15350 SW SEQUOIA PARKWAY STE 200 O
ADDRESS:
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C11Y OF TIGARD CE:RTIricAT[ OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCYe
F�'ERMIT #. . . . . . . s kzUF'95-111430
13125 SW Nall Blvd,Tigard.Oregon 97223-6199 (503)039-4171 DATE I aSUED R 12/11-3/15
PARCEL s aS 1 1 DA-0 0400 i
I TL ADDRESS. . . : 151350 SW SEQUOI A f-IKWY 11200
..UBDIV15ION. . . . a 70NIN[: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . s �
CLASS OF WORK. s NEW
T YPE OF US)E. . . s COM o
OCCUPANCY GRP. s 3N
OCCUPANCY LOADS 34
TENANT NAME. . . sr.OMMON ;ENSE
I
RemarNs : Tonarlt improvement
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Owner r
PACYRUST
i
15115 SW �'sl~LIUOIA PKWY, SUITE 200
I��3 `� 1ttifff 012 97 c4-7199
Phone #. (-P4--E300
i
C.ontrect or s
14. L. GRE1 N }
1 a 350+ SW SE G"JO I A BLVD, SUITE 300 1
F.
1'I0ARD OR 97c24
1-lhnne #r 624--7717
1,eg #. . : 413,.'0
1
Or-r_Upency of the above referenced bl..lilding is hereby given, .nd certifies
i.he rumpl ianre with the State Of Oregon 5per_ialty Codes fer the group,
ric-curr V, semi 1.16� ender which the rpferpriced p� it was rslued.
I
OUI .[SING+ IN yF CTOR BUILDING OFFIC:I�L
POST IN CONSPICUOUS PLACE
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Nov
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PL1.JMF I NG PERM I T
CITY CSF T I GARD Pf RMI I SUED . . . i i-/95 YJ S i
DATE ISSUED: It/085
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL:
13126 SW Hall Blvd.Tigard,Oregon 87223*81991603)830-417
SITE ADDRE S . 1 S., i0 .�W aF G.Ut .l A P WY 1#200 •
SUBDIVISION. . . . : ZONING: I—P
91—OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS Of WORK.. . .-NEW GARBAGE DISPOSALS. : 0 MOBILE: HOME GRACES. : 0 �
TYPE OF USE. . . . :COM :4ASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :BE FI._OOR GRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 1 CATCH BASINS. . . . . . . : 0 _
FIXTURES---'___-_._---.—_ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . . 0
TUR/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
RpmArks :
Tenant improvement
Owner: _______.__...__.________._.___._________.__—'---------__-_-- FEES _____.---___----
PF,CTRUST type xmoUnt by c.at e r^ecpt
15115 SW SEQUOIA PKWY, SUITE 200 PRMT $ 25. 00 JSD 11/08/95 95--.272656
;PCT $ 1. �:S .TSD 11 /08/95 95-272656
PORTLAND OR 97224-•71'39
Phone #: 6c_•'4-6:300
DEAN WARREN PLUMBING
1111 SE 13tH
v-uRTI...AND OR 97202
Phone #: 236-4152 $ s7.'6. 25 TOTAL
Req #. . : 000172
------- REQUIRED INSPECTIONS ------
This pereit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Dre. Specialty Codes and all other Final Inspection _ _,_,_.�__�_•_____ ___.._..
applicablr laws. All work will by done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for sore
than 188 days.
i e r m i t t e e S i q n a t kA r e:
T r.F,i l e d B
Call for inspection — 639-417 ;
Now
City of Tigard PLUMBING FERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # FLM 15-04`51
Tigard, OR 97223
(503) 639-4171 �
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
w..Wowd"N l New Single Family Resldences Only_
�+.�. 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Joh /53S-0 544 ,5 4t[7l? ?K")4 0 3 BATH HOUSE$225.00
Address rr+ar. "--� ar t Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
c of water service, sanitary sewer and storm sewer. See fees below,
wy.,�.... sr•+:i a FIXTURES CITY PRICE AMT
77;1�te 'Tis•,.ts-tlink / 9.00 s
U."x"0.8 ph« Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
W11111.1, t► Shower Only 9.00
Water Closet _ 9.00
_ I
•�■"«» �� Dishwasher 9.00
t?m m a vw C Garbage Disposal 9.00
Occupant u.&V Aftm Washing Machine 9.00
Floor Drain 9.00
waw. Ap Water Heater 9.00 I
_ P15 2 rL44,0k4/1 apt �>7 2 Z Laundry Room Tray 9.00 Ct
Urinal 9.00
L. Other Fixtures (Specify) 9.00
u.rq A"W Rw» 9.00
Contractor
Ulf f (3`1 23(--qSZ 9.00
C"«" ar 9.00
poaT-i.4"t-) G)� �l„lb, Sewer 1st 100' 30.00
.w.Reow"M Ma a MIN"• Sewer-as. AddIL 100' 25.00
O
12- az,• -v?'3 Water Service list 100' 30.00 1
I hereby acknowledge that I have read this application, that thin Water Service ea. Addit 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain tat 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm 6 Rain Drain Addit. 100' 25.00
number given Is correct. (If exempt from State registration, please
give reason below.) Mobile Horne Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
'b N• ^^'• •a^ - VMS Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new addition 0 alteration 0 repel Z Catch Basin 9.00
to be done resklenbal Q non-residential Q Insp. of Exist Plumbing 40.00/hr f
Speclally Requested Inspections 40.00/hr
Existing use of
building or property _ Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
"(tx•cept nesfdenUal backflow
proven0on devices)
NOTICE •Mlnlmum Fee $25.00 SUBTOTAL Z
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR!F 6%SURCHARGE , LS
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -----��-----
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 26%OF SUBTOTAL
Z� L5
Special Conditions TOTAL
Date Issued ^_ _by
OF-
74
1
Ac cumulative Sewer Tally
PLrnu:_
Addrssrl,S�Sn =,L� '-rju�o(-� Hwy _ _ i��M���.:,
r U1�4 ;Zv
Fixtie Value Previous Previous Credits Capped Fixtures Fixtures New New
i
I # Value Capped off value add.-d # added total #a total
Count off #s count value __ values
r -- d
Baptistry/Font 4
Bath - TublShower 4 --
• 0
Jacuz/Whpl 4 -
Cuspidor/Water Asp t
Dishwasher - Cornmer 4 L 2 --
Domest 2
Drinking Fountain
Floor Drain - 2 inch 2 _
3 inch 5 — -
4lnch 6
Garbage Disposal 16 fj
Dom (to 3/4 HP) -
Comm Ito 5 HP) 32
Ind (over 5 HP) 46
i
Oil Sep (Gas Sta) 6 -
Shower Gang t w _
Stall 2
Sink Bar 2 .7 (o -- 1
Bradley 5 y
Commercial 3
Service 3
Washer, Clothes 6
Water Ext 6
Water Closet 6 r l o C
Urinal 6 lf< `7CO (p z,Cv
TOTALS 13 2:
Total fixture values:-�. divided by 16 = ! Z EDU
HISTORY
PLM# � -0j%J EDU# )I SWR# 011-07-4-1 PI-M# l yj EDU# SWR# e7 'bZI
PLM#'- ' - I�j EDU# SWR# PLM# 5-a�Sj EDUff i to SWR#
PLM# rj - EDU# SWR# )-D2,M PLM# �j L7`r5 EDUA 17- SWR# 'pZIZ
I PLM#G 5 EDU# I 1 SWR# D PLM# j ;hL17 EDU# I SVJR# _.� V
�pr91�®
Page No. r CABG HISTORY FOR CASE NO.: PLM93-0331
PACTPUST
15350 SW SEQUOIA PKWY UniL: 200
04/22/98
Action Description Rey/ echd/ End/ Action Notes Disp By Update Upd
code Sent Dane Done Date Ay
PLM0003 Application received / / / / 10/25/95 P19ND B 11/01/95 B z
PtMC005 Permit Created / / / / 11/01/95 Prm R 11/01/95 B
PLMC050 (F) Ready to issve / / / / 11/01/95 PASS BON 11/01/95 B
7LMC060 (F) 10eUS permit / / / / 11/08/95 PASS JSD 11/08/95 JD
PIMC725 Top-out Insp 11/09/95 / / / / PASS MS 11/13/95 MRS
PLMC799 Final Inspection / / / / 12/18/95 PASS TLP 12/18/95 TLP
PLMC800 Came Fivale"i / / / / 12/18/95 PASS TLP 12/18/95 TLP
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r/M+T'Mirii.4
Page 140. 1 CASE HISTORY FOR CASE NO.: SWR95-0445
PACPPUST -
15150 5W SEQUOIA PKWY Unit: 7c0
04/22/9•
Actin.+ Description Req/ schd/ End/ Action Notes Disp By Update Upd -
Code
Sent Don Done Date By
IN'd ------------------------------ ------ -_----- ---- --------- --- -'-
STMAO07 Application received / / 10/23/95 PMW B 11/01/95 B
,dWR\010 Plan check by / / 11/01/95 11/01/95 B
SWPAoZo Check for prcl. restrict. 11/01/95 / / / / 11/01/95 B
SWPA705 Serer I11specticn 11/01/95 B
rWPA72o Cana Finaled / / / / 11/01/95
PASS DON 17/01/95 B
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Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd. log'`�y{ f •
Tigard, OR 97223
(503) 639-4171
Y/V�I �
3 G�' L //� /diC�
Jobstte Addr �s: ��S_._.e.� T_�� Ori
,A1 Office Use On i
Tenant✓206dw-/(� � �Suite
Planck/Rpc#_I I:.� � ( --....__._�_� __ •
Valuation:
Permit
Owner: Pacific Realty Associates, L.P. (PacTrust) Map & TL
Address: 15115 S.W. Sequoia Pkwy. , Suite 200 Approvals Rec tilrett�/
Portland, OR 97224-7199 Plannin
Phone: 5)3/624-6300 EngineeringAtzl*_,
Other
Contractor: H.L. Green Company
Address: 15115 S.W. Sequoia Pkwy. , Suite 200
Type of const:
Portland, OR 97224-7199
Occupancy class: 2:''
Phone: 503/624-7717 --
Sprinklered? Yes No
Contractor's License R 41328 _ �--
(attach copy of current Oregon license) Sq. ft. of project:
Story (1 st, 2nd, etc.)
Architect/Englneer: John H. Romish Proposed use:
Address: 2216 S.E. 24th Avenue _ Previous use:,���/ .5�
Portland, OR 97214 Note: Plumbing & mechanical plans
must be submitted at time of
Phone: 503/236-6306 building permit application.
1 y�
COMMENTS:
plicant Signature & P cane number
Received by: �'t�UL4 6 ��- Date Received:
r
Permit 0 Account Description Amount Amt. Pd. Bal. Die
f
i G
c: U
� Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) r
Mech. Permit (MEGH) _
State Tax (TAX) _= _
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) }10-13
Bldg: _
Plumb:
Mech:
Sewer Connect on (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKS0C)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
i
Institutional TIF (TIF-IS)
i
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
I
Fire Life Safety (FLS)
Eresion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
i
j Erosion Planck/COT (EROSN)
TOTALS:
d Mk N tq � Mti
i
8m/e ■O. 1 CABG HISTORY FOR CABS NO.: DUP95-0470
PACfRUST
15750 SW SEQUOIA DEWY Unit: :00 �..�..
• �{ 04/22/98
Req/ Schd/ End/ Action Notes Diap By I/p'.ate Upd
Action DesOriPtiM 1.'.,
Code Bent Done Done Dates By ,
------- ------ ---- —- -------- ---
i
! BUPC007 Application received / / / / 10/05/95 PASS BON 10/09/95 JD
BUPCoos Permit created / / / / 10/09/95 PASS JSD 10/09/95 JD
BUPCOIo Check for prol. restrict. 10/09/95 / / 10/09/95 PASS JSD 10/09/95 JD
BUPCOIS Plana routed to Piano Examiner / / / / 10/09/95 PASS JSD 10/09/95 JD
BUPco24 Plane Approved/Routed to Me / / / / 11/03/95 P.PPR JNF 11/06/95 JNF
I
BUpeo90 .F) Peady to issue / / / / 11/07/95 PASS B 11/07/95 B
BUPC100 (F) Issue permit / / / / 11/07/95 PASS H 11/07/95 CTR ! .•
BUPC740 Framing lnap / / / / 11/09/95 pending- electrical cover; plumbing ?ASB RD 11/13/95 RR
top-out
BUPc•76o Gyp Board Inap / / / / 11/17/95 PASS TLP 11/14/95 TLP
SUPC762 Bump Ceiing Insp / / / / 11/17/95 PASS TLP 11/17/95 TLP
BIIPC799 Final Inspection / / / / 12/18/95 PASS TLP 11/18/95 TLP `
BUPC950 (F) Issue Cert. of Occupancy / / / / 12/19/95 JF 01/07/96 JF
BUPc960 came Finaled / / / / 12/18/95 PASS TLP 12/18/95 TLP
y
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Page No. 1 CASE HIS'T'ORY COR CASE NO.: 61.C950465
BACNOB'NER ELECTRIC
15350 SW SEQUOIA PKWY Unit: 200
04/22/96
l\etial neecrtptial Req/
9chd/ mid/ Action Notes Disp By Update Upd
Uats By i
Code SenC Done Dune
1
ULCC001 Application : ,^_elved / / / / 10/18/95 RWD C 9 12/04/95 TMP -
sTcc003 Permit created / / / / 10/19/95 RECD CJS 12/04/95 TMP
RI,CC500 M Isaus pe!.ait / / / / 10/19/95 PASS CJS 12/04/95 rmp
ELCC799 Flect'1 Final 11/30/95 / / / / PASS MJR 12/20/95 MTP
ELCC90o Case Finaled / / / / 12/20/95 YRS MJR 12/20/95 MJR.
t
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ryn'�� '%ff
4 h1
MECHANICAL
CITY OF TI GARD f--'E=.MIT
r�RM1-r t�. . . . . . . : MEc95-0:149
COMMUNITY DEVELOPMENT DEPARTML:NT DATE ISSUED: 11/07/95
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL : 2S 1 1 2DA-00400 ;
i
SITE ADDRESS3. . . : 15350 SW SEQUOIA PKWY #200
SUBDIVISION. . . . : ZONING: I—t"'
LaLOCK. . . . . LOT p_
CLASS OF WORK. . :NEW FLOOR TURN. . . . : @ CVAP COOLERS: 0 '
TYPE OF USE. . . . ICOM UNIT HEATERS. . ; 0 VENT FANS. , . : 0
F OCCIAPANCY GRP. . :B2 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRE:SSORS HOODS. . . . . . . : 0 y
FUEL TYPES-------- __._ 0-3 HP. , , , N DOMES. I IVC I N: 0
3--1.5 HP, . , . 0 COMML.. INCIN. 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPA T R UNITS: 1
FIRE DAMPERS7. . : 30--50 HP. . . . 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CL..n DRYERS. . ; 0
NO. OF UNIT'S------------- A i R HANDLING UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 0 (= 10000 cfm : 0 GAS OUTLETS. : 0
FIJRN ) s100F: BTU: 0 ) 10000 cfm : 0
Remar^''rs : Tenant i.mpr,ovement
Owner-: --_._.__._..__.-------._.._.__.._____.__._._.___.__—•--•----._-----.___--_-__-- FEES --____-----___—_
PAC TRUST type amount by date r-ecpt
15115 SW SEQUOIA r'KWY, SUITE 200 PRMT $ 25. 00 JSD 11/07/95 95-272599
PLCK $ 6. P5 JSD 11 /07/95 95-372599
V,ORTLAND OR 972 4-7199 5PCT $ 1. 25 JSD 11/07/951 95-272599
Phorrp #: 624-6300
Contractor: __---._--•--
PROTE:MP ASSOCIATES INC.
80 7 N. E. COUCH
PORTLAND OR 9723
Phone #: 233-6911 $ 50 TOTAL. 1
Req #. . : 38868
-- ----- REQUIRED I NSPECT I ONS -------
-
This permit is issued subject to the regula+ions contained in the Final Inspection
Tigard Munic;nal Code, State of Ore. Specialty Codes and all other ___.-.-.
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is nit started
within 188 dans of isscance, or if work is suspended for more
than 198 days.
F'e r m i t t e e S i g n a tp-r r e
)
I s s i-red B y: �•,.
Call for inspection — 639--4175
lr
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.NIrInWYn.r...wr..+,-._.." _.,,_........... ....a,.w�v-.ee«n+,ew.- w« .. -.....-....a.,u�mwawMtMb'd31di7,i"JYAG'4'�•'➢1��Oi1:7,ie.arn...
City of Tigard i',�Q (I MECHANICAL PERMIT Planck/Rec. # !�� C i
13125 Sw Han Blvd. APPLICATIO[ / f Permit #
Tigard, OR 97223
(503) 639-4171
escnpii n
Table 3A Mechanical Code QTY PRICE AMT
? d Job --!)w � Y 1) Pert . Fee 0 _ d)- 10.00
Address
2) Supplemental Permit 3.00
« •m•• »�••• Furnace to 100.000 13TU--
1) Inct. ducts 3 vents 6.00 r
ro ••�-� "• urn2C9 100,000 BTU +
Owner 2) incl. ducts &vents 7.50
TSiT.— -e Floor Furnance
3', incl. vent 6.00
•�••» ow•ISuspended heater, wail heater LL
4) or floor mounted heater 6.00
Vent not incl In
Occupant C;7)�U _-'L.") f) lG1F" 5) appliance permit __ 3.00
• Repair o heating, re ng-
6) cooling, atsurptiun unit 600
Boiler or comp, ea pur-;,, air con .
4Dc 7) to 3 HP. absorp uni; to 1100K BTU 6.00
v •« Boder or comp, heat pump, air cond,
Contractor 'C)-;? A-t JE� CC )C�1-j L351-0:11 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air con
1-4n ( f1i"W3Z 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00
SIM. Boiler or comp, heat pump, air cond.
10) 30-50 HP; absorp unit 1-1 75 mil BTU 22.50
eie y ac now ge that I have rea Is app icz, an that Me of er or comp, heat pump, air cond,
information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1 75 mil BTU 37.50 i.
agent of the owner, that plans submitted are In compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling urn
registration, please give reason below.) 13) 10.000 CTM + _ 750
"- on portiVe
_ 14) evaporate cooler 450
Vent fan connected
15) to a single duct 3.00
--Ventilation system not
16) included In appliance permit 450
,.o•. ., «,..,«, ..I• Hood serve y
17) mechanical exhaust 4.50
Describe work new addition aeration repair l ommeraa or rn ustna
to be done residential Q non-residential Q 18) type incinerator 30 00
Existing use of Other I e., woo stove. water —
budding or property _ 19) heater, solar, clothes dryers, etc. 4.5C
Proposed use of 20) Gas piping one to four outlets 2.00
budding or property
Type of fuel -oil Q natural gas Q LPG Q electric Q 21) More than 4-per outlet (each) 2,00
NOTICE
Minimum Fee S25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL l
AFTER WORK IS COMMENCED --- -
TOTAL Z
Soecial Conditions --'
Date issued _ by_
4'.L0.I M03T lkM 6CgVM T
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CASE HISTORY FOR GSE NO.: MEC95-0749
PACTPUST
15750 SW SEQUOIA PKWY Uuit: 200
iditl�vu
Action D.eeoriptinn Req/ Schd/ Mid/ Action Notes Disp By Update UPd
Date By -
C-le Gent Done Done
MECC007 Application received / / / / 10/05/95 PASS BON 10/09/95 JD
MBCCO50 (F) Ready to ieeUO / / / / 11/07/99 PASS B 11/07/95 B
� rcoh0
PASS JSD 11/07/95 JD
(F) Inoue permit. / / / / 11/07/95
PASS TLP 11/29/95 TLP
mr,799 Final. Inspection / / / / 11/79/95
MRrK00 Cane Finaled / / / /
11/79/94 PASS TLP 11/29/95 T1.�S�
C
1