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INE1'ECTION NOTICE ���
City of Tigard Building Departatent
13125 BW Ball Blvd. Tigard, Oregon 97123
Inspection Line IRec-O-Phone): 639-4175 Business Phones 639-4171/
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Inepectlona___
Footing Plbg. Undersle!, Mech. Rough-in Appr/Sdwlk
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Pound. Plbg. Top Out Gas Line PINALt
Poet/Beam Struct. San. Sewer Framing -Bldg. ,jKr
Post/Beam Mach. Rain Drain insulation -Plumb,
Plbg. Underfloor Water Line Gyp. Bd. Mech.
Date Requeatedl Tims1 AM p!!
IIAAddress: Permit// !_ - ()I
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CITY OF TIGARD _ ) .
COMMUNITY DEVELOPMENT DEPARTMENT
13125 BW Hall Blvd.Tigard,Oregon 97223•B199 (503)639-4171
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4thin IN days afi .ss.
mit 160 days.
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
131-25 sw Hall Bird. APPLICATION Permit # _ N
i PO Box 23397
Tigard, OR 97223
(503) 639-4171
J Table 3A Med,anrcal Code QTY PRICE .AM1
Job l rj =jam r`c�� x�e�� 1) Permit Fee d •o to(.X)
2) SuppWrnenW Permit 3 On)
COY e[, vJc 1) incl musts d vent,. 6 r 7
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Owner q\Sr1 .�``gil w C�� ra�� 2h Ynu rias a vents 750
-7\'c a'4 c� C r�� �a 3) rn.A Yowl 600
utpei�jWAl:rr, w�oplfn
1 µ c
4) or M1oor mounted heater -6 no - {�
Oc.cupar,t 5) appliancetpennrt 3 OU
_._.__hepar cine-ati'r;g. -
E:; �xiohhng absorptio�nru�fn�n goo
wnb!Or Comp to,7-nr 0�1'y F.
C �CGrr1 1Ju ��1 31y'
71 at-rp unit l0 100,0()0 BTU �'�a tory Goo
TTT Lb�y.« - a or comp W 15 P
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S l- 5 113 d) absorp inert to 500.0%BTU 1100
Cuntrd;;tnr _
•-- Gouer or comp oo 15" Ftp'
c)"-e/y L �l`7r,�S 91 absory unit 5 1 rrllllran BTU 1500
rrY or axrlp IU 30
t{ 1 5 S S 1 G, ebsorp unit 1 . 1 y7rf5l-n'1w on a n1 2250
T;(kr rt.7w Ie1 1 hRvg rets s RN irAUon rat rtn,�J r er or comp
reformation given Is anrert,that I run tw owner or autxxizerl agent 11) abso(p w•vt 1,750.000 BTU 31 50
of the owner, that plans subnmodd ere in cA" liance with State ---
P P -fir��ng arm Io
laws that I am registered with Cie Stow Builders Foam,that tui 12) 10,000 CFM 450
h ember grvare is aa*ect 111 a.empt from '.ale rnghstration pi"Aso r hwaR yryl
jive rsheson below) 13) 1G 000 CTM. 750
n"0rMsT-i _-....._..----_.-_
14) evaporate scoter 450
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t 5, to a single n,ct 3.00
---
_ 1F,) uidudDl In eirpV:rnCa pu ern k 50
1,•) h1MttWW%1rA @XtIAUsr 4 W
s�w�Y new `a�ditlon-�1� eTtdrawnZT`rHNahr (S -6`oinesoc tyles
to be done resn5al nal ru%itienbal Q 19) irtinerntor 750
kistrng use Of i;r
building or prclwrty,-- S: s £g 191 tyles••ince('&etnr - 30 00 _
--N1 1 y__w?o�i store, w,sier
Proposed use of l 1 20) heater, scat.clotws dryers,ale 450
bheildhrng or(„uperty, _. _...
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v 21) Gas prpuig ora to hxr outlets 2 0C
Type of luel oil n natural gas(D I PC;C7 electric Q -- - ------
- - - — «) Mnre than 4-per outlet t
\lhnimurn Fee$25 00 SUB rOTAL rj'0
PERMITS BECOME NUI L AND VOID IF WORK OR - --""
CONSTRUCTION AUTHORIZED IS NOT COMMENCED 5%SURC-HARGE a5
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WOPK'S - -
SUSPENDED OR ABANDONED FOR A PERIOD OF iso PLAN REVIEW 25%OF SUBTOTAL.
DAYS AT ANY TIME AFTLR WORK IS COMMENCED ----- -- - -
TOTAL o�J
Special Conditions
Date issued_.r by --
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<, CITY OF TIGARP — RECFIPT OF PAYMENT RECEIPT NO. 193-242108
CHECK AMOUNT a P-6. 2r
NAME a GARUKE N ENERGY CoCASH AMOUNT a 0. 00 �.
` DDRESS . 3975 SW 113TH PAYMENT DATE a 07/07/93
SUBDIVISION a f.
BE'AVERTON, CIR 97005.—
PURPOSE OF PAYMENT OMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA I D
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MIECWAN I CAL F'E 25. 001 LST. BUILD PER
8159 SW MATTHEW PARK ST
16TAE_ AMOUNT PAID
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