12160 SW MAIN STREET ST. — 12160 STR. OPN. PERMIT
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KNOW All. MEN 8y IME St PRE SEN1S. That wt,
µc.KINS7'RY CIL).
Orntir►stter called Ptinris,etl,as Vrinppet,ar,ct I N:7US7'Ri.kL ]NLrEX.N I'I'Y CC>RPANY ,
a tzrpcxatic►n v.ylnitKl trd dciry hviinat urocv sr.a b.-! yirtvt or tilt ia%j of lite Wit of Cal i f orni a
:rid duty beensttl km the purWit of nts!iN, a tx Mining rtlt sumy upon burids o undeetol irW farruirv.1 of
avthorirei tty 11W ltwi at the Sit it of Or eyolt Rw+ainohst alld 5cllaty),as&,-rtty,ore►,ek1 and
t 111(rdy tLound unto
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ill in Ulf icritold fun scmrof St:vk;•ri Fiurid rrc3 Pift.Y and est)/lUOt hr - - - - - - - - -
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IS 750. UU - - - - 1'e%4ul tt.aity of tate t)nirad States of Mittiat,to iit peyr►.Orst of wf,lch,waft oM truly to be
! e»cle,wt hmet.y bind ourst-lve: and cwt and aad, of wr wexltivxt and ttsip-,i,k,ftdty erKf at+tetily,fanify by tfKst pratenls.
j 1►,E CONDII IUN. C,F 1X,15 C'St.*A11004 AA1 S►JCk THAT, WERFM
the atove t UrIjen
i Pritic iP$1 hay 2j,p1 :Ed to shad CINigee for a Ierlttit fc•r the Psirpose of
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• NOW, THERVYOXJ:, if the said Princfpal shall , during the period that
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` this permit is in full fc.zoe and effect faithfully ct,r : rve and honestly
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crwipl,y with the provisions of all Ordinances, RAes or Pequlatior,sj rc--
lating thereto, then this OL-ligatJor) shal) beconle vpid; c'tt►erwis,= to
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remain in full force and uffec't.
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' kkUVIDE[), KC>WkWR, the 6urety stall have the right to cancc l this
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►aurid at any time by giviJ,g written notice, str.ting. when the cancell;+tilon
Shall take affect , and served at least thirty (30) days prior to the
date that the cancellation t-c•con►es effective.
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IN WITNESS OMEREOF. mid P►inciWl and mid Witty hoes au+*d th) ;t ppt►tnrh to hs dcdy iignof •nd krled this
dry of _ Navrn►tc r �, p ie ��
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I INDUSTR]1L1�_.a�i; to t1'Y _t:UkiE112,iY_
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uy Y�/11(J I lclmj C XTIC RtYAN 1AC1
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November 7, 1980
•tr. D. L. Dess(.:te
'icKinstry Ca.
12200 tl. Jantzen, Suite 240
Portland, Oregon 3721.7
'Werence: P. S. Dank of ,i.gard
Onar Sir:
This is to inform you that City policy requires that
whenever n storm sewer line is extended to our eiain line
storm sewer, a catch basin or a roan hole be installed.
In your case, wa unuld require a catch basin.
Yours truly
%. L. Thoinpaon
Public Works InapFctor
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APPLICATION -- STREET IMPRC -MENT/EXCAVATION COPY TO:
ORDINA,.%:E NO. 74-14 Lj (wHITEI ' FILE
r� (BLUE) INSP.
u (YELLOWI-OT11ER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) ❑ (PINK( - APPLICANT
APPROVED ES APPLICATION NO.: � y _
NOT APPROVED ❑ CITY CIF T'IGARD, OREGON FEE AMT.: S —�
PENDING FF_E. PMT. ❑ CITY HALL. RECEIPT NO.:
PENDING SECURITY Cl PUBLIC WORKS DEPARTMENT BYDATE_— I /
—
P' •r'ING AGENCY ''OK" ❑ Application and Progress Record
i INFORMATION 11 FOR STREET IMPROVEMENT/EXCAVATION MAINTENANCEASQUI BOND
ANNUAL CJ
VAR,ANCE C] EXPIRATION DATE:
PERMIT NU. DATE ISSUED: _ L"'_L=_ _ , BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL .-curb. sidewalk, sanit_ary--s-ewer,__
storm sewer, power AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
OWNER-
U S National Bank of Oregon, 555 SW Oak Portland, 225-6518
APPLICAfrT & ADORE — -- CITY PHONE —
CONTRACTOR_Milne Corstruction Co. , PO Box 2740 Portland 222-9836
NA ! mes"" 11,00 SW 6th Av. _ Portlla"nd 224TIM
PLANS BY BOUtWell , Gordon, Bard 81 Grimes, i J
NAME ADDRESS — CITY PHONk�---�
ESTIMATED IMPROVEMENT TOTAL VALUATION f COST: S 5,964.00
DOLLARS
(2) EXCAVATION DATA: Refer to Attachment "A" $LLED
OFFICE USE --IMiN.—
__ X !
STREET DESCRIPTION OGRESS & INSPE_CTION STATUS_
NFIIAE SURFACE CUT CUT CUT MATERIAL INSTTEM DATE itEMARKS/TYPE BY
—_— TYPE LENGTH WIDTH DEPTH ITEM 8 QUA
EET ION
EESTIMATED STREET OPENING DATE: 1 � 8ESTIMATED STREET CLOSING DATE: _,� L / g �-
-_ D —
FTREET
(1) SECURITY NO. __— SECURITY AMT: E — -- CLOSE
SURETY CO.: FINAL
CE RTI Fitt)CHECK U CASH U BOND Oo INBPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITION
FEATURES; EXCAVATION LOCATION AND EXTENT. C
Refer to Attachment "A"
1 I I 1 1
app c-
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(5) NOTE THE CITY OF TIGARD bOEs NOT, HERESY, GRANT PERMI$SIGN TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR 1HE STATE OF OREGON
THE APPLICANT AGREES TO DEPCI$IT THE REQUIRED SECURITIES. TO COMPLY WITH ALL rIERTINFNT LAWS AND
CONSTRUCTION SPECIrICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY 0,7 DAMAGE WENCH MAY RESULT FROM APPLICANTS ACTIONS
AP,'L.ICAN'rS SIGNATURE _
�` DATE ember j - 3 1 1980
Ev T1 OATS°L/ 110160 _ _ MILeN■
CHKO. OV (DATE
U.S. �,/►,raK ,TiC]ATZC� 'P,RA�JCF1
'-- ,�OIrOtI1NCT1pq SHEET NO.— I—._OF
AT Mt;Nr- _
(2) EXCAVATION DATA:
STIIEET DESCRIPTION
"AMR SUIT/ACR CUT CUT CUT MATSMIAL INSTALL/,
TYPE LENGTH wI OTH DEPTH ITEM A QUANTITT
•. I / 5.v/. IAl.T �l ♦ ♦.'_� O�1 A�CiT STORM S6.Nl�lt YP e 1%� L1�') V�
�.J �!i �Otilt t'I -
QS.V11 N\A �1 Care 4.O r rN,'L.[.G T w/
5.W �LC.F� irJ`. Cgrf� Icz,CI 4 F1_Y14�! SICc .,4tJ< �.�D <:uilRC V' k1/
AS ( -)N CP.T I. A.)'`w1 Y
ESTINATWD STIIEET OPINING DAM
ESTIMATED STREET CLODO140 DAM
(4) PLOT PLAN: INoeCATE SITIZ PtRT1Nt/1T PwYO1CAL
PEATURIMI EXUAVATION LOEATION ANO EXTENT.
G Rc�
A7"rCN 14'AT�
Scv �F �,�S�S�-��a-r '�
W 121 LJ L-3
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lot U te. 11AT It �` UN"k_ o;:
! 0 '' 121Gu ,.W. MA�r.i loa'
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STKEET CLOSINu SCHENLE - TGA--A,-, Ji�-
OGLOSS' Nc,v.1"1,e)O- c7F'Gr._I Nov• Igcc
C2> CLo'sE jnN, i'�,�C) -C71Nary
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0 C1—rxG NOv. I ,,8[1 ►)ov, t7,eiC,
CITY OF TIGARD—12420 F,..MAIN
RECEIPT TIGAR�D�,GO�REGON 97223
DATE:(� __AMOUNT:
I T' — flBtLARS
CASH: `t
NAME- _ qq
ADDRESS, ) D 2�—_-- CHEC r r
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. OF f
FOR: ��._�- ACCT. +► oERMITf fURCHARG! AMOUNT
SEWER BILLINGS 40-36S --X'
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332 $,— -----
MECHANICAL PERMIT 05-332 —
BUILDING PERMIT 05-333 -----
SEWER CONNECTION 40-363 —
SEWER INSPECTION 40-365 --
SYSTEM DEV.CHARGE 25-366 —
PARK DEV.CHARGE #1 30-367 ----- -
PARK DEV.CHARGE *2 30-368
ZONING ADJUSTMENTS 05-362
TOTALS
RECEIVED BY
/ERMIT NUMfiRf AffIONED:
Number Amount Numbor Amount Number Amount
RECEIPT 6631 a {Fi