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Permit _ : -- . C..i MC f•llimmc T T n - I • - -. PERMIT . � ®� ' • TIG A RD DA PERMIT ISSUL D :- 03/ 1 1/966- � +�� • COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall•Blvd. Tigard,�Orapon• 57223!8199'"(503) -4171 . . PARCEL : 2S 1 G4BA: —C3132 • - F _ SITE' f- DDRESS . 1374 S.W, L_IDEN• ST-:' . - SUBDIVISION CASTLE HILL NO. 3 ZONING: R -12 PD PLOCI'L....... a .'• _. _._. _. _LOT. ' , _ 1 jE - -- _ ... _ -- - - - -- - -- - TENANT NAME ' G USfl NO - • FIXTURE UNITS. ..:' 0 CLASS OF WORK...: NEW - • - DWELLING UNITS..: • • t. . TYPE OF USE : :... -SF , - NO. OF BU 1 - • ' INSTALL. TYPE • -BUSWR ' ' IMPEIiV SURFACE: 0 sf • Ri'marks: PATH I ;;, ' - • • Owner: - -_ - _. —_ - • :__._.__._..— _ —_. —_ FEE a - - -- _ - - -- • ..... -DON MORIS SIB -TTE HOMES; I'NC type mount by date rec ,t • 5 SW MEADOWS RD F'RMT �:= G: 00 JSD 03/1'1/96 '3 €� =47£ 849` SUITE 151 - INSIP -$.', 35.'60 JSD 03 /1'i /9fa 96- 276'849 ' ' LAKE OSWEGO OR 9'703 : - ' • . • • • - ' Phone # . 6� G -7538. ., 'Contractor: ---- - - -' -- -- .. • - • • • CONITRACTOR NOT ON FILL - - - . 4 Phone %: _ ' $ ' 2231. ,00 TOTAL • ' . - Re b'...# . . • ' - - ' ' . - - • • ' - - _-- _...-_ RE,G�U I RED I NSPEC T'I OI,VS ----- - -• - -- ,This•.ipplicant agrees to ceoply with all the.rules and_ regulations', - Sewer Inspection . of the Unified Sewage Agency: ,The pero t expires 180.days frog' . - __- ' _ the 'date issued. TF�e'total 'aoount'paid be forfeited if the. , - ° •• . . per ®it expires. The•Agency dais • not guarantee -the accuracy of the - . • ' . • • . side;'sewer• laterals.• :sewer- is not located -„ b;.- neasuraeent . ' • ' •given, the installer. pruspe,-t 3 feet; i a ll direc ions fron ° : _• 'the .distance given. „If not so.locate ; the i',st -- ni 'urcha :e , ' • - . - • • _ a "Tap and Side _ewer" peroit and 'ne Ager will inst 1'ateral. • - - _ ' Iffier °titteae Signat�_r�^e 'ei�� .: • . __ • ' • . . I Issued By _ Ca •for "i•�nspectl 'on — 639 -4175 ' -' . i C; ' X 7 64 C il • ..