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INSPECTION NOTICE L N'� foA
City of Tigard Building Department
13125 SW 11 Blvd. Tigard, Oregon 97213
Inapeccion Line (Re -Phone): 639-4175 Business P. )ne: 639-4171
Inspections
Footing bg. Underalab Mech tough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: -
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Boam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. ' l
Date Requested: /r / q Time: } AM PM
Address: - _ Permit 1:C/ :3 -U/J�0
Bul'der:
THE FOLLOWTN3 CORRECTIONS ARE REQUIRED:
.
Inepector:� -
-- -...- - - - --- Date:
APFROVED �_ DISAPPROVED APPROVED SUBJECT TO ABOVE
--_Call For Reinap.
CIIYOFT167ARD
MECHANICAL 1'
cn,OFTWARD PE:RPI I T•
COMMUNMY LSE/ELOPMENT [ 'PARTMENF MGM PERMIT #. . . . . . . s MEC93-0010 •
13126 SW FWI Bird. p.o.Baa 23397,Tpud.orw )7223 (603)6W-4175
— 639-4171 - DATE ISSUED: 01/l:_/93
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SITE ADDRESS. . . : 12030 SW LINCOLN AVE PARCEL: 2S1020R-11090 :
SUBDIVISION. . . . : KIMBERLY ADDITION ZDNING. R--7
BLOCK. . . . . . . . . . . LOT. . . . . . .
CLASS OF WORK. . SALT FLOOR FURN. . . . : LVAD COOLLRSs
TYPE OF USE. . . . sSF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENTSYSTEMSs
' STORIES. . . . . . . . : 1 BOILERS/COMPRESSURS HOODS. . . . . . . : w
FUEL TYPES----------•-- 0-3 HP. . . . : DOMES. INCIN:
. /GAS/ / 3-15 HP. . . . : COMPI]_. INC:IN:
MAX INPUT: PTU 15-30 HP. . . . REPAIR UNKTS:
FIRE DAMPERS?. . s 3k')-•50 HP. . . . : WOODSTOVES. . : �
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . s
NO. OF UNIT'S-----_.._.____ AIR HANDLING UNI T •> OTHER UNITS. s
FURN ( 100K PTUs1 <= 10000 cfm: GAS OUTLETS. s
TURN ) --100K RTU: c:tm :
Remarks : RFPLACE GAS FURNACE
Owners ----___-_______.___-____.______________________..-_ FEES
JOHN ANNAND type _rmor.lnt_--hy datevM1�`Y-r-ec:pt��
1203'C SW LINCOLN PRMT $ 25. 00 JH 01/12/93 - f
5PCT $ 1. 25 JH 01/12/93 -
TIGARD OR '7223
Phone #s
Contracts-.
HOLLANDS HEATING
1445 SW 206TH
ALOHA OR 97006
Phory #: 591-5836 $ 26. :'5 IUTAI_
Reg #. . t 75295
- - --- RE UU I RED I NSPECT I Of%S --- -
This perrit is issued subject to the regulations contained in the Final Inspectiun
Tigard Municipal Lode, State of Ore. Specialty Codes and all other �.........
applicahr^ lawn. All Mork will be done in acr_ordavire with
approved plans. This pewit will expire if work is not started
within 110 days of issuance, or if work is suspended for more __ _•__•_._,___��____._ _ .._._� ___�._ ___
than 180 days.
Permittee �:�iynatt.rre :
Issi_red By :
Cull fur inspect i c►n - 6,";y--4175
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ANNAND
lP0,,0 4:-M LINCOLN
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