS :
CONTRACTOR '
TEST. Air O, Water ❑ , Visual O , Laboratory []
RESULT: Approved ❑ Disapproved ❑ , Pendine ❑
SKETCH:
ANSPECTOR DATE
LNOTE Attach supplemental toot data he►ot]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : i PERMIT NO. :
DATE' DATE ISSUED:--.�_-1--
I OWNERS NAME '
ADDRESS : _____ __-_._._.. f '► �.__
!
CONTRACTOR : y
TEST .. Air ❑, Water p , visual [I , Laboratory ❑
RESULT: Approve Disapproved ❑ Pending L]t _ _
SKETCH:
I
I
I
I
I
- 4-14
NSPECTOR DATE
COTE Atter,h supplemental lost data heret]
1
til•" G,6,
EXHIBIT "A"
CITY OF IGARD
'- Residential Structure Occupancy Restriction
f/ KNOW ALL hEN BY TL'SE PRESENTS, That occupancy of residential
7 3 structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the Dee" Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRI1111ON OF PROPERTY:
y
ADDRESS OF PROPERTY:
NAME OF OWNER:
ADD11U iS OF OWN1Ji: T /
�1.•_r� ¢.�:....rrs.��.�� ...���fir'��
IN WITNESS WHEREOF, the undersigned has caused this restriction
to be executed this, day of 1>��
OWNERS
APPROVED: ,Byt -
' T.tle
BYilding Official
City of Tigard
STATE OF OREGON ) s®
County of Wta:;hin_gt.nn
Personally appeared before me the above name&A)No r4t
and acknowledged the farep.oing instrument to
voluiNary act and deed.
Notary 1' lic for Oregon
My Comm!ssion xpires:
139'7
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENTS, That occupancy of residential
structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the Deet. Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY:
ADDRESS OF YROPLiTY: /;'X! S 1 a VV /4-7
NAME OF OWNER:
ADDRESS of OWNER:
IN WITNESS WHEREOF, the undersigned has caused this restriction
to be executed this f 6' day of 2 1,t � 191jq
OWNER:
Name
APPROVED: Bys r y
T,tle-
B lding official
lty of Tigard
STATE OF OREGON ) se.
County of Washington )
Yersona.11; appeared before me the above named k-:�'y r'W 0 K
-r and a:knowledged the foregoing instrument to instrument to
•_�` voluntary act and used.
Notary Public for Oregon
rued re. �..e,e. �:..aa v �/ ee Am
rsl ;'y Comm'::sion Expires:
MOt11 THOMlstl/.D�utr.+�er,a 1lenotde 6 EU am (,�1y 1 1 S
4�►:.�..»....._.
. ....... �:•.................................Deomv
� ,,� 967IALL747
�
�
• oil , \\
_ 3
cr)
!
�
W
U
�
CITY OF TIGARD
12410 S. W. Main Street
TIGARD, OREGON 97113 '5A&ie- AT Iv 1- 76
APPLICATION FOR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑
ZONING DATE ISSUED -3'7-711- BUILDING PERMIT
DATE RECEIVED -� BUILDING FEE $_g�ao No;¢�
PLAN CHECK $ /W.oD /'c'•r�,�r�r
BY VALUATION $1//i/SC
OTHER $ eGCeA�dvcf'r
. � $ g9 �`�a ,a7iaPc RECEIPT No. .-3
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # g!7
MAP # c7.,s YAA CENSUS TRACT � -- JOB #
Architect or Engineer_� . --
Address___------ Phone_ _—
Owner
Phone
Builder t�3e�,r/
AddressIx-C-7Y]_ S�Alcl_vCC-l_ �(_1�^� i;3 �!_ 'J�c �_Phone1i'��7 K
BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUP 1. No. of Stories--2_--. Total height`_ —_ Area of LotjC r
Type if Construction I II III IV VV Floor Area 8_- _ — 1 SC&— 2 lovO
Set Backs: Front_s�_ Back_
L.Side_/Cu R.Side 4e-
Private Sewer Pipe Size ry e. Sewert�5 Septic Tank ❑
Water Service Pipe Size__"_ Storm Sewer Ea—Ditch E] Drywell❑
Street and Curb Requirements Al-S 2&01/0--t'p
Driveway Width��/ ' ___—_No. of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
AUDRESS ASSIGNEDL2 /.7 .S•W /J7 rAI,t —
FIELD CHECK BY.—
PERMIT APPROVED2t11y_ i/� _
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificato of Occupancy has been issued by the City of
Tigard Building Inspector.
gnature of A plica
UNIFIED SEWERAGE AGENCY NO. -__- 4949
WASHINGTON COUNTY DATE -3 -
CITY -r-�-
APPLICATION FOR SEWER CONNECTION PERMIT
OWN E R:
OWNER'S ADDRESS:
STREET
CITY MOSTATE ZIP
BUILDING SITE: LOT__ _ BLO ��d I_m_ A'ADDITION
TAX LOT NO. _ TYPE OF OCCUPANCY
ADDRESS S`�S_ � l�• _�_.a_� L .._.T PYLN P--- -----
DWELLING UNITS _�_.� '—� FIXTURE UNITS
SURCHARGE IF APPLICABLE _ _
ra �f*
PERMIT FEE 0 0 INSPECTION FEE ??LOA TOTAL DEPOSITED S'a Ste• Oa
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of the Unified Se erv✓ ageAgency.
APPLICANT
0 �
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE �q INSTALLER
RECEIVED BYc �'.�•/
(AGENCY OR ITS AG[Nt)
COMMENTS:
This Application and permit expires in ninety (90) days. The amount pair] will he forfeited
should expiration occur.
fI/ �
II
MORTGA%.. 4ANKING 1 FIRST STAT T-4, 13,N N 1N
OFFILL
PHONE: 430-3300 + 1036 MAIN STREET, MILWAUKIE, OREGON 97222
February 22, 1974
Mr, J. W. 11rayson, Sr.
9603 S. E. Powell Blvd.
Portland, Oregon 97206
Dear Jim:
This is to inform you that First State Bank of Oregon has approved
Mr . and Mrs. Clifford R. Turner's loan application for $19,700 to
finance proposed construction of a home situated on Lot 87, Bellwood II
in Washington County, Oregon.
Please call us if you have further questions relevant to this loan
application.
S•Incerely,
Delrrel G. Heck
Loan Officer
DGH/vi
ADMINMRAINI OfFIQ 1f 911i1 MII WA,+11 -I',
' �(/'� '.,ywdicel(�M,x+r•(♦>,Pnns FnrmJ, Ntc m � ��.� ��� y'li,1;t
OREGON ASSOCIATION OF REALTORS L
FFI I EA NEST
goof MONEY CON
TR C . .
,�, _ y,° 0
- ___r_, Ore .
/ r/Q��2 {-M L��L11_�,, Aerelneh•r elled 'pvnlltner,
Q O,- )_` 'n the form of(check at r",nest n nd rt n for Me Purchase Of the fyllow +S/j�•d reel estate
i,
The wIM 111 --
I'` _. County of
_ / d Sfo6 0l Ar.ne n. ro nil+ -----
. M/ba i of T�� _�___ —
j-0
hlr%wr Aave 4004 day NII M 1�N,MI�yurrtbaNr •ub(wd • appelh r �e (1
Jl Me OWN?.
�•--+��/,-/,,�f ... ' %Ye�'tete ZAItl
J�•�/ c� Mi.0 ty_/ [ =`_-
hN
r NN so" mi.
0n Me following to[m■, to .603 the bum.
Mwn-hog rwrpuA for. of R�_ G�r OU
es oddrNenal menet' the sum of _- � __ •
1 we wart. acceptance
Pa.ss w.pw.to n1 t nr and d•Ilwr of dead nr r n/eA Mo +um L-. L
• /.}�(�/ (�'h'd/l� � I►I �Y'^� Ilett R °
The baluws of t f-+"�'� - �Q-
peyabl . fo � �=J-ST.a- `r -. :-J �,Ir--'- �L � �!L <f..,L- C�,,,t---�.�._` �•„�
1 �� ���c.��-� _ FLS: +c.�,�_._S�+_..�l�.�.,s1'�-�ioWA—.• '!,�
•,TM�ureMasec atoll relmburse the N11e,for%um0 hold i”Me eserw account on copy Indebtedness assumed In Mb fremeMoa, la addition h the pentose Nle•
r �M NNer •hal lurith M Ma purcfioNr In du• "ore, n till. ,tour-rice policy In IM ampule of M• purchase price of the real oH*te(art pprom c 1111• y-'Itse company
o.of lot peed end merbelahl• fill• prier to rinunpn�+r^en 0arhp, ben. seller upon rreu•e/ will p,n.r Ihw ohor•u•Ole swithin rlhv peraiodly rnlloweI ern oorabelowiin" ch
s.tarltp*Ry*M•Aeg Mr e.nAi•i•n nI",r fill• I- NIA er It i•a '0* -
Mor �1 ten. •offer Aor• nob be made n"Of Met go
I. M suture tNlbr'0 a[<0ese*[• nr it rte• title fo 14• %n�A e'•t^rA aniA %isle I-ib tolife
nsurm m-6 blhe so�• bh••eo noel mnrrn yr herein r•+•g6d torn%hnH Ire reluwd•d bol M•
I.deleHw h delivered k ••Ilex rr 0 ,hr w14 he.mg oppr�• i
). ocrephoote by IM pur.ha••r Of the r.I.md doe•nal[on0btutr a purer-1 other,•mod,.%availebl. to him
), Ire N Me above solo 4 ..art ►y the 0.110, and the title to bhp $oil promises Is mollebnhle, and the porchm•r n•plat,ls er refuses le ,lh the with am nl Ifo• left i
J.hfM#t0 MMA NI• plMin ten days Iron M• lu,n{+hin o/ a prefiminery Ntl• sport end to meMe Pay-*"%promptly no heeinehc vis tri forth, the be retained by else
0-rnes menet'and
!,04"00el got.Ott meeey,herein r•[•iptod ler%hall h.
to .,led cod to fAa und.n,gn•d R•e1Mr fa the e■6nb of his.posed up.-,den•anAbhl•ar of e•Liam and e1f any e[umb e"" to 4010
•.eelleres lireidaled d•mrp.+end this rant-rt fh*reupm+hell b•of no lurbher binding•Ilwrt.The Properly is 6 he[one ed
T,e/eeIf %ablegar4iw""les,building-"dgNr•.hit/rom.••NrveNonc{n1•d•ralpa•."M,and
a..�...._a.--- .._
w. All1{gMN■Arres ed bulbs,Nwresenl lem/s.V* ion 0#1100N.M.
weNe'W114,all.Ne 0 der sareaM,sferm r0ltlde ^�heeNral,ln.fl•meth•d In Gov moanner to NN ua n'ae d all
p.rad d►*RotT reds,obrub•-,it trawl, and itripehon, Plumbing end boelln ul mend,earopl N»phN M p
1 noteree go Ps O U_Q-n� '-----""_.._---__-.rte.- ._._.- +.- .. _
!.ar r N
,to
u/ee tae p.emises w/art of the property purrhevA he/Nbwlq pN•Aooa/ropesly la rhe Mc1uNd ve girl N Me prap*Ay pur•Mad IN Mid pwaMce prkw.
offs
a ►e11w*wd►eeehww.gree tr opera"thr hen Mur r
tot r fent I..paco
r. nA,latereal,end ether Items es of �
/.►romla0es hr p.INlep imen,nnr•mey ►• /r-,.told Of . now policy Issued of partoloson o •p11•n. pucfteser grecs M/coy Mf/afro le.latrl it copy, Heflga$rib el def••1�
1 pn0oolee.�acewbr•nr o%M b•d,oshwrp.d►s,.11•.may be paid"I Ms glee. •rl el/uraMse money a date•1 rleslwp , /osse%o10e Of
/,aRIIFR Itself pURC NA*/R A0046 THAT aU\IpC1 tinkle1 �rill�} be,la.•d In"crew.the NN•1 which shell be she r reuolly bwlwr.n ••Ilei rad p r
1 el`1✓ Vim_._ Ill 7y ,•, os wen IMr/oNgr M 411111914-11 law$ nd
'1.Nle-bow dapnlbod peml0es Is r b d.h.•rrd t.the Paribas*,do rr hot*,. r
,,ra+pulalMes will .amp c0m0.01 of to. ft int,•[fr T�m,•_ip%of thhyMNma el 0 cenAact. IpociAl CONDIt1011R.rL.1'Ji;!i�r�•r� � - - - `-
��I 1$7;:x4-1 ,7�a�
1 -- - ---'"�-• -- �^lrtL�C'i.' ,�A�' -_1���_..' _.___ ..�t�i K_% :•y f _.• E��� —,R.Iwp
1 evident a Add,..
r*.aea/M/o/teen• .�-T-�..��.f 7J:`.._ ._ __.�._ �...- agar .____�
,-4—A-dUIMINT TO PURCHASE ._...�J +i•- -
n, 4 he+*liy&J4 se NarcMt•.the above described pr./•,ft' In If. o""' r*adWe" N Mo pike end M M•terms sold conditions Nr hobo eb►.e,all VMO sold ONnIt• 1
so.power r,-4---.it"here**$#to serer seN.r s acceptance%area, during"MtA period my elver shall wet be a,ble+l 10 revocation.Node OP401raft is N b*►l'w
_ _ ..�.__ 0_000--•--..._V....__ '•�
s1f.pMMR 1 0011!w!w%• el- --
so. I/IN els,M•Ipt 01 a-'#cope el tide to,wg.l"1•Net M buy Ia1 e/rlleN Ineael roe11j1 Mer1nR my dgaehr awd Mel bene el�r. i
a,.Alin.. <I Y Y._S./�Ir.0/L/ `KC.I_._ - /uRCNA%IRI
��/— �-,Z/ r-. Lr--F- �— 0 yPURCHAIIIIIIII
4
)1.A0 !! NT TO SELL T Dae._ _._ 1, AAA. P.M.
1 her•"•e709.1
ee•wed .,.•rr,r",a %el• el Me elle- dr•rr,bed pr*Mrfy awd M•plc ed[ewI1N0n n N/Ia.M In eNw le room MI d.d aFrwr"lurlwh a Ntl• insur*nn
tg,pell•y Nr, .vee h d"0w ria-Ip.rs-Id%hewl"g geed ed merbr e f ria,else M•sold deeff a,w"Vert.
`1.Adracee•
gal too�a,,..
.._ -
ty .?`eine. ...r......._.. _�. ..�. -. . _.»......._..� mom
1 p=IWERY TO PURCHASER ^d'• ""Ip—" "
,ftt,ase wrdont*tted pwrrhne, .cbnrwledges receipt of*0 foegeloog*ornate molly sereipt bo*rlog his dg"olupe good Ma of the roller*Aalering eeNp"af/• ,
>jE1tLER>i 1t10VN* INSTRUCTIONS R FEE AGREEMiNI oafs__
a.1 e" pet foAMnlah 6 rM •bo.0 nemeA aea6r • Ir• •�woanMnp $ ,_�..��. ._ hr services Madered b,Men 1•MtaallM_
al. 1 tleNarlN 0eW Ree1N. N, •,Mr dtl• �ns0.en,• •r �,y r■pm. *.A hreher *ufhorl a him h pry eW e) M* cesA penguin of tele M• e■pee•e0.1 a+..•hipg
`�Mlle Rat*gr1aN. end rosvdlno Ir.s 11 only n well N en ewcumbrowse0 *„ said promises peyeble be me M at bake*Ilei-p. 1 §.strep 11ed1•r#o placid to h/o UIr"A
% f#.M AMM •r ,n•wo"1nt •prow Illegal to,, ,he where �.sbl►.d Nrw••1 rabi,"deposit until 000adod to Ib meal"of M*AOwse.NM.1 olbl*wN/pe rar•Ip.f " rep/
►d.N IAM me ad beMlwe my o0p"-A'••414 that-I M.rwlhger Hamad ob... flood•11100461.
40. Air,. — .._._ -._ .. .r_ .- - — _ -.__ _ ,..,»—
s ph.•sr 1111111
Addres, /a 5 —
Permit .�,. q 'Iry
Owner +
-`—' Permit charge
Connection fee
Paid by
Type of buildir -
Date connected Service rat, - ---- —.--
Inspection fee
Contractor
Fluid by
_�,�_�
Size of c oruvectlon Date
Assessment
j
1 41-
i