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A00RESS . �� ���J `� PERMIT NO.� 7��,��
PE :P1I T CHARGE none
OWNER_, CONNECTION FEE
PA I O BY .
TYPE OF BUILDING CRATE CONNECTED
SERVICE RATE CJS _,. INSPECTION FEE .
CONTRACTOR PAID BY DATE
SIZE OF CON,1JECTION ASSESSMENT PAID
3177
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639-d1"
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
�..a«
Date: Permit No— _
a
Inspector.
CALL FOR REINSPECTION
�. }.,. ,.®.psa�—.._...,.�... r��.w•.+�«arc+�s-r'+."ire'�°+r'^"•'n'�-W+�M�' �"w�w�"�' ................... _
BUILDING PERMIT APPLICA i iON 'OF TiC�►ARD DATE—__
THE UNDERSIGNED HER!-BY APPLIES FOR APE RMI I FOR THE WORK HEREIN INDICATED 3UILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CWNER PHONE
LOT NO. --
OWNEn`
.1 ".`a X • JOBADDkES53820 G1,1 nv!in r,ourt HOMEADDRESS
__.
ARCHITECT
ENGINF.11li me FHerl. '
BUIL=DER F4-1rc-1 ongtr. ADDRESS 0 5U_-L'•_:' `''r Ur. i3V�L1 DESIGNE
STRUCTURE ❑NEW ❑RumnDEL _ C3 ADDITION _ ❑REPAIR�-t� ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ HFSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV-T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE_❑STORAGE❑-LAB ❑FENCE
❑BOND J LJ MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGN
OCCUPANCY LA-.D USE ZONE ' —BLDG.TYPE —FIRE ZONE._ PLAN CHECK BY I HEAT
__ ItatX'lJG'{i 8�I11.j11U � 4JITi�lj' d+rY�lirl' W�cI CCidiso U&1lESy4. a —
--- Ai jrAus '.)f '2342
war s�armit ;, 7 i1�:,W —
-----– — -
Q9G_"LA2 —_ELOOB LOAD J-Si_IiL ___ NO.S. DRIES y AREA- : N_QJ9 RR4.QS _IALUf
BUILDING DEPARTMENT SEt BJ*S UONT�2IREAR LEFT SIDE RIGHT SIDE
Permit j17;j#ull
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.0tl 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
Subtotal 1�3�7y(110 A' L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRAC70R AND SUB CONTPACTORS TO HAVE CURRENT CITY BUS!P4FSS
State Tax �a�U LICENSE. SEPAPATE PERMITS REQUIRED FOR SEWER, PLUN.BING AND HEATING.
rTotal 1Y. ;•A`
By P1 _ ----- - -- -._
APPI IC.AN, 0WAM NT
IApploved k. sUmIdeo Receipt No.
A 11
DATE INSP, TYPE INSPECTION REMARKS PLUMBING bAft;
Contractor
Permit No.
_ Rough-in Mez3-7
Fixture
Final
HEATING
Contractor
Permit No. "I-7ce
�- / Gas or Oil
— O _J -— -- Rough4n
Final
SEWER
--- Final
�~ DRIVEWAY
Final
Storrh Drainage
—
(Rain Drain)Fin61.
Sidewalk
Curb&Street Final
-- Approach 1
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final I
CERTIFICATE_OCCUPANCY ---
Landscaping
Zoning Final