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Permit
_ - IF - fir' LIP P ( NFrT • O F ® � � / �' t T : ;', , - , , _ . , 'DATE. '-I'SSUED a 09 / 11 /95 ' • ' •. DEVELOPMENT DEPARTMENT :. - - ' ' '' i _ ' '' ' - ff 1 H all B lvd. Tigard; Oregon ,97223.8199 (503) 639-4171 .. - -- - - ', - PARCEL d "as;1'0 BC, -0 7 3.0 �•. ' ,� • S 11''E, ADDRESS. • 126,p4..., `.3W • , .. - r;ATHr3 hII3ER_ ACT ' SJBD B � . NORTH - TIGARDV 'ZON1IN_Go ; 'R-- 4..5., _ LOLK LOFT 1 -"P- , T ENANT- NAME.. a ' , - ' a y ' , - ., , • ' -USA NO. - a , -, - , FIXTURE UW- ITSa',. .' ' 1 CLASS. i)F WORN'o ..: NEW - , _ _ •;; ,_ ' DWELL ING' -UNI T Sa -. g4 - ' } L P 1 TYPE OF USE' •' Sr - - ;' ,_ .NO a :OF BU.ILDINGC,i 1 ., 1, , - , • INST;ALL' TYp'Ea r: a BUSWR' - , -4 r - •' I,MPERJ' SUiRFflCI_: ,.+ F .s' • • . . Remar'•,ksa.'PATH .h . . , ' _ ,- . - :, ,• � - r;: - , • _ .'_: ., , . • - _ cr; RLR HOMES ;,, • :, -' . ,,. , type 'amou_tnft" ' by": date r'�ec,pt' '14'. 0, SW ANYNSEL'Y WAN' _ , i PRMT 9$' 2200.00 3SLi', /1'1' - 270.374 , . '' ' - - ; _ INSP S.. 0 235.-00.• JSD 09i1.1/95 ''9;5 �17 1-I- GGRD - :OR ,97224 „'t ; ,: ' , 'Phone :: #, - 789 -4t::; + :. .', ' - ...- . , . . .,. . • i i•R c.,TOR NOT i= I'L E - -- . ' CO — . " - • ` - - 2$ _F '� :3 . 00 TOTAL , • Rep, #.. . : - _ -- - - - - -- REQUIRED INSPECTIONS -- _ - - - -• - .,This Applicant a g r ees to cdoply :with; all the rules: and regelati'un :'. Sewer Ins`pect:'i:o•n - .of Unified• 5ewag :',Agency., ',The 'per ~oit` expires I86 days froa'. .: . , - _ , - - the date issued. The total aeount ; paid will be forfeited if: the: - - . ' . ' — _ .. per' ® it ekoires. _The_Aoercy_•dbes not• ouar- ante' e_ -th`i_a_curacy _of_4tte �.__�= _ -- _ - - - -_ -- — _'-- __ —. -- aide sewer laterals. If the sewer is not located at the'eeasuregent . _ _ ' . - - -. '.given, the. installer shall prospect 3 feet in all directions fr:on 'the distance ' given. If -net so,located, the installer shall purchase a "Tap and ide'Se�aer° peroit' and the Rgenr�j will instti,a iater.,a1.- E �� . . gip , F`erir,ittee Sir+ •�f: o, �� ' _ _ _ _ _— . ice . ' ' Issued Leya !� . f. - . ' ;. . Call, far inspection 639- 4,1 • • , .,„ • • • 7 . , - . . t c , .i' . r r . - - r r