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INSPECTION OPTICE
City of Tigard Building DPparts®nt r%�
13125 sim Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 jeineee Phone: 639-4171. r
Inspections_
Tooting 41bq. Onde!!1aks Mech. Rough-in Appr/Sdwlk
out ) Gas Line FINAL:
Fa ynd. �P1bq�Top
Past/Beam Struct. Ban. Sewer Frnming -Bldg.
Poet/team Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ud. -Mach.
Date Request edt C Times AM PM
Address:-__ ! " Pormit to
Builder
THE FOLIkfijINr CORRECTIONS ARE RRQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD
COMMUNITY D.:VF.LOPMENT DEPARTMENT e
1312€SSV Hall Blvd Tigard,Oregun 97211•9199 (503)1339-4171
PLUMBING PE.Rr:I T
#. . . . . . . . PLM94-0002
639-4171 DATE ISSUED: 02/16/94
'Ar*!CEL: 1 S 135DC--01 20111
SITE ADDRESS. . . : 11835 SW L I HCOLN AVE.
SUBDIVISION. . . . : TIGARDVILLE PF;RK ZONING: R-4. 5 40
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :AI_T- GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAIN;. . . . . . . . TRAPS. . . . . . . . . .. . . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
F1 XTURE9---------.------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . , . :
S I NKS. . . . . . . . . . : 1 UR I NAL_ .. . . . . . . . . . . . I GREASE TPAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE ( ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Rema14(!s : REPLACE KITCHEN 51 NK
Owner ___._.___.______-- FEES
LISA/RYAN BURR i;ype amol.tnt by date r,ecpt
11F134 SW L.INCOL_N PRMT 1, L5. 21111 JH 02/16/94 —
5PCT $ 1.. 25 JH 02/16/94 -
TIGARD OR 97223
Phone #:
Contractor-:
STANDAR) PLUMBING
F'0 BOX 19205
PORTLAND OR 97223 ...._._..__
F'h o n e
#: 2.46-.333B L 26. 25 TOTAL
Reg #. . 07309
REOUIRED INSPECTIONS
?his permit is issued subject to the regulations curtained in the Top—ol_tt Insp —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
appr plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days,
F_t e r in i t t e e S i g n a t t.t
I s s t_t e d lav :
Call for inspection - 639- 4175
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Cif T .I BARD - FtfWI.:F=IFS f 01: r• HYMI.J4T R ILIPT NC4 a 94--249040
CHECK AMOUNT = rE,. P5
AME » S:;U(INf)HR ) 1=�I.._Uhilt I NU CASH AMOUNT 0. Oka
D1.?RES'S » f,NYMENT 1)AI+ » Nom'/I6/94
SUBDIVISION n
IMPOSE OF PAYWC.N f niNII I N I PAID PUF'F'I:79E [)f" V,AYMEN T NMI',)I.JN"C PA I D
L LMB I NO PERM 5. INA S T. TAI.J T.I__I) PE-Ji t. P.5
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18,45 HW LINCOLN
OVAL AMOLINf VIOIII
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