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15500 SW ALDERBROOK DRIVE Cn On O 0 LO E_ 0. .i CIl h O O Q r� 15500 SW ALD?RBROLK DRIV . - � ,._ _._� \ 1. '''�\. ./ `\ _ " , _\-/�\..,�'�� .1�._.i'`�_.-•�1. � ypri\_.!!: ltzv \ F n Im 01 , OC <I ly OF .f OREGON T.O.C. a m� :�o......107...1 ............. ................... . . .. . ............ .............. ..... �. Building Addreszs......... .15SOOSW A.lderbrook. ar,..... ........................ ....... p } r Certificate is hereby given ........ day of.. ....�anuary.•,.,••., 1y.77., j` r`' a that said building may be occupied and that it complies, with all requirements of �. Al �.�' •: the Building Code ;or the City of Tigard, ( (/•^ �� as approved by the Tigard City Counci . ................ Building Inspector i �7 w:p 47^., r •-+ '0 1�? P D D R F S S /_It)`5_�'Z' [ (��L�f<<' >� �_;,_ PE H(n I T NO.___ L PERMIT CHARGE none OWNER �. � � _ CONNECTION FEE 1 Y PAID BY TYPE OF BUILDING DATE CON19ECTED SERVICE RATE `�' INSPECTION FEE a2�S CONTRACUR PAID BY DATE SIZE OF CONNECTION _ ASSESSMENT PAID d0 - 5 City of Tigard INSPECTION REQUEST for ' v I INSPECTION TIME: t IrlPE-tMIT NO. ; I DATE: %� Z.-,'Z26 'SA'T'E ISSUED .'— IL OWNERS NAME : _ ADDRESS: -5388 ,p I CONTRACTOR : s —rp,,& ��'��— I TEST * Air ❑, 'Note► ❑ , Visual Laboratory [] RESULT: Approved: Disapproved C , Pending p SKETCH: t INSPECTOR DATE CNC1 F Attclrh 1upplement01 left data beret I City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. ' c DATE : - 01176 DATE � a I S LIED".__._L/OWNERS ADDRESS ,� �� v -" — CONTRACTOR TEST: Air 0,' Water El , VlyPWTO , Laboratory p RESULT: Approved Disapproved ❑ , Pending Ej SKETCH: I t PECTOR DATE [NOTF Attoch supplemental test dato hereto1 .:,..rw..«..�r.••i�wvw�+aswwrw.•.nawF...wr.,•ads+cTi��."w�Al.'.'sM111gF7lFw.•m'M��IM7X+B�'6''' .iw.p; ,.:,„;n.,:.,.,:.w..,....,..ww..,:. ..n-•o.•,•+w.n...+w,....w•..-....... BUILDING PERMIT APPLICATION 1oF TIGARD DATE. $ '� 1 THE UNDERSIGNED HEREBY APPLIES FOR APERik!IT FOR THF WORK HEREIN INDICATED SUILDERPHONE.ot__�� _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING FLANS AND SPECIFICATIONS. OWNERPHONE T•n,r• 15500 SW Aldor E3rook �,r. LOT NO.- OWNER JOB ADDRESS HOME ADDRES. ARCHITECT ' '=NGINEER BtJIL_DER_ _ ADDRESS _ _QESIGNEP STRUCTURE^ UNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OFIREDAKAGE [—]DEMOLITION © 9ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT OGARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING ❑C. DITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY ._L.AND USE ZONE BLDG.TYPE—. __FIRE ZONE— PLAN CHECK BY-_ — ;HEAT__._ _ ramki U61011ing w attachud gsr4,l, — >. brdrurtn i *5 OQC, L ADHEIGHT ��NQ,STORI ---NO.BEDROOMS --YALU — BUILDING DEPARTMENT' (. "I —_— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit — ------------- - — -- -------__---_---=_�. ---T�-7�7�— THIS PERMIT IS ISSUE') SUBJECT TO THE R.GULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check a'y� REGULATIONS AND AL L 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 OR(JINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -��, RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS -tate Tax "7e`� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND IDEATING. Total Old BY A' SCANT OR AGENT Approved �. — - Rereop. No. ADDRESS PHONE I ll �� ' Il �oac� SSU '�7•J / /u-i9-7G 0/7 /�1 > 7, i � w � �b b