11823 SW 128TH AVENUE »_.,.._._.. ......-...,.,a.,,•...:.,r.,wwr,w.��,.a...rwrwwnswWW..+..- a :+.wNur4Y�Y ^:d�;1�ikYGi�r�+�iu�syw
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11823 SW 128TH AVENUE
C'TY®' TIFA RD CF.-r,-r I F1 CATE OF
CnYOFTMRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT areaon
. . . . . ..
13126 SW Hall Blvd. P.O.Sm 23397,r.;2jd,Or"m W223(SM)0394175 PERMIT #. . 14ST92-0013
DATE 7aF3(JED: 07/14/92
SITE ADDRESS. . 1 11823 SW 128TH AVE PARCEL IS133DD-14700
SURD IVISION. . . . .- VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 084
CLADS OF WORK'. :NEW
TYr-"F' OF USE'. . . Sr'
OCCOPANCY GRP. :R3
OCCUPANCY LOAD;224 4
IFNANT NAME. . .
Remarks : PATH I
Owner.
DON MORISGETTE BUILDERS, INC.
5555 5W BANGY RD.
F#1201
LAKE. 05WEGO OR 970,75
0hone #: 620--7538
Lontractor: -------
RON MORISSETTE BUILDERS, INC,
15555 SW SANDY RD.
#201
LAKE OSWEGO OR 97035
Phone #e 620-7538
Rep #. . : 3553,34
Ocrupancy of the at-love referenred buiklin;j is hereLy ytven, and Certifies
*hie compliance with the ;tate Of Oregart Specialty r-t)d@s for the group,
occupa*ncy, and use under which the referenued permit wms isqued.
FIRE DEPAF,i�MENf )T( 'P"
L V11
Ek L1 I L 0F I�("1
POST IN CONSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Buildinq Department
13125 sw Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-•4175 Bueinesa Phone: 639-4171
Inspection:
Footinc, Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
'opt/Beam Struct. San. Sewer Framing Bldg
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LLse Jyp. Bd.. -Neth.
Date Requested:_ .s'-` _ ,Times AH P!i
AddressxPermit ir��L.w !
Builder.1 2y}7
� r
TNR FOLLOWING CORRECTIONS ARE RBQUIRSD:
Inspector:_ i- Date:_
r_
--APPROVED ^! DISAPPROVED APPROVED SUBJECT TO AbOVR
.Call For Rain-p.
INSPECTION NOTICE
City of Tigard Building De.-,artwent - 1
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslah Mech. RLugh-in r,�Bdwl
Found. Plbg. Top Out Can Line
Poet/Beam St•:uct. San. Sewer Framing -Bldg.
Post./Bea Mech. Rain Drain Insulation _plumb.
Plbg. Un._erfloor water Line Gyp. Bd.
Date Requeetedt__ - /�'- —.—Time: pg
Address: -�/ '� �5;.✓_- /� _ Permit
Builder:
THE FOLLOWING CORt.RCTIONS ARE REQUIRRD:
tnepectors-___ L(�7i IL's kC
APPROVED DIBAPP APPROVED SUBJECT TO ABOVZ
Call For Relnap.
INSPECTION NOTICE
City of Tigard Building Department.
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Buaineae Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line NAL:
Poet/Beam Struct. San. Sewer Framing
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wates Line Gyp. Bd. < M{ech.l
Date Requested: `'�Z __—Timet _AN �_PH
Address;//f:�`�;..� �jLrs / Permit it5:_1/2' C7 O/_�
Builder:
THE
%%FOLLOWING CORRECTIONS ARE REQUIRED:
ii
i.;
Inapm tori Dater
APPMFND DIBAPP APPROVED SUBJECT TO ABOVE
Call for Reinap.
J
INSPECTION NOTICE 1 ?-
City of Tigard Building Department
13125 SH Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulr.tion
Plbg. Underfloor Nater Lina Gyp. 60.
Date Requeotedf of —A Time: AM CM
1 l iI
Address Permit I
Bu 1.Iner:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
inspoctor: __. Dates_
�! APPROVRD DISAPPROVED APPROVED SUBJECT TO ASOV!
//� __ __Cell For Reinep.
1ItSPECTIot!—NOTICE
City of Tigard ft,ilding Depart.usmit 1
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4115 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab h.ch. Rough-in Appr/Sdwlk^�
Found. Plbg. Top Out Gas Line TINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor /^_water Liism Gyp. Bd. -Meeh.
Date Requestedll't �fc - I - i� TLsie i �' AM -L pM
Address:I1 11_�_.L, U` >Permit #I-
Builder: 3
Builder:
THE FILL0WING CORRECTIONS ARS REQUIRED:
l.J
i
Inspectors '! `-
Debt � -
__APP110VED Dig" APPROVED SUBJECT TO MME
G11 Por Asinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SY Ball Blvd. Tigard, UrAgon 97223
Inspection Line (Rec•-o-Phone): 639-4175 Business Phone: 639-4171
Inspection ,_ ----— —T
Footing Plbg. Underelab Hech. Rough-in AppriSdwlk
Found. Plbq. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water Line yp. Rd. -Mach.
Date Requeated:_ / ' Tom= AM PH
Address: Permit
Buildec:_Z)
THE FOLLOWING CORA MONS ARE HEQUIRED:
t
IReQeQtol1 Dates--AL/L _�/I
APPROM DIAAFYROVtU APPROVED SUB.IECP TO ABOVE
all For Reinsp.
INSPECTIO"QTICE.
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business phone: 639-4171.
Inspection:____
Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet./Beam Struct. San. Sewer � Framing
-Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfl .or Water. Line Gyp. Bd. -Hoch.
Date Request'esd,_J ,'� ''f.� p Times _)4-AM / PH
Address: // �G/[-/er Permit #4-262
Builders _ w Y - 1-j61
THE FOLLOWING CORRECTIONS ARS REQUIRED:
Inspector-_ .� V Date:
—__APPROVED DISAPPROVED APPROVED SUBJECT To AROV)C
Call Tor Reinsp.
IN¢PECTION NO'T'ICE -
City of Tigard Bulldioq Department
13125 SN Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Ree--O-Phone): 639-4175 Buninens Phone: 639-4171
Inspection: _
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. 1bQ. Top Out Ga■ Line FINAL:
Pont/Beam struct. San. Sewer Framing -Bldg.
I
Post;Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor /Water Linef Gyp. Bd. -Mech.
Date Requested: (/ ! L -Time: AM PH
Addrer�B _ �cJ�" _1- Permit
nuildere-
TMS FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Dates ,
APPRM,*1 DISAPPROVED APPROVED SUBJECT To ASOVR
` _Call For Reinap.
11fancTION NIYi I z
City of Tfgard Building Departatent
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Poc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing P1bg. Underalab Msoh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas ins FINAL-
Post/Beam Struct. San. Sewer hiding -Bldg.
Poet/Beam NAch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line nyp, Bd. -Hoch.
i
Date Roqueeted:� _ / � Time: AM __ PM
Address: Permit f�
Builder: ? _ -2
L-
TNE FOLLOWING ODRRECTTONS ARE RBQUIREDt
y y
Irspector:_ /L.d Data:
�-APPROVED ` DISAPPROVan APPROVED SUBJECT TO ABOVE
_Call For Reinap.
i
0-51ECTION NOTICE
City of Tigard Building Department
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineen Phone: 639-4171
Inspection
Footing Plbg. Underelab /rHsch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Lias Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requestedt CJ_ - L�� Times
Address: /1 � !tA � permit #t
Builder:.,['�'-/'-�- �y�L�zz) 6 .`,� -
THE FOLLOWING CORRECTIONS ARE REQUIRED: cY
cam,
Of
(tet �,;,Llfiy C,.-...,,�,(�Ur�Le-,.�.►1 1:..^L,. ti-i�'
(�T a Iii i _ Ct s0 t_.1 L.J
Inspectors ��. Dates S-- L 7 y
APPROVlD 1'_DISAPPROVED APPROVED RUBJRCT TO ABOVE
{�call For 1Minsp.
iNSPSCTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonal: 639-4175 Business Phone: 639-4171
Inspection:__.__ _
Footing Plbg. Underelab _ h. Rongh-J Appr/Sdwlk�
Found. Plbg. Top Out Oaf Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Q Gyp. Bd. -Hoch.
Date Requesteds - .<Ei %:t _Times _AM pM
Address://.i�.a' S _-T rsi Permit #i
Builders
THE F°3LLOWING CORRECTIONS An RSQUIRSD:
-
Inspector e _
Date:---��___
1 APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOvr
t Call For Relnsp.
w1 Rwp' AI Si '
I
' t
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Ba11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Busineos Phone: 639-4171
Inepecti.on:
Fcoting P1 . Underelab
b9 Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out: FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Une Gyp. Bd. -Hoch.
Date Requested: �(J Time: AM PH
Aaareee•
— -r.rmit �412-L
Builder: � J�
J
TBE FOLLONIN(i OORRBCTIONS AAE REQUiR6Dt
tnnpnotorl ! Dat:ev_ �V v
—__,APrSOVtD DISAPPROVED •' ""MD ^"8J?M TU ASM
_ _ Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building DclPartiant
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Bueinene Phone: 639-4171
Inspection: — —
Footing Plbg. Unda.,4iab Herh. Hough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINAIa
Ppht/Hoam Stsuat� San. Sewer Framing -Bldg.
pest/Banat Maoh� Rain Drain Insulation -Plumb.
Mg Underfloor Nater Lina �y Gyp. Bd.
Date Requestedt 1,L Time: ..—PH
Permit 1:
THE FOLLOWING CORRECTIONS ARE REQJIRED: L/
Inspector: 'i% - ----- natal 1 1�
APPROVED DTSAPPRCVED APPROVED SUBJECT TO ABOVE
call for Reinsp.
INSPECTION NOTICE
City of Tigard Building nepartment
13125 SW Ba11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-41,75 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Tor Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -.Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
lbq. On:rei r) Water Line Gyp. Bd. -Nech.
Date Requested: Time: 4 AM PM
Address:��' Permit
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector s Date:
—' APPROVED - ❑tSAP_PR f1VRb APPROVEb SUBJECT TO ABOVE
Call For P.elnsp.
..... ��ai�l4ait�6�odi'Nkt�.raw«:rw4amrcuuna.,:sar�::m�:e�rrausFFc�x,:+�au�.
IMSPSCUM NOTICE
City of Tigard building Departaant
1.3125 Be nail Bled- Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing P1 . Underelab
� Mech. Rough-in .ppr/Sdwlk
Pound. Plbg. Top out (las Line
PINALt
Pcet/Beam Struct. _ gam
`cFraming -Bldg.
Post/Boam Mech. Rain Drain
Ineuirtion -Plumb.
Plbg, Underfloor Nate= Line
G". ad. -Mach.
Data Qequestedt /A
Time: �T/ 1U_t PM
Address t
Permit
Builder:
THE POLTowIwi CORRECTIONS ARE MUIREPt
ItIMpOtQCt J Date: i
�MPI40VRD DISAPPROVED APPROVED SURJIICT TO ABOVE
____Call For Reinep.
INSP32TION NOTICE
City of Tigard Nuildinq Departsant
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_. --
Footing Plbg. !'nderslab Mech. Rough-in Appr/Sdwlk
Pound.) Plbg. Top Out Gab Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
I 9
Date Requested:_ JLAN PM
rye' �.,/ `�yl i
Addreae:_``' t .�: l�'"✓ `( 1 '1" _ Permit it 1 (�
Builder:_l'
TNR FOLLOWING CORRECTIONS ARE REQUIRFD:
innpnotore �✓`�d Date:
APPPIIVRD DISAPPROVED i' APPROVED SUBJECT Tin ABOVE
Call For Rainap.
CITYOFTIFARD
TWO
COMMUNITY DEVELOPMENT DEPARTMENT a� � MASTER PERMIT
13125 SW Hri Blva. P.O.em 233g7.TigmM,atipon 07223(603)639-4175PERMIT #. . . . . . . MST 9 _.01711
639--4171 DATE TSSUED: 04/10/92
.1 l-E PUDRESS. . . : 11823- SW 128TH AVE PARCEL: 1 S 133DD-•1470
"UBD I V 1 a I ON. . . . : VILLAGE AT SUMMER LAKE PARK. 4 ZONING: R-4. 5
!+LOCK. . . . . . . . . . . LOT*. . . . . . . . . . . . . : 194
--------------_._------__-----. BUILDING
i _-.__ISSUE: DWELL'NG UNITS: 1 BASEMENT
CLASS
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . .
:393 sf
i"YPE OF USE. . . :SF FLOOR AREAS-----•------ RF_'f;UIRED SETEIACKS---- - - -- -
YF='E OF' CONST. :5N FIRST. . . . :880 s f LE=FT. . : 16 ft R I GHT. :6 ft
rUPAr.iry rPP. :R SECOND. . . .6, 0 s f FRONT. :20 f t REAR. . :4 h 1=i
liR I ES. . . . . . . 12 THI RD. . . . :0 5f REQUIRED-------------------- -
iE:IGHI.. . . . . . . . :24 ft 'TOTAL--------: 1500 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 240 psf VALU . . . . . : 76074 PARKING SPACES. . :0
Remai,ks : PATH I
------------------------------------ PLUMBING _.._.______._.___--•----_._._----.___..__-
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUN/SHOWF-=RS. . . . :2 LAUNDRY TRAYS. . . .0 CfITCH BASINS. . . . . . . ..0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE: TRAVIS. . . . . . . :0
DISHWASHERS. . . . : 1 ;'DATE'R LINE. (ft ) . : 100 OTHER FIXTURES. . . . . :0
U04kBAGE. DISE'. . . 21 RAIN DRAIN (ft) . :0
1-;ASH INC, MACH. . . : 1 SF RAIN DRAINS. . : 1.
--------------- MECHANICAL ---- -_._.___.__.__ ---------------- FEE'S'
FUEL 7'Yr'ES_.______._____ UNIT HTRS. . :0 type -Amount by date oec-pt
/GAS/ / / VENTS . . . . . :0 TIF 4, 1380. 00 JLH 04/10/92 -
MAX INPUT':0 BTU VrhIT FANS. . :14. BPRT i 64. O0 JL.H 0A4/1O/92 -•
TURN l 100K . . : I HOODS. . . . . . : 1 SPLC $ 236. 60 JLH 02/11/92 22318.-.
FURN ) =100K . . :0 WOODSTOVES. :0 DSPC s 18. :*'O .JLH 04/1O/92 -
F-LUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC: $ 280. 00 JLH O4/1O/92 -
BOIL/CMF' < 3HP:0 OTHER UNITS:O PARK t .x:50. 00 JLF-, 04/10/92 -
GAS 0UTLETS: 1 MPRT $ 39. 00 JLH 04/10/92 -
Owner,: --____________ ._ ___.__._._ ____._--__-__ MPI_( 9. 75 JL..Il 04/ 1O/9c
DON MURIS5E:TTE BUILDERS, INC. MSPC s 1. 95 JLH O4/1O/92 -
15555 SW RANGY RD. PPRT t 132. 50 JLH 04/ 10/921 -
#201 F'CPC $ 6. 63 JLH O4/10192 -
L.AKE OSWEGO OR 97035
Phone #: 620-7538
Contractor. -------------------•-__--___---_-
DON MOR I SSETTE: BUILDERS, INC.
15555 SW BANDY RD.
#201
LHKF_ CISWEGO OR 97035
Phone #: 62O- 7538
Reg #. : 35"'`_33 ---------------------------------------
$ 2718. 63 TOTAL
This perait is issued subject to the regulations contained in the - --- --- REQUIRED INSPECTIONS ----- -
Ticard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
aoolicable laws. All Mork wili be done in accordance with approved Post/Beam StrUrt Gess tine Insp
oians, This permit will #:pire if Isnot started within 180 F'ost/Pearn Mec'hon Insulation Insp
,'ays of issuance, or if work is s spended fo core th7_:
ys.�tylec.,hanical
Plm/undslab Insp Gyp Bomt-d Insp
PL.M/Under-fIoat- Rain drain Insp
ei,mittee Signature: All Insp Water- Line tnsp
Plumb Top Out AppriSdwlk Insp
` 'sued BY : Fr-aming ITl9p Mechanical Final
Call for- inspection - 6,39-4175"
!� w
SEWER CONNECTION
CITYOFTIFARD PERMIT
F='ERMIT #. . . . . . . : SWf29�a--0074
COMMUNITY DEVELOPMENT DEPARTMENT roti"
13126 SW Hdl Blvd.P.O.Bac 23397,T4ud,Orporr 97M 16W)M-4176 __7 DATE I S U E D: 04/10/92
i1"IE ADDRESS. . . : 118:`,5 SW 128TH AVE PARCEL: IS1:33DD- 14700
3UBD I V I S I ON. . . . : V I L!_A[JL AT SUMMER LAKE PARK. 4 ZONING: R--•4. `
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 184
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE_ UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
1'YPE OF USE:. . . . . :SF NO. OF BU I LD I NGS: 1
INSTALL TYPE=. . . . :L•AUSWR IMPLRV SUR`--ACE. . : : 5f
Remarks: F'A,fH I
Ownerr-- ------------------------------------ ------------------ FEES
DON MORISGCTTE ):UILDERS, INC. type amol-int by date recpt
:.5055 SW RANGY RD. p'RMT 1900. 00 JLH 04/10/9 —
42101 INSP $ 35. 00 JLH 04/10/92 -
-_AKE OSWE`,O OR 97035
"hone #: 620--75:3B
i-ontractor: —.------------------------_._--
r:ONTRACTOR NOT ON FILE
---------------------------------
(hone #: E 1935. 00 TOTAL_
4eq #. . I
---•---- REQUIRED INSPECTIONS
This Applicait agrees to comply with all the rules and regulations Sewer Inspection
cf the Unifi,d Sewage Agency. The permit expires 190 days fromthe date issued. The total amount paid will be fos felted if the
oermit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not locates at the measurement
Oven, the installer shall prospect 3 feet in all directions from
the distant! given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit an a PaNcy wily install a lateral.
e r m i t tee S i R n a t ra r Ln
.as�.rerJ By I
Call for insper_tion — 639-4175
i
w
A)MAML�
•
CITY OF TIBART) — REcF-ip-r or PAYMENT RECEIr-11' NO. :92-22588ni
CHECK AMOUNT a 4403. 63
NAME_ a IvIORISSETTE, DON CASH AMOUNT a 0. 00
PAYME NT DATE 04/10/92
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PA 11) PURPOSE OF PAYMENT AMOUNT POI
BUILDING PERM 364. 00 PLUMBING PERM
MECHANICAL. PE 39. V10 ST. BUILD PER 2b. 78
PLAN CHECK FE --3. 6!5 SEWER LISA 1900. 00
SEWER INSPECT 135. 00 RESIDEN,rlAI. TRAFFIC,' FEES 1280. 00
PARKS SDC 250. 00 STORM DRAIN SDC 280. 01a
TR�'414STT T117 FEEL) 100. 00
11OP-3 SW IP-13TH nVE
LUT 3.84 GUMMERLAKE' 4
'T(.]rA[. AMOUNT P01D 4403. 63