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Building Location
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EXCAVATIONFILL
PLUMBING
FOOTING HE"VING
tEINFCRANG STEEL , [VfALA.COARD
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BUILDING PERMIT APPLICATION TIGARD DATE---A/-.l .- ____.,to 80 3239
THE U44DERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 636`9`.,-95
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN--R PHONE 639-7421-
LOT
39'7 LOT NO,
OWNER i rainklin Wadley JOBADDRESS 12010 SW Ann Street
ARCHITECT
ENGINEER
BUILDER David Wadley ADDRESS5998 SW_ Shakuspeare,I_0 DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL KKADDITION El REPAIR ❑ _RENEWAL LJ FIRE DAMAGE ❑ DEMOLITION
Ll RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE O STORAGE f-i SLAB❑ FENCE
R,,3 c �_Y f--- - �— ,.
OCCUPANCY —_LAND USE ZON —_BLDG.TYPE FIRE ZONE-_- PLAN CHECK BY _ _HEAT. w -
_�_ (;gnstzuct grch mover �ext,dnd overhang) all or plane end rade.
SEWER PERMIT M
OCC.LOAD_ FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE41>000
BUILDING DEPARTMENT SETBACKS FRONT _!`i REAR LEFT SIDE __ RIGHT SIDE
Permit "10.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
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
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
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State Tax __ 40•4LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
Total -r+ ,f
SDC-- '(./t�t' % {. •�,,�
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PDC# AWLICANT OR AUNT i
By P1
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Approved Receipt No.---l-- -- ADDRESS --PR-0—NV
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DATW INSP. TYPE INSPECTION REMARKS PLUMBING DATE.
rte. Contractor - -
O -----------
--—
Permit No.
---- --.-_.—.—_.r Rough In - -
_— ------ - Fixture --
- --- --- - --- Final
-------.— HEATING
— Contractor
Permit No. -
-- - -------- -
Gas or Oil .
Final
----.�- -- ----- --- SEWER —..-
-- ----v-
Final
DRIVEWAY
Final .
-- ----------- - Storm Drainage -
(Rein Grein)Final
— &idewalk
Curb&Street Final
— --- Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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