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INSPECTION NOTICE
C..ty of Tigard Building Department
1 13125 SW Hall Blvr. Tigard, Oregon 97223 E
Inspection Line (Rec-o-Phone)s 639-4175 Sueinesa Phone: P39-4171 .
Inepections�
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk ti
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Poet/Beam Struct. San. Sewer Framing -Bldg.
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Poet/Beam Mech. Rain Drain Insulation -Plumb.
CBdh Plbg. 7nderfloor Water Line GYP• . (' 3
Date Regneeteds a� Time: _ AN /_�y`—PM
Addreae:
Permit is
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THE FOLLOWING CORRECTIONS ARE REQUIREDs 3
Inspector s __ Date:
li APPROVED DISAPPR0VED APPROVED RUBJECT TO ABOVE
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C:I"f`r OF' TIC-.',ARD FrE(;C IF'T OF PAYMENT RE t:[:IF'C' NO. a9.?—i ,:,l7►c:r+
CHECK AMOUNT :3,m'. 50
NAME' a JACOBS H,. A l"INC & CASH AlAOUN V o 0. 00
i4PDRC.GS a AIR CONDITIONING PAYMENT DATE 7 00/05/92
1421 SE HOLBATE BLVD SUBDIVISION 8
PORTLAND, OR 97808--
PURPOSE OF PAYMENT AMOUNT F"!AIU PURPOSE OF FlAYMENT OMOUNT PAID
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Mi CHAN I C.E1L.. F^t Ear. 00 '~I.,AN C HECK FE 6. 25
T. SUILU PER 1. 2.5
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TOTAL AMOUNT PAID 50
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