Permit SITE PERMIT
T
CITYOF TIRD pi n • N� IE3()009 E
clTroF ncaRn
COMMUNITY DEVELOPMENT DEPARTMENT OREGON / DATE SSi(.Jk::D: 1 t /88
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 - 4175 \ \ // PRIM. PMT NO • ef30 O 1
• JOB ADDRESS: 7342 SW KABLE LN
TAX MAP /LOT 25112DC200 SUB: LT: BK: •
•
LAND USE:
LOT SIZE:
WORK CLASS: SITEWORK
USE TYPE: COMMERCIAL
CUBIC YARDS: 10000 VALUE:
IMPERV . AREA:
FILL?: YES
ENGINEERED FILL?: NO
•
FEES: •
o Fsat~trwt t PERMIT $198.00
•
w • 111 taw 5 th ave PLAN REVIEW 1$30.00
• partl.:i►nd OR 97208
R PHONE (503) 224-6540 STATE TADS $9.90
DEVELOPMENT CHARGES:
C HOWARD GREEN
N • H L. GREEN CONSTRUCTION
N
R 119, SW FIFTH
,A Portland OR 97204
T PHONE (503) 221-0020
O REGISTRATION NO. green TOTAL: $237.90
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations rtEQ.UIRI .C) INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FINAL.
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
'ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
,commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested an approved.
Perrriittee Signatur f • t' i
Issied By: �t Or, CALL FOP INSPECTION 639 -•4175
SEPARAT • PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE