15725 SW ALDERBROOK CIRCLE WA
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15725 SK ALDERJBAOOK CIRCLE
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PE Rm I T NO.
ADDRESS
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PERMIT CHARGE none_ _
OWNER � Com- CONNECTION FEE
PAID BY
TYPE 0i, BUILDING DATE CUN^:ECfEO
SEPvICE RATE _ /R _ INSPECTION FEE
CONTPA�TOR _ _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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SEWER PERMIT �
15855
Unified Sewerage Agency
of Washington County CITY OF 1'jg;:,rrj _ DATE
OWNER: T.D. C.. PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
x�.' BUILDING SEWER r
,._f BUILDING SEWER AND SIDE SEWCR
TYPE OF OCCUPANCY:
ITJ IVEW SINGLE FAMILY COMMERCIAL
EX .ST. P
F1I ( RIOP, TO 7-1-70 ) ❑ Ml1LT. RES. INDUSTRIAL
FIXTURE UTJITS DWELLING UNITS_ 1
ADDRESS OF STRUCTURE :
PERMIT CONDITIONS: TH,E APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIER SEWFRAGF AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT" NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FE $ 25,
C0NNI:CTI0N CHARGE 600,
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $ 6?5.
V/
—�_ APPLICANT --� — - DATE
SEVER PERMIT N(l) 1585
ADDRESS OF STRUCTURE 15725 SIJ A.lderbr-ook Circle
TAX MAP TAX LOT _ SYSTEM fanno creek
LOT 473 BLOCK OF
-------------------
APPROVED BY DATE ISSUED BY ' DATE
D. U. '5 1 REMARKS . '2027
*027
. f it Y �'����� DATE "19__.___
'e—.I I-70
BUILDING PERMiT_I APPLICATION "OF --
THE UNDERSIGNED HEREBY APPLIES FOR APE RM I i FOR THE WORK HEREIN 'NDICATED BUILDER PHONEOW? __— _
OR AS SHOWN AND APPROVED IN THE ACCOMFANYING PLANS ANO SPECIFICATIONS. LOT NO HONE _-
LOT NO --
OWNER y� _ -JOB ADDRESS 1 ,7Z:i JL (11t 9riarQUf HOMaADDRESS
ARCHITECT
ENGINEER
BIJIL.DER r-�
_ ADDRESS DESIGNER
STRUCTURE 1\0%EW 0 REMnDEL _ ❑ADDITION OREPAIR ORENEWAL ❑FIRE DAMAGE OUEMOLITION
❑RtSIDENCE []COMM OEDUCATIONAL OGOV'T ERELIGIOUS[]PATIO OCAR PORT OGARAGE L STORAGE 0SLAB OFENCE
❑BOND OMOVING OCONDITIUVAL USE EDESIGN gEVIEW - ECOUNCIL APPROVED [:]SIGNS _
OCCUPANCY Lz_AANU USE ZONE_.- �—_BLDG.TYPE =r__FIRE ZONE-A- PLAN CHECK BY_ '4tw HEA_T_.
21MOLA 16t4'73 sk Y�- b rais*up SLtm® 6�► Y. a83 SU 5utniaerfic,ld
1 hadvoum Z 'hath
reolweur pwrmit 'g'lad!:, J
40 1490 32,LIbQ.
QQC, LOAD f-s09PJ,9AU----- NQ._iTQHlES_.__-AREA BUILDING DEPARTMENT �J•'r
SET BACKS FRONT lf� REAR l LEFT SIDE _ a. RIGHT SIDE_`
Permit 136,00
-�-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10100 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 146,OU ALL APPLICABLE CODES AND ORDINANr.FS THE ISSUANCE_ OF THIS PERMIT DOES NOT WAIVE
--- -- - RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS T3 HAVE CURRFNT CITY F.IISINESS
State Tax I LICENSE. SEPHNATg PERMITS REOUIREO FOR SEWER. PLUMBING AND HEATING.
S,u*Li )`.I
Total 15.1,44 02 gioloo
By APPLICANT OR AGENT
Approved --� etu j Receipt No
AN
DATE INSP, TY E INSPECTION REMARKS _ f LUMBING — DATE
Contractor
401-� --- Permit No.
-- - —
Rough-in
— — —
Fixture
-
Final
HEATING
-_-
1 Permit No.
Gas or 011 — -
�GQ
Rough-In
-- --
Pinel
i
SEWER
-- Final 4
-- DRIVEWAY
- — — -- - Final
-- - �� Storm Drainage
-- - ---- _-^ (Rain Drain)Final
v - - Sidewalk---____-___ —
Curb&Street Final -
- ---- ,approach _
BLOC. DEPT.FINAL TMPORARY CERTIFICATE OCCIn'1tNCY
EFinal —
CERTIFICATE OCCUPANCY
�—--
Landscaping
Zoning Final