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Permit IP ' -- 7 MOW ' ' `| � . . � '� { .�' SEWER CONNECTION ^~ ' C FFY OF TI � PERMIT UNITY DEVE UmMENT DEFARTMENT . . PERMIT /#..,.....: SWR95-0194 Hall 9722398199' (50i)153.914171 DATE ISSUED: 05/19/95 13125 SW Blvd. � PARCEL: 2S103DD-01000 SITE ADDRESS...: 13935 SW PACIFIC HWY SUBDIVISION....: ZONING: C—G ' DLOCR....^..... : LOT............. : . I TENANT NAME--.:BOSTON CHICKEN USA NO..........: FIXTURE UNITS...:34 , CLASS' CF WORK... :NEW . DWELLING UNITS.. :3 ' TYPE OF USE.....:COM NO. OF BUILDINGS: . INSTALL TYPE. ...:BUSWR — TmPFPu q|| ,., ` Remarks: Additional sewer "DU"s as additional plumbing fixtures added to J � PLM94- Q258 on this date. 34 additional fixture units added to the original 71 ^ --�' ure unita... �' , Owner� ---------------------_--_--'----------------------- FEES -------------- BOSTON CHICKEN type amount by date ' recpt 1 1 1 1 MAI ST ` PRMT $ '6600. 0.0 JD 495/19/95 95-265675 VANCOUVER WA 98660 � ' . . Ph #: ( 206 ) 750-0668 , . Contractor; ------' '-- ------ -------- ' . CONTRACTOR NOT ON FILE . . � � .- ------------------------------------ Phone #; � 6600.00 TOTAL R #..: . ' ' — REQUIRED INSPECTIONS �------- This Applicant agrees to oo�ly with all the rules and � repot ions _ _ � of the Unified Sewage Agency. The peroit sopires 188 days'froo ___________________ ____ _______________. the ciate issued. The total aaauot paid will be forfeited if the ______ __ oproit expires. The Ayexcy does not guarantee the accuracy of the ______ ______ _____�____ side sear laterals. If the sewer is not located at the oeasurooeot ___ ___ _______ given, the insta>]er shall nro»pect 3 fet in all directions iron ______________ __ the distance eiven. If not so located. the installer shall purchase ___________ __ _____________________ . a "Tap and Side Sewer" Peroit and the Agency 'Ai) install a lateral. _______________ .____________________ ' , —_-_— _____________ Per mittee Signal; _ ______ __________ _ ______________ Issued [ ' ^ � ' �� __ _________ ��-________ w~ ' Call for inspection — 639-4175 � ` ` . . ' . ` � � � . ., , � .. � � ' �� � � , � . � � . , . . ' � ' . ` � � ` ` � . C S y o �s� City of Tigard Commercial Building Permit Application \ _. .___ _ ..._. .. 9 PP 13125. SW Hall Blv . . Tigar - _ __. d, OR 97223 _ . -. _ .. __... _ . -. (503) 639 -4171 Jobsite Address: • (4.7_... S ZT'' ° �a �;.. z *- . _ \+.., } ti .::..::t +..v�r.;; ,.o : j; wti:� y :a \`:•t.:•:+'e•: oR •;i: :.. • !!�� L (4T . .•. >Rt�tlse•:Ott '.; . „ >. _:..�., ,. r o 3T-6-P- ��•;ti.: '.`•.;;. ... •• t•''�1 ,ir.k �ti•'vv \4,'v.;'L: Tenant: Suite # �� ; . .:.: +:; >•:i$:; �.:+'' �: v:»:• t,+•` �.:• <: >:.`�.t\':��,;n+iu +;i <w'�`•” i `` iffk i.;\E . '�\ .\ ;ti C : \::j: \vr..i {:is•v:i''ki }:4. ti:jp}<J:: ii:ii } \••\+�\ \i .1:: ;.; wt • Planck/Rec ; #:';: >::•::::: >, ... .. :. \wt,,. »... •:... Valuation: :.:. .: ...:.t. .,.. :.. , >. :: c---- / l t } J•Y:;�S' F �.'' v '. f ; ;::t { ::•i. :i .• ': i A: v:ti�y, �::: �� ti'•..:•: . . Owner: ;� j TT e '' :::: <i : ° : .. w - ;:; :A; ;;"; . _ 6ti. \y ?'J \:'ti4 }4J:y`� .. \ : " \.'4v,•iti A:.i •: i:, �'.: ti v iii: •: .:n .:':v • ti \ `:. y i .. t��t .CS•,+'',{ :.4 \� '' ::: \: v.� :.:'•�v : ,mot : ': Address: : < ;i' >.: :. :':; �Atiprovali •.<: v. >. : ::. ft : rti i.P c"-1:::'!:4****,: .. �tk if, 2 ...*•:ti:r.. '+oi {, + :::: •:: �i:;;;:':y : : : x4 :::;:;i• % - : : : : % 2:y '? Phone: :.:stir; +:.i > >�.:. � 1 ><:�?�<< ; ".;.:..:> , :;;: :<. >:: . < ;;. : : A h Contractor: ::,.. ;:,'::'::.: >., .... .. I Address: Type of const: Occupancy class: Phone: _ _ • Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: Story (1st, 2nd, etc.) Proposed use: Architect/Engineer: Note: Previous use: Address: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: JOB DESCRIPTION: �� L "'�'' G �-J ` 6- 76 6 ill /t i Pt c �S x t ���t > b Pt M 9 o 2S Applicant Signature & Phone number C , , C.,-(9 S-- Received by: Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit - (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) • State Tax (TAX) Plumb: Mach: Plan Check (PLANCK) Bldg: • Plumb: Mech: C/ c Sewer Connection (SWUSA) L6,04,0 Cz Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF -l) Institutional TIF (TIF -IS) 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) TOTALS: (P6X'ff°