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3925 SW AVON COURT
PERMIT NO.
PERMIT CHARGE none
OWNER ��� A � CONNECTION FEE
-Le,
PAID BY `.�.
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE � lS,_/��.r
INSPECTION FEE S
CONTRACTOR _ PAID BY DATE _
SIZE OF CONNECTION ASSESSMENT PAID
i
SEWER PERMff ��' �'��
Uf
nfied Sc.-4erage Agency
of Washingtok,County CITY OF Tioar.d_ DAT E 4-18-78
OWNER: R"S3alZFIC1Jride — PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
'ECS hUILGING SEWER ❑ R(J ,LDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYs
"E NEW fjgINCLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO -7-- i-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : 8925 ; .I Avon Ct.-
PERMIT
t„PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGI1LATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PEkMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _ B. Greene
OTHER
ISSUED BY 4
— /7;�p
APPLICANT DATE Y
SEWER PERMIT N" 6861
ADDRESS OF STRUCTURE 11925 SW Avon Ct.
TAX MAP TAX LOT SYSTEM Fanno creek
LOT 38 BLOCK Or _
APPROVED BY DATE ISSUED BYE. DATE
D. U. ' S 1 REMARK" bldg#2035
1
,
BUILDING PERMIT APPLICATION coF TIGARD DATE—_g
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATCD BUILr ER PHONE_ I
OR AS SHOWN AND APPROVED IN THE ACCO"PANYING PLANS AND SPECIFICATIONS. OWN'ERPHONE_.
LOT NO.-
OWNER iC m' JOB ADDRESS Piti+t ")w i'bo1' HOME ADDRESS 1
ARCHITECT 11
ENGINEER 9
i.a to l'i-YI �lJ �) �t,f �i1"p,I LF,}� f
BUILDER ADDRESS " _ DESIGNER _
STRUCTURE [:INEW ❑RC MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE CCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT [:]GARAGE ❑STORAGE❑SL.AB ❑FENCE
QBOND ❑MOVING ❑CONOITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVF.G ❑SIGNS
OCCUPANCY.--LAND USE ZONE—BLDG.TYPE FIRE ZONE— PLAN CHECK BY_—_ HEAI
'L+ gincjs fei,ij. y tit,ellj`'Ay yis �3 fJV attOChed 4818aurJOufp
,
oi
34
t3ltiulti' (7 T1'tllx ' l:alyb.l
%GCC. _QAFLOQR�- D 4(f HEIGHT------
------N-Q-STORIES_..I AREA196 NO�@E 00 S 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
y�•��U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED )HA'; T14F
—'— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 3 ']L+LIU ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAI'TORS TO HAVE CURRENT CITY BUSINESS
State Tax f •f1� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEAIING.
Total
P,DeL, #Z S10f]+
By --- - --
---•--- 90PLICANT ON AGIENT
Appro%ed i Rv(T,pl Nu
J
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
�`�• Rough-in
v _ e Fixture _— — —
Final
M _
HEATING _— -
-' Contractor
Permit No.
1158 /•°20 /3 /7g `
Gas or Oil --
`n 4
/ f Final i
L / r SEWER
u r •.
/h '',, Final "�'••�
�1-�2-7 ! ni/� hSg//'M'arr• ��idSR.SIYJca,+ t` �'r�9�' --- - DRIVEWAY
' a Final
Stonh Drainage
�} testi (Rein Drain)'Final,
Sidewalk
Curb&Street Final
Approat.h
BILM. UEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final `
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final