Loading...
14500 SW HALL BLVD-1 �/`RlBY.,p•'�yp..r Y.A'.�.y....a M•,bRa«>'aiM,Yi1^A„All��e.'✓yyly�li•,ti. �r�.'•A"�` Flw'Ywp•a+n►,v"mw,-'OY.rWY+.•+1lu,W'II.M.n^.q,V1,w+...MM.Ys1a.VM"wN..I.w!K4VM,IMw,...yy.,yY.M., 1fwtV.*.,w.WWDNIIN.,Oy,P.,�MIVMM...M,Wllnl,l,e+'•,K.AMe,.. • '„+MwR.a:�.yy�yy�yyMYMM11Y�1, C-_ NOTE ' G E)� AN N A t L TOI ►AT EXCEED U 5C, NLL© WA.BL E LIMITS T H ETA E F0 )� �t. COM PL1k\ NCE I � s F.. AcSEL) uPoN T C- aT �. 0NDI hJv P S � � �� �' � � JAI S7 TO _ 7 CONDUCTED ON A c) T F1 E I L N r� UcT10)Q � a I + KE FL AC a 0Z7 _ z Q X 3 b F LT �' l S 1 N 6 W A t.t.. 12 ( t ) 14 ,115 a , , 5 ► 1 Z(� IN v., 2 a ra.. WOOD a2DcC, 0 U E-t � G 1 �"i ^.I 5 T E _ l � CIAP rCafL y I AND 11 SES 5 PE (C_l h►L Ty Sly 2 )K4 x 48' V ER.? 14 RE PL.ACF 0 W.T � L � N U � EW , low IN .... .. .............. - -- -- - TO 9,la1L t--- PC t4Of I X 4 PCS aT cq I r t j 39 X J 2 Axl A j �XI f _ ST ING GANG I L►VER. _SOIS�' - C L R.(J N T E..L�� t,J _ I QUAN DESCRIPTION Q► hl 0 IN�,1 �.e� ITEM ry�� F��� - r , H SPEC No S 0 NO uLe ---_ - .._ P 4rTI (D RS NSU 1L. C.. DR BY - 11TS E U Z ' CH BY rC�MEi7 DATE rITLE APP HY DATE REV AUTH, REVISION DATE B SCA L_E VSNEET OF�� pWr;�� � NO 00000,0 c000l 4100 ► YM llrl.tr B-1-VD , I cl 'al „�. .._....�^'.' ,! :-gip;..,.. �. .... .w.. , ' � it- :may... �,M __. � f� �. -..,.w _. . ,p _ ...--.. .... ,,,.- ,• ,.►-.:.' .... --. �•,y` ti•.�.• .__!A!'.�_... ��y.,.ww.•. .{;,r ,,, y., ,.,. yq�ay.�yp��y{ r '1 rllt 111111 1�11 ' III 1111 II ! '11 ! r � 111� 1 111 IIS I �1 = �I11 I I� i Itl ! � � 111 It ! 11 111 111 111 ! ] 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 I I I 1 I 1 I I I I 1 II 1 1 11 11 f 1 1 1 - ... . t�..Y,,, i f � 1 � I r r � I i s l I � � rI111 � 1a1E ' I + i + I + 111 + 1 + I + 1111 � IIIIII � 1 � 1 .: .. � � 2 3 4 8 h0 I I ' NOTE : IP THIS M ICRUF I LMED �--- --�-�---- 5 6 7 9 12-- .-- - DRAWING IS LESS CLEAR THAN -- #._ +r�. •:._ � .: - THIS NOTICE , IT IS DUE TO -� THF QUALITY OF THE ORIGINAL 0IR 12 9? SZ bz f;2 Zj! Iz 0 61 - 9 ! 4.1 91 %1- fI EI , I ! I 01 6 8 L 9 b E z ta�e�alta a Oil IIIIIIIII�tIlI�t111ltt�ttltlt�tltt�ltt�lllli�llllIIIII�IItl�ltt�l��tt��!!t�t��ti�l�ll�lill�llll�IllilllLL�IIilIllll�il�liltt ,1111111!1111111lII111111l11111�1lOtliili=illllilll�lllIIIIIUIIISIIIJI�IIIII111111�ir111�IIIIIlIIIIIIIII1111�111IIIIII+LIllllfllU11111i1U�Illl�lljlilllllllilllllltllllN ' I c a P1,WI NCs �,,r JU 15l 1-, AN U �Z w I �.sJC�E c +�,,1 Qi L S FIT I Ilk �+fes�.. �• �.+rr�1 -.f /APT P1 I f - SEE �P U 1)wG P, r co'.. U M N ` r, IVw i Rz x Is k E PL E V, -- I i F? F L. F o . ; I Tfelt P T r- I� 1�J f H 1�hJ G 0 T"--k F ti.� p.5 f 0-th NPS eve! PST u r ' ' ( r•l -7 TF PA,T1 0 IDEC,k' 7Y91Ck�. I i �Uti� i�IN(� I 1)Y L 4 " NAIL Ia (0_� 0UJND ij 1 r.., tft j a ITF.M NO PART NO QUAN f DESCRIPTION -----1 - I ,/ 1 ��� i �� 'fir 1.9 SPEC NO SO NO - ` •r' -�--- f �. .�,,( fl�'r` ?�, • • 3. ., �t'��_'.,:1 01►t.,,, D A►T i;�F 13 V Z' THIS ORAVVIN(,AND ALL UCSIGNS AND OET AILS THt MEIN C ONT AINED IS 7..f { U C� 1NCC r1"► �► N�.� CZ.. I - ^ 1 .� +. .r �' AOl E/MOPEMTw OI COt MANUt AC TURINO AND MA r N07 BE USED IN WH(1l f M ) i I t M NPAMTHOUtTHC CONSENT OfCOEMANUfACTUMING All MOH' �� p'' '• 1 1 NO INVENTION Aft, MESE MVEp O COO MANUFACTURING CI[9�Oti A r OR BY DATE CJSTOMER s r ' TOLERANCES .,,� UNLESS OTIIfE C RWISPECiilEO MIA __�.... . Z ,q C, r' iw ,ti t 'i CH BY DATE TITLE 1 'T HAL:... �,� t•�1:r 4. . TRACTIONS 2 1/64 Z D 'yI DECIMALS XX 2 010 4PP BY DATE 1 -- - xxx t 005 REVTALITH REVISION DATE BY ANGLES t 0 } `• _CALF_ SHEE1 OF DWG • NO C— a. A •'� ' •• . . .. � �f i ••iW+ � :... _.. .. T+• •. ., r• �•r 1 --�._ .. . -..S .. ..�....�.. .�.. •'`�f 1 ._ -.,,. .. 6..,- - -... .,. _ .r ..__-^-_ .._ __4 .. ....._-.. ._ _ _._ __.. �. `+.,..r:r y,: �IIr 1 � 1I1 �`1 II111If Illll 1 � 1 � 1 � 1 11tll� l I � IIIIi II1� �� 1 � (III1 III � II1 IIiIIII � III � ) 1111111 ( � IIIII ' IIIII � 1 11111 ` 1 I � IIIII 1111111 Jill I 111111 1YIIII`Ii 1111111 1111111 1111111 N 1 I I { ! I I � ! � i I I ! 1 I I 2 3 4 5 6 7 8 9 10 I I 12 NOTE : IF THIS MICROFILMED �'�- •�• _ .. ` ��•------�--� -- - "�` DRAWING IS LESS CLEAR THAN A THIS NOTICE , - IT IS DUE TO THF QUALITY OF THE ORIGINAI_ DRAwING' OE 6z gZ lz 9z Sz bz Ez zz 12 o? 61 81 11 91 SI tvI EI ZI 11 01 6 9 l 9 S b t", C I '"'•'" r 1 1 1 ' ! I I I I I II I I I ��`J Ir!I�IIIIIIIII IIIIII111 1111 11.11 IIIIIiII III►IIlIIIIIIII111 111111}1 0�llll't�� tlIIII111 IIIIIiII! I1IIIIIIIIIIIIIIIolit�l ll1i11111lI111111!lII1111lIIIIII�II IIII�IIII�IIIIIIIIIIIIILIIIII IIIIIIIIIlIIiIII)II�IIU�I)11 IIIIII111 IIIIIIIII�IIIIIIIUI!l11lIIl�IIII�1111W11�LI1J1!_IIIIII�II.�llllll .P O O N F r r d M 1. �1 i 14500 SW MALT; ALVD -- CITY OF T'GA RD ® PI IIJMLING PE-pM:I: I- PE.Pmrr N(.1. : CITY011"t"ra ISI.8900dilel COMMUNITY DEVELOPMENT DEPARTMENT 13125 S W Hall Blvd.P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 --LILL, 1':I!:i00 SW I-IAI- I k.'l L V U T ox f1i A P/11- SUB I OND LISE : 1J)'T SUIT : :f:11:11 : NO: WO PK CLONSS : f4p,:.PA:ilp 'L U S E r W A'T I::'P "54- I"'AM11-Y 1.3";ITNA1_. 'IYV)r-: : VNR10-:111W 1:-'1:4VN'l 1:4 L(-)V()PA,T,(:)Ay I.PAF, PIPITME:34 M-11,1111.IP .GRP . '171JI1:) 911-4014EP G)VA"ASN: TPA11:31.11 WESIAWASHE:14 GAA8A(.'-'k:: Dit"if."Osell.. E S : WASIATINIC; MA(:,I,-I:I:NE k.)N:1*'T'S : LAUNUAY T'PAY ( I)TA SINK SEWEA (F 'T WA'TUP HEA11-A 1.2 (F-T' [:)'1'-IC I E E)A M A C I::-' O W I'CK WPE 1:414111: T N 1 e?'l FiW C'AfRICIIN 5 E R AND 54WTE 'TAX C 0 N T IF PI UMDING r1c). R *1636 N ALE'BNA (). VI'4, A C F'01:4 Y I-J-)NE) UP 97PI T 11,50.'.5) 0 9,p R A65 T 0 T'Al 4*13 . 63 This permit Is issued subject to the regulations contained in Title 14 r4L:(,E:r F"r No, 5 of the TMC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby6dl INSPEE—TAMNS agreed that the work will be done in accordance with the plans and D UNDF-Wil-AE..', specifications and in compliance with all applicable codes and a I:3I::-(.)M ordinances The Issuance of this permit does not waive restrictive WA*1,1::,.r4 I :CNF:: 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 180 days.or It work is suspended or PAYN UWAYNS abandoned for a period of 180 days any time after work has FANAL. commenced It shall be the responsibility of the permittee to assure all required Inspections are requested and approved. Permittee Signature Issued By ?577-7111 i'l SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17YOFTIIFARD 1:11.J.1.I DiNG PFAM.I. I A§LVUPMT U O RD ' N , (CnYj� COMMUNITY DEVELOPMENT DEPARTMENT GON 13125 S W Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 3 (iiH .0'i . 141500 Sw HAI I SI VE) I VIX ri C.I 51JE4. r`lllr Irl VAL-LAT101SI: .1. 115 0 1 IDN"AS FRON I' : Wl:d'l l.I-WiFi : PEPAJ:A, DWE].A.. . UIS11TSi . FU(:FIT' : 1 144" ; .54 FAMIA.-Y NO. up.,A)POOMS . LiXt .WALL. UJNST : YPE-* : VN W.) , IiIA I'VIG : N W 0(-( [if) (34) . PIAO 1' .C)PE:N 1:NV'G : 0I.A.AlP 1. OAD N : W '11(,TFAL. APE Al NO GTOPTE'.5 : 1ST : 0001" FTPE PET'? 't,2 N D APFA RATED: F I"I F:I NT? OCCUP" . 1*5I%A::Al:'1? PATED : n N I NFE? DNiEm IT I' l-0011 LOAD: F1PE: At APMI? F-LAW(Gl-"M) Xxwfi I 1-1 AN GIALICK BY : ( T PE DAMAGE OF NO . I.AST plii:1!3911JF 0 1 LES W K ATI ly I-71EPIVIIJ-11, !Ii N 51.4 CAP14101"! PLAN E R I'l)PI 1. AND 011 FTPE: WEPT !7TATV TAX 2.5 K V F-.'I-.U P M W (:A-IAQGP�'A : 0 N S17(71(GTOAM) T 1 00 ' !-; FX0,150 INJUA :1.0N TNC— 5)DC t ST OL'IE T R A i/ioo t:iw wri-we-it.mui.- mix. POG, it I CP 197 P 0 P I P W 11 P A V D < () I I-IONI., (503) (.`23,3 -.11119 R 141 A; 1 '�; I VWl-I ON NO I10 Al This permit is issued subject to the regulations contained in Title 14 PIECILiJ 1--)T' NO /0-20 of the TMC. State of Oregon Specialty Codes, zoning regulations end all other applicable codes and ordinances, and it Is hereby VIEJALITPEA) agreed that the work will be done in accordance with the Mans and I--PAM 3.N(.,' 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 husiness tax permits. 1 his permit will expire and herome null and void if work is not started within 180 days,or if work Is suspended or iihandoned for a period of 180 days any time after work has cornmenced It shall be the responsibility of the permittee to assure all required in ctions are requested and approved pprmitte sici latow Issued By .)P SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 4 ° W 0 0 0 0 0 0 0 0 0 LU 0 0 N 0 0CC LL 0 0 0 0 _N O ui n N O in N tn m L p Q v hN z _ — ,. r U 0 r P m lw < 0 3 d p � iL 6� ❑ y ~ FW- r r cu li c ti Q — r o r o .ro 0 M am r 00 a oo c0v � rn w c Q H [ c w cm c c D o U n CL �, v Q v o c a u VL' Q c °' Cl cu ° `�° E ro °' p Q c :a U `i d 111 W rt1 W p LU o .m O cn 4 cn cr c int! c2 U- n C a 0 E c w Q a Ir ~ _ _ _ C �' L w a� m U) W o 0 o 0 o Ea Z W Un Un In V? Un E zi u w oN d yF1 ❑ - U N CC J a U) O 1 w E cuu E o. \ ry 0) 0 � Q CC E t ❑ , w _ a c �� - F-- n o c LL. ry a o > w ro " " °' W F �l D ai N y N CT 2 p cn LLI J ul n n � I INSPECTION NOTICE /G,,/ City of Tigard ?-gilding Department P.Q. Box 23397 Tigard, Oregon 97223 Phone:639-4175 �-- Type of InspectionM/�� Ty P ,11i" /• Date Requested. •� - �' — Time A.M. �/ P.M. AddressTime. #_ Owner _ Lot # Builder f The following Building Code deficiencies are required to be corrected: Presented to — _ ❑ Approved Inspector ❑ Disapproved Date tCALL FOR REINSPECTION YES U NO — v CITY OF TIGARD 639.4171 June iib 6060 BUILDING PERMIT DATE rt TAX MAP g81 1�L�TNO. 4�� SUBDIVISION OWNER_1)0UWi6kJOHADDRESS 1450U Sh Hall Blvd. T_ Cesideuts(agents of owner)114rewood "411Ul r BUILDER STATE REG,NO. _ EXP.DATE----_-- -__- - BUILDER'S PHONE 6Z:"--35:42/639-3121(;iike Woolley) . ARCHITECT_42q(/,O _ L-1AE�_/�- PHONE (r' � _ OTHER _. STRUCTURE NEW LJ REMODEL ADDITION " REPAIR MOVE i OTHER DEMOLITION RESIDENCE ( COMM r) EDUCATION IND RELIGIOUS ACCESSORY f_] GARAGE OTHER FENCE OCCUPANCY ' L LAND USE ZONE I_' BLDG TYPE FIRE ZONE — PLAN CHECK BY i HEAT A air ,1(!ck.s "art ,, i�tin, ijiarti*nt complex, all per apuroveu plana. SEWER PERMIT M OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE. `j000 ✓BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit �ja(IiRA THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 44.j3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire __ !RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 'TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tex 5.4 f1** � --^'-�- SDC- *Aoouble fee for working; vlo permits Total -----.__ PDC# APPLICANTORAGENT Prepd. -.-none---- ---- - - _— all Receipt,Jo. ADDFESS Bal.Due - _r Issued By Approved By__ .+. ., UIL DATE INSP. TYPE INSPECTION REMARKS _ PLUMBING DATE Contractor 'w ( Permit No. Rough-In Fixture Final _ HEATING _ _ – (Q tactor _ Pennit No --- Gas or pit -- – – ----_ Roughin Final`— — _�_ SEWER Final 0141-VEWAY Final Storm Drainage (Rain Drain)Final _ �j —•-- —_--e_____ _- — Sidewalk --.— — Curb A Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY --�, Landscaping Zoning Final May 30, 1986 CITY OF TI1FA RD OREGON � 25 Years of Serv7l 1961-1986 Donald F. S Grace F. Wiek --% 4184 SW 43rd Ave. re ; WCTM 2S1-12BB, TL 4000 Portland OR 91221 14500 SW Hall Blvd. Edgewood Manor Dear Mr. 6 Mrs. Wiek: Apparent violations of the Tigard Municipal Code and ORS 456.886 exist at the above described property which you own. Observation: repair of exterior balconies started without proper permits or plans review repair work done to date unsafe working after stop work orders issued Immediate action required: All balconies to be barricaded with minimum of two 2" x 4" rails across the balcony doors, one at 36" above floor height and one at 20" above floor height , to be done by 4 :00 p.m. on this date, May 30, 1986. Corrective measures required : Engineered plans submitted to this office foi review and construction as per the approved plans when the permit is issued . Very truly yours, 17C- ^110 Thomas L. Plescher Building Inspector 'CLE'/_jdo CC : Manager 1.3175 SW Will Rlv(l. PO Box 23397, 1fUtjr(i Oregon 97223 (,1)03)639 4111 INSVWALXIRJLM�� INSPECTION NOTICE City of Tigard Building Department'/- L// v P O Box 23397 Tigard, Oregon 97223 Phone 639-4175 TVP* of Inspection i Date Requested — j ( Time A.M. P.M. Address Permit # Owner_ Lot # Builder The following Building Code deficiencies are required to be corrected: --- ---------------- Presented to _ _ � r, Approved Inspector I -- ------ ❑ Disapproved Date CALL, FOR REIMPF,CTION 0 YES 0 IUO s � J _lANfQ4RAiL potl Z K 9x �!B 16 ",.,2 is-16/pa. J ♦LL i�c v v„oci 2 lr3 / rT '' I•ti�,N�� R A i � �•-r y� 2x 6 �oP RAi� �. Z42 Ib�Ct z , ZI 'L- ZAIN o't c., U,j, F �tf ..� o!t O�� �elr� i �z fT TCEU41 r- l0A dbP pe Zo,�r l /� 65�1_ I ]� = I OREGON 2-q 16 � w. gl.SS4'S 115 1129 rb r� 30, Vat *I /�Cf rv. Z,�� -1-7 r-b 'PS I t C�> > MAG.) 5 -1,%lo tjc r Z 117J G Mew 14l rh r S7" 6 S'rROCTuRE wlLL K30T HF-V VaC SPCe-, AcCoAla Fob 130o PSI j i MOM6-moi FROu4 wALl 72 A ALLOwr.lk 0 role' = w Lz Z w _ _ _ �' PPc,.,ovs = e• 1129' ISE b k C IJ V t��•��C�Y�' iv1 t O A Imo. ISO PS 1 (O wAc'.. 74 1 Ll tEAIG04 ),oraa't To 'NWAwamll' ZneopistfL A[e.owAOiAr i Me,��.w.�l� � C1'�, i41 iN� � (I'So4 tb�,��, = I'7,oA3 M•�(, USE I6 N411L, arA..'_IAJ TzNowli � \z Ac u .sT O C'q a� �ec ��. �rS �.�<! 1t,)(')>4 $, 1129 51) _ S<-7 Jnr Sb f,S. !mJ icmR 3gFc•c < iu' C SP16 0-4 c3 AA'k S �lsSur�9, S4+ t.G V a ��� L r��ct•.Q!:r r`R7 eA to �K�bt =�C'_' 4CTS TO A 11.3ES 40JC'nTV_).3F Ft,'r�^")�'. �Ek.► �. "Jia, Lr�J or , ��a^, S� r•r'., ' rOrt th'�R r'O;c o'er :��C7't5�j • (z�(z�)4,S; (��(3Q,(6,�5) i 2 (4 U)(9� ► 1 (5���,I!,25�► Z�G��>�13,5�+� ?.ZZs �� fit J K :' r r.C a r.a �-t hrr►aD r��r !a� O.S, l es• U a /S'r4 1b,Nd rL 4K . b 9 C L(_ .� •Z = ;�0 0, 2 0 h�ia 1 y 'V 1 b�'n. dor�� a ovE Q SY Rani p to _. ...., -�- _, a s_ o u � ..� • Tf i SPECiF'�Ca-'t1o ►JS owNcaS TO PRff e cox e .s . bE"+oNst �F SA.FG7ti' TO ' .'1 _ GR�rVG �"l. ( T1 � �'1F'�aC'1t) F: �.f /�p � 1T �C .�a•t �0 ?J !.� . ,` t''� •�, t� +.V r!'.1 4 ^ yy rpt• 7_. r�•o�. •."•� n �; ,�.� flab j C 'atr'inf ?i,�,•' s'.��,,�r'•f� � ..�. ,� , s�1'Ct )•_ .;� _ qtr., ..� ,�a,.,}-:.� �(.��1 1 ._ = 3L4 16 US A x/55 -rE�fi ,,�:•- c` ;N : y(� vw V,'4rcft� i 1, rF1-�.' T� ,..� t��e•1'a •.1 R�a�-� 5��cC' c r�%F - {7r q� - iS �2, `t �� Pea I t i puR Posh.' o iT�N - ! q_ .'.. Ss.VIC:_ UU rt '-w,A3Ic(, , - -i f wrTN w/a'cEQ- pND SvSP NDC1 SROM — A SiN if 4 Sols 33 /r"C.14sS FRO IST SPC/C(S . . wAS PcdC6p 'S61S%, IUG 6x� f SSi�E �"t ti h r �.1 x•. 4 5 1J TO/577' I ZIOlQ PLrvsoov dui k. To'ST 1,. MI�__..3alsr PRo 1t e-t ro ra F T% 0.kC 1- L 0 0t �. N A mIt A C T '.� •� �STri� bV� E ^.�t.,+',�„ � .. .TW�''�tJ S"rRt : _ `; � W y l.) ACCE �-' Hat5/lam/CQ`t1o�5 TO 4X1Sr1.-v6 PAI"OS Q)AS4' J rJ t�C/'J PI A; CRrOG' rti1G ESE wC- -/ 1 Sa1ST IJ -AR SPG. IcE' L/N(5 c:', ..`7P A)60 E' /-Ror-1 5 71/J C. 1-A'T 70 PLEA N 7 IZ v t?'t NEE DEQ A'� 4� UIS;0A L_.Y 1/.6PECT S`rQuc'ruRiONIC ALLY r Adress �, , �, ,� Permit No Permit charge -2- )wner_ Connection fee /o'n e,c ° j�3 n - 1 Paid by_ type of Building_ - �� ( �.t Date connected Service Rate Inspection fee r ^.ontrac:tor Paid by Date Size of connection rte-" Assessment Paid i PERMIT TO CONNECT Tigard Sanitary District PERMIT N? 1190 nATI PERMIT I8 GIVEN TO OF 1 TO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT THIS PERMIT MUST BE POSTED ON THE DESCRIBED PR9MISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID =..._ :'..:.......................TIGARD SANITARY DISTRICT l ?,� By / .M, CONNECTION INSPECTED AND APPROVED _ � - -- SuPerintendeat --_____----