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11787 SW 128TH AVENUE iUU IL-1 Iii ;t 11787 SW 128th Ave INSPECTION NOTICE -�/ City of Tigard Building Department 13125 So Ball Blvd. Tigard, Oregon 97223 Inspection Ltne ()tec-O-Phoneys 639-4175 Buuines• Phone: 639-4171 Inspection: Footing Plbg. UtA9rslab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out ;ea Line FINAL: Post/Beam Struct. San. Sewer Fraaing -Bldg. Poat/Ream Mech. Ra'n Drain Insulation Plbg. Underflo.- • Water Line Gyp. Bd. i -Mech. i Pate Requested:__ // !� Time: ��AM _ PO Address-__1�...__ -- / /� � --- Permit ♦s THE FOLLOWING CORRECTIONS ARE REQUIRED: C Inspectors ----_-_---__- ---- Dates : ��—JIPPRDVlb DISAPPROVED -__-- APPROVED SURJEC'T Tt: ,\ROVR rail For Relnnp. CITYOFTIGARD (cn.'OF i16ARD I COMMUNITY DEVELOPMEN'. DEPARTMENT . aaeoo« 13126 SW Hall Blvd, P.O.Box 23397,11pmrd,Oregon 97223 (503)63"175 \` PL.UN8IIJC-) PFRlell I P1=RM I"1" #. . . . . . . . PI_M91 015 1 639-4171 GATE ISSUED: 08/29/91 SITE ADDRESS. . . 11787 SW 128TH AVE PARCEL: 1 S 133DD– .14•f800 SUBDIVISION. . . . : VILLAGE AT SLIMMER LAKE I APK 4 ZONING: R–•4. 5 PL.00Ii. . . . . . . . . . . LO1.. . . . . . . . . . . . . : 185 CLASS OF WORK. . :,\IEW GARBAGE DISPOSOL.S. . : MOBILE HOME SPACES. : _ TYPE:' OF USE. . . . :SF WAr'HING MACH. . . . . . . : BACK=••L_OW PRE:VNTR5. . - I OCCUPANCY GRP. . :R--s FLOOR DRAINS. . . . . . . . -TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . .. WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . s F I X'TLJRES-----_..__._ ____. LAIJNDRY TRAYS. . . . . . : F RAIN DRAINS. . . . . : 5I NKS. . . . . . . . . . . 13R I NAt_.S. . . . . . . . . . . . . C-3RE.ASE i RAPS. . . . . . . . I_.AVAT(]RIES. . . . . : OTHER FIXTURES. . . . . TUR/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATER LINE DISHWASHERS— . : RAIN DRAIN (ft ) . . . . Remarks : SPRINKLER SYSTEM Owner: –_.___________.____.__________.___.___-- ---•--•–•--_---__–.-- FEES –.-------------- DON MORISSETTE BLDERS, INC. type amount l)y date "ec:pt 15555 SW RANGY RD PRMT $ 1!!. 00 JLH 08/29/91 – #201 5PCT• $ 0. 75 ,JI__H 08/29/91 LAKE_ OSWEGO OR 97035 Ph on p #.- 503-620--7538 Cont, at 'tore DIVERSIFIED L.NNDSCAPF_ CONTR. 1.8805 CAMELOT LAIVE HIL_LSBORO OR 97123 1=Ihone #: 6213-181518 E 13. 75 TOTA:. Req #. . 5877 RF"C,1U.I RED INSPECTIONS This permit is issued subject to the regulations contained in the TOP-Out I nsp _ 1 •lipard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e cit i o n applicai,le laws. All work will be done in accordance with approved glans. This permit will expire if work is not started within 180 days of issuance, or if work is sespended for more ti–n 180 days. I-,ermittee I s y i_%e d P y Cali for inspection - 639-4175 CITYOFTIOARD CERT IFICATER OF OCCUPANCY 116ARD COMMUN[TY F)EWELOPMENT DEPARTMENT PERMIT #. . . . . . . .. 110)T91 -005 13125 SW FWI Blvd. P.(..''int 23397,Tigard,Oregon 97223(503)&V-4175 83 1 TE ADDRESS.. . . : 11787 SW 1-':STH AVC PARCEL: 1013,sDD--14600 SUBDII/ISSON. . . . : VILLArE P( SUMMER LAKE PARK 4 ZONING: R--4. 5 BLOCK. . . . . . . . . . . LO... . . . . . . . . . . . . i 185 CLASS OF WORK. t NEW TYPE OF USE:. . . :SE' OCCUPANCY (jRP. :R;3 O C:'UPANC'r LOAD i P-20 4 7E'.IVANT NAME. . . DON MORIGGET' C BLDERS, INC. 15555 ,W BANDY RD #201 LNKE OSWEGO OR 97035 Pwhp no #: 503-620--7538 Cont ratc_t or: DON MORIGGETTF BUT;.DERS, INC. 13t,n5 SW RANGY RIS. #201 LAKE OSWE'GO OR 97035 Rhone M: 6r:!0-7538 Rell *. 35533 Ucct.tpancy of they above rwferanc:ed building is hereby gaven, and certifies tho compliance with the !-)tate OF Oregon Speciat' ty Codes for- the gr•ot.(p, uccupancy, and use kinder which the referwneed permit was i %4aued. __...__ ..___-_�_.._..__ ,r! �:.J'._c�.r:.��.ii..� :.Cca:,G=q+t-•s1C'c��:....:.r__�.. FIRE= DEPARTMENT aUT LD I N I rPECTOR Rl l I l..Lt I�Il� POST IN CONSP 1 CHUUS PL.RCE RI INSPECTION NOT•'[CE City of 'Tigard Buildings Department 13125 SW hall Blvd. Tigarll, Oregon 97223 Inspection (ReL -O-Phone): 639-4175 Businese Phone: 633-4171 \ Inspection: Footirg Plbg. Underslab Mech. Rough-in Appr/SSI lk Found. Plbg. Top Out. Gas Line FINALt Poet/Beam Struct. Snn. Sewer Framing --,-Bldg, ^) Post/Beam Mach. Rain Drain Insulation A.,r—' -Plumb. Plbq. Underfloor Water Lin/e� / Gyp. Bd. / -Mecrt. Date Requoetedt- f� '7 / --Timet AM XvM Address: f I ! L7 Permit it Builder: _%7r /L:/��7G/S •— Th: ..rLLOWING CORRECTIONS ARE REQUIREDt .Eta ICS �Al -- Akvt,- aAjjsj.=;7 A S_ �1��_'r�ro�tr�C.S fyjsfS• ti c � I APPROVED DISAPPROtrav APPROVlD SUBJECT TO ABOVE Call For Ileinsp. INSPEC':ION NOT7C^_a l City of wigard Building Department 13125 BW Ball 017d. Tigard. Oragon 97223 Inspection Line (Rec-O-Phoneo 639-4175 Business Phone: 639-4171 Inapection: Footing Plbg. rslab Mech. Hough-in A�ppr/Sdwlk / Gas; Line FINALS Pound. Plbg. Top Out Post/Beam St.ruct. San. Sewer Framing -Bldg. Pont./Beam Mech. Rain Dral.. Insulation -Plumb. I,ibq. underfloor /Water Line Gyp. Bd. -Hoch. Time: AH PH Date Requestedt _ G /' Permit 1: AddrNae: L/ �Q _, Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: - `` !l . Z C , I t Dates CC Inspact�or�s�, • C� ( ppgpyED DISAPPROVED _ APPRoVEU SUB.7RCT TO ABOVE Call For Rainap. IN.SMKC II�N NOTICE City of Tig.rd Building Departnent 13125 SM Ball. Blvd. Tigard, Oregon 97223 Inspecti-on L'ne (Rec-O-Phone): 639-4175 BUeinen© Phone: 639-4171 Inspections_ -- Footing Plbg. Underslab Mach. Rough-in A;?pr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Poet/Neam Struct. San. Sewer. Framing -Bldg. Poet/Brgm Mech. Rain Drain Insulation -Plutnkn,� Pibg. Underfloor Water Line Gyp. Bd. -Mech. Date Raqueetede— '/� -5 l -e�,/ Timet —PH Address:Address: Permit It Hnilder:_ — THF. FOLLOWIN,: CORA MONS PRE REQUIREDt Inspectors�L� � Detet_�,��` .J X_APPROV[D DISAPPROVED RPPROVED SUBJECT TO ABOVE Call For Reinep. 0 MAN 021'EC1I-01L NOTICE City of Tigard Building Departjmnt 131.25 SW Ball Blvd. Tiqard, Oregon 97223 Inspection Lind (Rec-O-Phone): 639-4175 dusineas Phone: 639-4171 I+,ipection:. Footing Plug. Und"relab Mach. Rough-in 1►ppr/8dMlk� Found. Plbg. Top Out Gas Lino PIN11L+ Poet/Ream Struct. San. Sewer Framing -Bldg. Pcst/9eam Mach. Rain Drain Insula Ion -Plumb. Plbg. Underfloor / Water Line/ Gyp. Bd. 46wh. Date Requcatedt [!—J-`/ ! Timet , 11q _ PM Address: 7 Perillt #t L/ Bullder i !? �7=�� - TRE FOLLOWING OORRZCTIONS ARE REQUIRED: 1,;n t L Vvla kc 101< 4Q piger S_ tAT /► c�, - �• , lu-CS C�+, Dates In• or+ 11PPROVED DISAPPR D �PXOVFD SUBJRCP TO ABOVE call For Reinep. INSPECTION NOTICE City of Tigard Building DeFartsent r 13125 Be Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Rueiness Phone: 639-4171,., Inspection: --`—`-- — -- --- Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FIHAL, Poet/Bram Struct.. San. Sewerraming -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mach. Data Reyuesteds 5 ) Times AM P![ Address:_ /JG�/27 �iJ Permit #t / Z Builders_ �? THE POLLOWING CORRECTIONS ARE REQUIRED: /.1_Ir 1f L ! Tnepeotort �y Datet j APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call Por Reinsp. k?SPZC-TION NOTICE X7-71 City of Tigard Building Deparf-ment 13125 Sit Ball Blvd. Tigard, Oregor. 97223 Inspection Line (Rea-O•-Phone): 639-4175 Business Phone: 639-4171 Inspections _- Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undwrfloor water Line Gyp. Bd. -Mech. Date Requested: � -J/ -7 Time: JAM PH Address:_ 7 / L/��^' Permit B►alder .jM VOLLONING CORRECTIONS ARE REQUIRED: inspector_'`/ " ' `i Dates _APPROVED DISAPPROVED APPROVED SUBJECT TD ANCIVE TT _Call For Reinsp. c. IIISPECTIONAOTIIE City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417 Inspection:_�__ Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk /Found. �� Plhg. Top Out Cas Line FINAL: /�-P�Oy-st/—B-e-am—StruCtl�� San. Sewer Framinq -Bldg. Pos' t/Beam ft�h. Rain Drain Innulation -Plumb. Plbg. Underfloor Water Lino Gyp. Bd. -Hoch. Date Requesteds_�� '�CG' L/l C _ Time: Z`AN PN Addcesss �� �� 7 �y�a C� L C Permit 0: /- Builder:42 2-7 THE FOLLONINO CORRECTIONS ARE REQUIRED: c_ Inspectors/ J __ Date. { /Es• - �/f� ` APPROVED DISAPPROVID �Ap PMRD SUBJECT TO ABOVE Call For Reinsp. INSPECTI(-N NOTICE City of Tigard Building Department / 13125 SM Ball Blvd. Tigard, Ocngon 97223 Inspection. Line (Rec-O-Phone': 639-4175 Business Phone: 639-4171 Inepaction:� �_ ---------.---------_-- -- Footing Plbg. Underslab Mech. Rougt:-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Kwh. Rain Drain Insulation -Pls.mb. P1 . Onderlloo Nater Lino GYI• Bd. -Mach. Date Requested: [ Times AN1���- PM Address•__ ,L 7,f--7 !7 _L'�-'L �-� Permit s Builders 1 /!►1.�_ TR= FOM"11I0 CO"J=1009 MM RXWIRBDs inspectors Date: APPROV=D DISAPPROVRD - APPROVRD SUBJRCT TO NBOVR Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 BA Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• _ _ _ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Strurt. Ban. aeaer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. UnderflooraterL e on. M. -Meeh. Date Requested: L Timet AM PM Address:_ 07Y 7 / U ���i PorOit #s /i-aZ z Bullder: Y �e..� flJG�l THE FOLLOWING CONUCTIONa AM MQUIRSDt Inspector: Date: �APPROVVD DISAPPROVRD APPROVRD ,)URJRCT TD A901/I! —Call For RaInap. INSPEC i ION NOTICE City of Tigard Build.ng Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — Date Requested 4- 4 -q/ Time�� }� A.M. _P.M. Address _ // 7 7 �'+ .4 Vi — Permit #4�?I-ev"-2— Owner 2Owner Lot # �R Builder ✓ L-1.QTZS ILE 7- The following Building Code deficiencies are required to be corrected: hlO.wv l�t^/� c. �T„� n'T ✓ lie” ©N 4 rives GRcrh T� •-QST,'. /.vf. 4CC�F�Tz__�— L'•_ 5-PC A.'5 /I. A ✓ _ Presented to 114Approved Inspector G �] Disapproved Date CALL FOR REINSPECTION; 0 Y111 O NO IF�,W �M 10`-i !'on,rvcrien In+pter/nn R Rtltte.! Tear Carlson 'besting, _nc• P.O. Box 29814 Tigaid.Or•gon 07227 Phone(609)114.9480 FAX(601)884.0964 REPORT OF IN-PLACE SOIL DENSITY TESTS April 2, 1991 t OR-AK CotT,"ratjon Village at Summer Lake Park Lot 185 I pticr t,nn lV-0 Rock frun Morse Bro-iers I■. Dry Dens ty. 116.8 liar.. cu. It Optimum Moi6lur•_10,1 ---IF* Method of Test Nuclear_ 440 _ AAWM T-100 SErial 18739 •'I o1 f,r lifv, ��,c i'fi0 iw-t•L ACe Dl wIifT 1! .o T [! T L OC A T 1 0 N rt. we oif r .f fl •e', ,r.i c0....1 r.e. • 1 botof l Lot 185 footings east center ftn9 14.8 127.4 121.5 95.8 2 Lot 185 southeast corner It 6. 1 122.2 115.1 90.8 , - Lot 185 southwest corner 5.2 119.8 113.9 89.8 4 Lot 185 west center 4.7 118.4 113 2 89.3 5 Lot 185 north center - 6.1 119.3 112.4 188.7 y emo �� ccs Leonard A. Rydell ' esc results acceptable to CTI soi � eng neer Del Zen er. Bred By K, Tull/tlb — — ---- - CAR( SON rESTiNQ INC Carlson Testing Inc. DATE IOU NU PO. Box 23814 Tigard,Oregon 97223 Phone(503)684-3460 FAX 684-0954 PROJECT _-- Lw eel, LOCATION CONTRACTUN i Y OWN�� • WEATHER 'TEMP °.7LI 7 !- AM i at PRESENT AT SITE TI IL i OLLOWING WA, NOTED: or ( wi 4p f e - Ca C Of'IEE TO --- - jT)jTn .J EK-& Cl (22� ® , f CITYOFTIGARD ���� MASTER PERMIT CdMMUNITY DEVELOPMENT DEPARTMENT osi.00n P17RM.IT #' ' • ' • • • ° M ST91--1c105(c 13126 SW Hdl Bbd.P.O.Bar 23377,TOwd,Or+pon 77223(603')630 4M ;ITE ADDRESS. . . : 11787 SW 128TH AVE PARCEL: iS133DD--•14800 :,UBD I V I S I ON. . . . : VILLAGE AT SUMMER LAKEPARK 4 ZONING- R-4. �L.QCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 185 —•---- ---____ BUILDING REISSUE: DWELLING UNIT5• 1 BASEMENT. . . . . . . . ..0 sf (7LASS OF WORK. :NEW BEDRNIS:3 PATHS:3 GARAGE. . . . . . . . . . ..420 5f YPC OF USE. . . -SF FLOOR AREA,._._-..________._ REQUIRED SETBACKS•_--... .•—-�-_-- 1 YE",E OF CONST. :5N FIRST. . . . : 1024 sf LEFT. . : 14 ft RIGHT. :7 ft 1CCUPANCY GRP. :R3 SECOND. . . :748 ,;f FRONT. :20 ft REAR. . :44 ft 6*1ORIES. . . . . . . 92 THIRD. . . . :0 sf HE'IGHT. . . . . . . . :2.0 ft TQTAL -----: 1772' ,f 51*40l'E DETECTORS. 'Y r LUOR LOAD. . . . :40 psf VALUE. . . . . $: 89072 PARKING SPACES. . :0 Remarks PLUMBING '3INKS. . . . . . . . . . .. 1 FLOOR DRAING. . . . :0 BACKFLOW PREVNTRS. . :O ,-AVATORIES. . . . . :3 WATER HEATErS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 I'L)B/SHOWERS. . . . .3 LAUNDRY TRAYS. . . :i1A CATCH BASING. . . . . . . :0 WH ULN '.LUSETS. . -3 SLWER LINE (ft ) . :0 GREASE TRAPS. . . . . .. . :0 03 SHWASHERS. . . . : 1 WATER LINE ( ft ) . : 1.00 CITHER F I X 1JJPES. . . . . :0 GARBAG'" DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACI1. . . : 1 SF RAIN DRAINS. - : 1 MECHANICAL —____.__....____ ____._____._____...-•— F='EE'S 1"I.1El_�'TYFES�--- -- - - -_- UNIT HTRS. . :0 tvoe .-Amn+.int by date r^ecpt /GAS/ i 1 VENTS . . . . . :0 PAYM $ 1.LAO. LAO JL.H 03/13/91 210916 MAX INPUT:0 DTU VENT FANS. . :3 BPRT $ 40:3. 00 / ! r-UHN ( 100K . . : 1 HOODS. . . . . . : 1 BIA.L $ c,6 1. 9,J TURN ) m 100M . . :0 WOODSTOVES. :0 051-",C $ a0. 15 FLOOR FUPN. « . . :0 CLO DRYERS. : i SSDC $ 375- 00 COIL/CMP ( 3HP:0 OTHER UNIT5:0 PARI' $ 2sG GAS 0UTLETS: 1 MPRT $ 36. 00 UON MORISSETTE BLDERS, INC. MbPC $ 1. 80 1,5555 SW RANGY RE) PPRT $ 1.40. N0 41201 P5PC: $ 7. 00 LOV,F_ OSWF:G(J OR 137035 TIF $ 1350. 00 PIone #: 503-620-7538 PAYM $ 3003. 90 JL.H 03/26/91 DUN MORISSE«TTE BUILDERS, INC. 1 555 SW BANGY RD. 44201 L..AKE OSWEG(J OR 97035 M: 620-7530 35533 _______________________-__--_______.- $ 3103. 91b TUTRL This pereit is issued subject to the regulations contained in the --- - ~-- REOUIRED INSPECTIONS --- — Tinard Municipal Code. State of Ore. Specialty Codes and all other Foot/for.ind Insp Fireplar.e Insp applicable laws. All work will be done in accordance with approved Post /beam :iti"I.tct (31Ast I_.tr,p Insp plans. This peroit will expire if work is not started within 186Fnst/13e!am Mertl .han InUlatt ian Insp days of issuance, or if Mork is s':: "pd a ore than I days. Plm/undslab Ins r Gyp Board Insp PLM/Underfloor Rain drain Insp i,tarmittee ihnait1.ir,e : Mec�h�anir_�al Ingo Water- Line Insp FlUmb Top OUt Appr/Sdwlk Insp l eci EAy • _ F , ,amir,rl Ins[, Merrhariir.al Final call for, inspectiori - _1_,39-4175 SEWER CONNECTION CIT-YOFTIGARD PERM TT COMMUNITY DEVELOPMENT DEPARTMENT CIT1;;om 'ERMI1 #. . . . . . . : -.0057 10126 BW Hail Bbd. P.O.Bac 29307,Tip Ml,Oregon 07229(boa)6304176 :( rr JITE ADDRES . . . : 11787 SW 1;:�81H HVE PARCEL.: 1S13.3DD-14800 iUDD I V 1 S I ON. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. '5 LALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 185 TENANT NAME. . . . . : JSA NO. . . . . . . . . . :43602, FIXTURE: UNITS. . . ::LASS OF WORK. . . :NEW DWELLING UNITS. . : 1 I YPE OF USE. . . . . :SF NO. OF DJ I LL I NGS: 1 !.NSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf �Wmarks Iwnpr : __.___.__.___________.__.___ __.______..__ ------------------- FEES ----------____._ 701\1 MORISSETTE BLDERS, INC. type =,mount r, , date recpt i.5555 SW W-iNGY RD PR11T t, 1500. 0Q1 4201 I N SP 35. 00 / _AKE OSWEGO OR 57035 PAYM 8 1535. 00 JLH 03/:'6/91 ;'done #: 503-620--75:38 AJNTRACTOR NOT ON FILE. Ione #: f 1.535. 00 TOTAL -------- REQUIRED INSPECTIONS ------- -r,is Applicant agrees to coaply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The oerait expires 120 days frog the date issued. The total aaount paid will be forfeited if the oernit expires. The Agency does not guarantee the accuracy of the Fide sewer laterals. If the sewer is not located at the seasurement given, the installer shall prospect 3 feet in all directions frog _ _ the distance given. If not so located, the installer shall ourchase a "Tao and Side Sewer" Pereit and the Acency 11 irstall teral. I 'ermrttee Isst-ted Bye Call for inspection — 639-4175 s EE111 � �► s rw 0 Ca I T Y CIF' T I CARD _ RECE 1 F'T OF Pn YMENT RECEIPT NO. :91 i CHECK AMOUNT 4288. 40 NAME MOR i SSETT'E:, DEIN CASH AMOUNT 0. 00 ODDRE.SS PAYMENT DATE 03/26/91 SUBDIVISION 11'iH7 SW 128TH AVE:. i'11RPOSEr OF !-PAYMENT AMOUNT PAID PURPOSE OF PAYMENI AMOUNT PAID PIJ I LD I NC PERM MST91-005,F.. 403. 00 PLUMBING PERM MECHANICAL VIES: 36. 00 ST. BUILD PER :?o. 95 FLAN CHECK FE 170. 95 SEWER USA 1504J. 00 SEWER INSPECT 35. (Ao RESIDENTIAL T RPF7F I C FEES 1 21.io. O0 PARKS SDC 2500. 00 STORM DRAIN SDC 375. 00 MASS TRANSIT 'TIF FEEL; 100. 00 ITITAL- AMOUNT PAID •- - - -- as.• ')0 WIN CITY OF TI[BARD RF-CE:ip*r OF. PrlYMEN't" RECEIPT NU). :91-2,10916 CHF-C:,', AMOUNT 100. 00 NME. DON MOR ISCI-TE HOMES CASH Amoui\j,r 0. 00 F41.)DRESS 1 15555 S. W. BANDY R,.,AD PAYMENT DATE W#3/19/91 SUITE #201 SUBDIVISION LAKE OSWE--W), OR 97035-- 11787 SW 128TH AVE. r-URPOSE (IF PAYMENT AMOUNT PAID PURPOSL OF PAYMENT AMOUNT PAID 0 -'L-'A'*N --- -C-I-—lE E*K FE i--�2 7R 0. MTAL AMOUNT' f"AID I 01A. 00 SIIOF AKE:R'S PLUMBING INC. 350 S.W. ZOBRIST ESTACADA, OR. 97023 (P.O. BOX 250) TO: CITY OF TIGARD 1.31.25 S.W. BALL BLVD. P.O. BOX 23397 TIGARD, OR. 97223 TO WHOM IT MAY CONCERW, SHOE'MAKER'S PLUMBING INC. GIVES Z'HEIR PERMISSION TO LF.T DON MORISSETTE HOMES !NC. SIGN ALL PLUMBING PERMITS FOR SHOEMAKER'S PLUMBTNG INC. SINCERELY, HAROLD B.nSHOoEMAK I.R PRI:S. 630-7728