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Permit (c(-(J ( ?6o, a ( .- ally OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 7' ( 7: : 7! 7 ' :Z. :!. f' ::?:r., ::: -- - ,--13125 Tigard, Oregon - (503)939 - 4171 JT.s.VT.SI: WE:3T 7-.0n ;:=10:TC ZO■ -7! ,,, • ,, r'1,1 , 1 .,-7- . ' . r . N , r-, ,-"-, f, , r r-r -, r- w - --r-r• ',. r in i , , , I , .-- r --no ,,---,-.* rn%. - , --si r.% ,--.■.-- , tr-.7- l' ,-.., '7, 1 2 T Y PE CE 7 :\T. : 7N :71 z -; :\! .; r. .,,: .. , ., „ -:_ CC' r-'.: : ! : „ , 7. T. 1,, :: .- --,-- , r-,n,--- ,-,----,-, _ °Ca:Pr:NOY ...,72( :7: .:_-; . a... ME N T . .; ,-.. - : ., , 1", , ,,--, -...,...„; ....;_:-. ::,---11.:.L.._;;; , .--,- .,., 7':, f• 0, r'E.7 CET C;- --• - n: I !RE D -- • --- - - - '.- - • - • - r . - , ..:. 7 - ...r.: ' 7 - : 2' . 7_ 77:C; ; 7 ' :, ,7 7 'c; . : 7 2 7 ' VI. ; C l 'Y'C; 'LET, ..;."-,: 7. T n ;; 0 776 7.; ft 7 '::: . !=,r: - :i Z - 7i: 7XR fl L: XNDI3P .7-1::::, T: ■- F.! ', ' ' s::: ;: - :_. 3 t V -J.:. ::: '..C.' .: : '.1 ..;, 5 t ...7 :.!..ii p, f j. 1 1 avr. ;.-.; ::.,.--..., .... 3 "i p ...: 1 :-.... "..3 y E: t Z.) :i . . C..!:„ 7: :E'. ./.: i :. 1 - Z...1.'E.:.. ; :....7 . .",:i - 5:7.%::1- . ..,.; .-aptiz. 53,..:::: .7i:7.1;, n , 1 rr...r.--,-:0,--r-, '!", S.: 7... i: : ., - 1 ,2 7; .7 t; E.: I :;.:p 1L:c0 OW C. 7:: W.; -----,--- ,-. • ,,,,), , v : ,-., , c,..- •-,- .:.. ..-, . ;.--,.., ...: .L. , w ,-: 1 C. J. / ./....., r :-..', ' - I : ..'...,...— : P CT '.:; ,.....,,..,_, , 1_ ,f :•';'h .......-. :3- ::,,; :.; Z 2: 3 -- -',-_, 3.. - - 2 ...`, 3r.; . . .. . . ..._ .__.... ..... _. ..... . . . . .._ . . ... . .. . . ... r'!. :. i. t.- •1: .":". .., 1 :' ; 1A/7;r/17;10:7', - - - • •• RE f.. 77... .T..\!. I -- .'vS - • - -- :,...7.' ir, •::!..: P' ; i 1 1 S. ..-,:.-: : c_- ___________ _ ".'''s&E E. 7..': ,:.' :. 7.'i;i: 2::::-..: Er..1 all 2,;p "• la:;2.. ;21 ‘;,o. _Y.: `-.. f. fr e ,-,;it.', ':,; .T I ::• i. :. :.' t i :".'. : ___ ___ -- :: ::::::. ?::,;.....E . if ...• 1. iE 7:': itl _ ...-.,:, ....:::: !,i .:.f ii.':...i.. 01 if .,;::..i-: i E i _4 ■'."..]:::: ', '...Z -. 2' e.E..,- :. .0'• I O / ________ . Ar ty; - r 4 „,, r ____ . :., ) 17 L.' & ....-: .i. ... • . . , ' .... .'• ,.: . _......---- _ ------- , ----- — 7....,: 1.! "-....: Aggiadt . ..../.,-...„, C is. _ a f c r i r. .-, 7 act i c. n •- f...: -4175 , . Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 Jobsite Address: / Sw 69' Subdivision: Lot #Tax Gay` Woo Office Use Only Contact Date / / Initials Valuation: Result New Construction Only: (Square Footage) Planck/Rec # ■(A • Permit # E — • House: Garage: Reissue of A Comer Lot? Y Fla Lot? Y ® Map & TL # Pe-,/e/AA a`j aa c , Flag Zone Plat # Owner: �t w t•� -r1S Address: 1.?-5 4 /0 Sw 6 $ is "4 !A•6 Approvals Required Planning Setbacks Solar c� a - r 'd Q2 9 7 ZZ 3 Engineering Phone: ( 503) 39 .x-3 Other 60 • Items Required . Contractor: Subcontractors Address: Truss Details Other Notes Phone: ( ) • Contractor's License # 3/ 2: c of current Oregon license) Contact Name: Contact Phone: f Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of current OR Contractor's License) // Phone: ( JOB DESCRIPTION: hict _ ote... -. , Applicant Signature Applicant Phone number Received by: Date Received: H.11ogin \dsh4esapp Permit Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) ( • �) Bldg: Plumb: Mech: Plan Check (PLANCK) • Bldg: • Plumb: • Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -1S) Office TIF (TIF -0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) • Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) - eK TOTALS: