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NOTE TO FILE
ALL A►`DRESSES ON SW AVON ST WARE CHANGED AFTER THE HOUSES WERE rAJILT. THIS
CHANGE OCCURRED SOMETIME AROUND 1/1/86. PNPERS DATED PRIOR TO THAT DhTF_ WILL
FEFLE3T THE OLTI ADDRESS, NOT N'' CESSAPTLi THE ADDRESS CN THE JACKET.
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 539-4171
Type of Inspection
Date Requested r---i, Time A.M.�—P.M.
Address Permit
Owner17
.. Lot #
Builder
The following Building Code deficiencies are required to be crrrected:
99
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Presented to ❑ Approved
pe i
Ins ctor _ �' ��1_ - �Disapproved
Date
CALL FOR REINSPECTION
[�YES C] NO
INSPECTION NOTICE
City of-i igard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
� r
Type of Inspection
Date Requested Time
A.M. P.M.
Address
�. Permit #
Owner
--._ --------- � Lot #
Builder.—____.___.___
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _-- -^��rj Approver?
— Disapproved JJJ
Date -- -- -- � „"�,� -
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Ti ard,Oregon 97223
hone: 639-4171
Type of Inspec-an
Date Requested l A.M. _P.M.
Address .k- — _ Permit
Owi,er __.^__-- Lot #
Builder -.---
The following Building Code deficiencies are required to he corrected:
T42 -
r
Presented to 04 _ ._� � Approved ---
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
El YES Z NO
FlUILDING PERMIT APPLICATION TIGARD DATE _ .__l319 _E55370
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK'AEREIN INDICATED BUILDER PHONE .. 24.5—:� 33
OR AS SHOWN,'IND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
8'6(7 LOT NO.___6
OWNER 11sh ConAtruction JObADDRES_S W t.Vou St. `—
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Portland POitlan
ENGINEER
BUILDER ADDRESS 10211 SH $arbor DESIGNER
STRUCTURE ® NEW ❑ REMODEL L1 ADDITION ❑ REPAIR ❑ RENEWAL P FIRE DAMAGE ❑ DEMOLITION
fl RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �t3 LAND USE ZONE 1-128LDG.TYPE _ 5N _FIRE ZONE- PLAN CHECK BY BCR HEAT Q8
Construct single fancily dwelling vjattach&d g&re)ie.
2 Bathroom 3 Bedroom
SEWERPERMIT# 28411 2U
OCC.LOAD FLOOR LOAD_ 4U HEIGHT 16 _ NO.STORIES I_ AREA 120() NO.BEDROOMS 3 VALUE49,332.
BUILDING DEPARTMENT SET_BACKS FRONT ZU REAR 3U LEFT SIDE 3 RIGHT SIDE 5
Permit 263.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIOPS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 183.95 WORK WILL BE DONE IN ACCORDANCE WI-H THE PLANS AND SPECIFICATIONS AI4D IN COMPLIANCE
WITH ALL APPLICABLE CODES ARD ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal — 466.95 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
LI fNSE.3EPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 11.32 }.:( aU.UIi
Total 478.27 SDC— $50U.00
PDC# 11 15U.U0 APF'1_ICAWfORAGEN�
BY _ CL �r
Receipt No. ��6 / 11r/rl�� r',�L��Q 1 �"� ,✓
Approved BCh ADDRESS T PHONE
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