BUP1977-1118 UILDiNG PERMIT APPLICATION 11T TIGA RD DATE-
-'-:ic UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
F. AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE&f—
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'r'lURE [:]'SEW ❑REMODEL ADDITION _❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
DFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
I:=OND _❑MOVING ❑CONDITIONAL USE ❑DLSIGN REVIEW [:]COUNCIL APPROVED ❑SIGNS
LAND USE ZONE^? BLDG TYPE —_FIRE ZONE a PLAN CHECK BY HEAT
LOAD HEIGHT __-_— NO STORIES _ AREA NO.BEDROOMS VALUE ��OD -
-__BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-
- ---- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
: ,?]an Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
L WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-local ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
ate Tax LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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By _ APPLICANT OR AGENT
Approved Receipt No
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CITY OF cc►► T
BUILDING P`RViIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
j0-RAS SHOW AND APP VED IN THE ACCOMPANYING PLANS AND PECI ATIONS. C R �IIONE
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ADDRESS/)21 D BUILDER P ONE
ENGINEER
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STRUCTURE ONEW O REMODEL CADDITION ❑REPAIR ORENEWAL []FIRE DAMAGE ❑DEMOLITION
ORESIDENCE_❑COMM nEDUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO ❑CARPORT ❑GARAGE ❑STORAGECSLAB ❑FENCE
_❑_BOND 0MOV!NG OCONDITIONAL USE ❑DESIGN REVIEW OCOUNCILAPPROVED CSIGNS
OCCUP CY�LAND USE ZONE BI DG.TYPE—_L"'FIRE ZONE-!' PLAN CHECK BY HEAT -
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OCC LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
RU!LDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording I� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTlt ACTOR Ar. . A] CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State LICENSE. SEPARATE PERMITS REGUIR60 FOM vER, PLUMBING AND HEATING.
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APPLICANI IJ1 AGEN
Approved pt No.
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