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INSPECTIONuOTICE
Pity of Tigard P.,Uding Department
P O box 23397
1-igard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested -- Time A.M._-_ p�P.M.
G rn
Adr,ress 9 --- - -- Permit �k1LZ _3 '
•� -—
O%oner ___ Lot
BuilderThe following Building Code deficiencies are requ±red to be corrected:
- 4_1
Pruantcd to 70 R' Approved
Inspector l7iss�pproved
Data --
--
CALL FUR REIi,ISPEC770N
❑ Yi! ❑ NO
MIECHANIGAL. 1:)I**-AWE T
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: r.-'.890316
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COMMUNITY DEVELOPMENT DEPARTMENT I)A,Y*I:.*. :0551JEO 2/21/69
3125 S.W.Hall Blvd..P.O.Box 23347,Tigard,Oregon 97223,(503)639A175
im IV 0 14 It.A
SW FONNE.R ST
16X MAP/1A7"I Gt IF.".
NO :
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R 1 0114 517pfl).3 $9 . 00
1:1-1019F: (.50,3) 639-.3365 915
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This permit is issued subject to the regulations contained in Title 14 F*.CF-'JP*T* NO —3
of the TIVIC, State of Oregon Specialty Codes, zoning regulations .................
and all other applicable codes and ordinances. and it is hereby jai !,Ii I I 1![ 1,
agreed that the work will be done In accordance,with the plans and I 1N1'lL.
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if Work is not started within 18()days,or if work is suspended of
abandoned for a period of 180 days any time otter work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Pertee Swig—riature—
Ci�
Issued By I`IM E,.<
SEPARATE PERMITS Kr7QUIRED FOR WORK OTHER THAN DESCRIBED ABOVE