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_ SEWER PERMIT o
j rl ,V,=- N. 13484
Unified Sewerage Agency
of Washington County CITY OF._ Tic and _-- DATE _,_1/25/77
OWNER: TDC PHONE
OWNER ' S ADDRESS: _ 15375 SW Alderbrook Circle
TY°E OF INSTALLATION:
] BUILDING SEWER ❑BUILDING AND SIDE SEWER
TYPE OF OCCUPANCY:
[TINEW Q SINGLE FAMILY ❑ C'JMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
i PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAL.I- ING FOR
INSPECTION, PLEASE REFER T9 THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE--HUNDRED AND TWENTY ( 120 ) JAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRA'iION OCCUR .
FEES:
PERMIT FEE
CONNECTION CHARGE 600. 00
SIDE SEWER I NSTAL'_AT I ON
•'
ISSUED BY
OTHER
TOTAL = 525. 00 7
APPLICANT DATE
SEWER PERMIT Ml3484
ADDRr.SS OF STRUCTURE . 1.375 S.W. R1LjE.rbauk fi rr.1e
TAX MAP. _ -_ - TAX LOT SYSTEM Fann❑ Frr?Pk
LOT 488 BLOCK _ _ _ OF -
E. T. Walden 7 4 5 7'7 _ �'v`�>
/7�
APPROVED BY�T~ DATE ISSUED DATE
REMARKS -
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'� BUILDING PERMIT APPLICATION 11TTIGARD DATE :July 2J'
THE UNDERSIGNED HEREBY APPLIES !-OR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE 639-3 10 1
OR AS SHOWN AND APPROVW IN IHE ACCOMPANYING PLAN; AND SPECIFICATIONS OWNER PHONE
OWNERLOT
- JOBADURESS ':J.S7J �J«I3J• Ii.it361r�,L�- —..---
-- HOME ADDRESS _
ARCHITECT' --' --
BUILDERENGINEER
. ADDRESS rr,, DESIGNER
ISSTRIXTURE _ ONEW _C�REMODEL ❑AD�,ITION OREPAIR �ORENEWAI ❑FIRE DAMAGE nDEMOLITION
I_J RESIDENCE ❑CON,M ❑EDUCATIONAL GGOV'T ❑RELIGIOUS DPATIO ❑CAR PORT ❑GARAGE Q STORAGE CIoLAfl [FENCE
�9OND ❑MOVING ❑CONDITIONAL USE C,DESIGN REVIEW _❑COUNCIL APPROVED ! sOSIGNS
OCCUPANCY- —LAND USE ZONE_.-__-___BLDG.TYPE _ FIRE ZONE,— PLAN CHECK SY HEAT
t P1K 5 �—isEfued :; , II 7e !5613 5 t --
__— « J. '.,urnmerfielrc l.rlr�.
f ram@ duelli"A wit.{a attached yara(pu — 3 bedrasim, 3 beth
QSQ-LOAD t QAC? HEIGF�I.. NU B� 43,000
-- _- A-- --
BUILDING DEPARTMENT 3�n SETBACKSBACKS FRONT REAR J LEFT SIDE GI RIGHT SIDE
Permit -- — -- __
--- F—"'TTr.-7jTj—
THIS PERMIT IS ISSUED SUBJECT TO THE REOULATIONS CONfA1NED IN THE BUILDING CODE, ZONING
Plan Cheek 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
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBIAIG AND HEATING.
Total •
By
q wNT OR AGENT �- ---r"--- -
Approved Receipt NuADOR
`\ �
-- — - --
---------SHONE '-'-----.-.