11985 SW LINCOLN AVENUE 4
11985 SW LINCOLN AVENUE
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INSPECTION NOTICE
City of Tigard Building Department 1
12420 S.W.Main St.
Tigard,Oregon 97223
rv— Phone: 639-4171
Type of inspe-'`-)n
Date Requested ��'_Z _. Time— A.M.
Address ��� -y = � '��_—-— - — Permit
Ovener _ _ Lot #
Buil.;er �fZ ._..��—
The fnlln�Ong Building Code deficiencies x equired to be corrected:
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Presented to [_•1'Ap'pr oved
Inspector Cl Disapproved
Date —
CALL FOR REINSPECTION
0 YES 0 NO
l,•�tz/
M,iress���. . - -- Permit No. ! .�
Name of Occupant__ Pe?nit r arge
tet, ,
Paid by_
Date connected
Type of Buildaig_ Inspection fee,_
Service Rate_ Paid by _-__ . __Date_
Contractor w _ _ Assessment, Z` ItPeid__ _
Size of connection-- - -