Permit ,.. —
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gUILDINGPERMIT APPLICATION TIG & D DATE is 5176 ;
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE '•a ' -4,4 1 (0•1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 2 444#4x'1
OWNER lPa st JOB ADDRESS 1b�i4 SW 7Ld # i` 1 0 ;,
ARCHITECT ruse I .2 Z4 9x90
ENGINEER
BUILDER H. • L. a ADDRESS Portland DESIGNER MICIIMItiAllitte
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE GMCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R2 LAND USE ZONE IL BLDG. TYPE SK FIRE ZONE PLAN CHECK BY ETW HEAT
Exterior wall modification all per approved plans and Code Requirement
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SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE !MOO
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 80430 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
St REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
132413 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub -total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
3x1$ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLU BING AND HEATI . i
State Tax i.. }` SDC — (t.� ` a
Total + i
PDC# APPLICANT OR AGENT
By ds
UV Receipt No.
Approved ADDRESS PHONE
DATE INSP. TYPE ,^ lef�/� , -= INSPECT / IION � REMARKS I PLUMBING �� / ....)lo DATE a
- -- LF Sc •[.��G.r j1 Contractor , 1«�[/!.... _ - • �
a
Y I /, �•. r -■ I Permit No.
V �� _ 1 Rough -in
•Zar.< LV ■ ' / - i (fie Fixture
/ .e.w'� _,... at !mot ' _ i / / ..• .. � .`__ Final / A
i 401.0 �i Contractor
- arw / ` j Permit to ^ i d
Gas or Oil
I Rough -in
1 I Final
SEWER
— — - -- 1 Final
-- - I DRIVEWAY
Final
Storm Drainage
r izeti)._ orti a
(Rain Drain} Final
I Sidewalk
— — I Curb St Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
i Landscaping
Zoning Final