Permit s
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GITY TIIRD /- SITE WORK
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C1TyOF WARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT OREGON /
13125 SW Hall Bbd. P.O. Box 23397, Tigard. Oregon 97223 (503) 639- 4175 / / PERMIT i$ .... „ . . : SIT 9 E - 00 16
639 -4171 DATE ISSUED: 06/10/92
SITE ADDRESS...2 14975 SW 74TH AVE PARCEL: 2S112AC -01601
SUBDIVISION....: FPNNO CREEK ACRE TRACTS ZONING: I -P
BLOCK........... LOT ............. :17
TYPE OF WORK:NEW PAVING ?......... :N RESO. NO.:
EXCV VOLUME.: cy GRADING ?........ :N VALUE... $: 0
FILL VOLUtNE. :750 cy LANDSCAPING ?..... :N
ENG FILL ?......:N SITE PREP ?......:N
SOILS RPT READ ? :Y STORM DRAINS ?... :N
IMPERV SURFACE..: sf
Remarks: Deposit approx. 75t Cubic Yards of fill on property. Fill to be a
maximum of 185 feet back from the front property line. See letter from Eno. on
elevation at toe of slope (above 1IZ t year flood plain).
Owner: FEES
type amount by date recat
• PRMT $ 96.00 BCR 06/10/92
5PCT $ 4.80 BCR 06/10/92 -
Phone #:
Contractor: _- - - -- - -_
CONTRACTOR NOT ON FILE
Phone #: t; 10 0.801 TOTAL
Reg #..
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the F i l l Inspection
Tigard Municipal Code State of Ore. Specialty Codes and all other Grading Insp
applicable laws. Ail work will be done in accordance with Final Inspection
approved plans. This peroit will expire if work is not started
within 189 days of issuance, or -if work is suspended for Dore —y
than 189 days.
ci V I
P e r m i t t e e Signature:
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Issued B y : _
Call for inspection - 639 -4175
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