HomeMy WebLinkAboutMST2022-00493 (6) RECEIVED
City Of Tigard • COMMUNITY DEVELOPMENT Dl PAR'1'Ml(N'I'
711 �=�k� r 7 2024
■ Request for Permit Action
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i I(;A R 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tiga ML
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard, OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Taylor Morrison
Mailing Address: 703 Broadway, Ste 710
City/State/Zip: Vancouver, WA 98660
Phone No.: 971-409-5931
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
XINVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: MST2022-00493
Site Address or Parcel#: 16887 SW Beemer Ln
Project Name: South River Terrace
Subdivision Name: South River Terrace Lot #: BLDG 6 Lot 2
EXPLANATION: Change Plumbing contractors
Signature: t�
/ea- Date: 2/27/24
Print Name: Tonja Morr
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date // By
Refund Processed: Date By Invoice Processed: _ Date3j 3/ati By\�
Permit Canceled: Date By Parcel Tag Added: Date ` By
I:\Building\Forms\Req PermitAction_120518.doc