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FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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II
Tran mi 1
s tta Letter
r i t_,A k r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 7 PK DATE RECEIVED:
DEPT: BUILDING DIVISIONiVEi)
FROM: JAN 2 4 2.018
'J ,iT"O TIGARD
COMPANY: h4J
1C Ale . ,igI i ,ad t a/ A '4.M/in), BUIin i i(
PHONE: 5'Q 3 -s (02104-5— L7`/ / / By: 7;
RE: f25// 5 . w r ,ta.c�.... Li- E64.134 Z411- 0032 -a ( d)
(Site Address) j (Permit Number)
Kc
(Prof t name or subdi ision name and o n • )
ATTACHED ARE THE FOLLOWI _ S:
Copies: Description: r Copies: Description:
Additional set(s)of plans. i./ Revisions:
Cross section(s) and detai Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. ,_..----Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Pe '' Technician: Date: ) — a-14. . J C Initials: VI
Fees Due: ►J es ❑No Fee Description: Amount Due:
r •S i- - pi - ec.v .C•••• $ 4 ..-
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes �V No ❑ Done
Applicant Notified: Date: v},'fi' Initials: ?
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012