11725 SW MANZANITA STREET 11725 SW MANLANITP STREET
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INSPECTION NOiiCE
City of Tigard Building Department
12420 S.W. Main St.
Tiyard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested
Time A.M. P.M.
Address
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
D YE3 NO
i
Address ��Permit No. 3
Naind of Occupant _ Permit charge
Connection fee_�_�_—
--------- — .�___ — _ Paid by_�_�_
Date connected
Type 61 Building . __ Inspection fe9,_--_-
Service Rate- --- -- .—__.---- ----- Pai.i by -- - -DateZ/',2O'-6 7
Contractor— _ -.-- -,--- Assessment_`--
Size of connection - __
PEP.Myr TO CONNECT
Tigard Sanitary District
PERMIT N9 1053 DATE
PFR511T IS GIVEN TO
OF
TO CONNECT A
TOTHE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PT.ETED.
PERMIT FEE PAID $._. .__..-_._ ....... ......TIGARD SANITARY DISTRICT
BY
CONNECTION INSPECTED AND APPLIOVED
---__`--__ _Date 9uQertnti.-dent
____._-----.--