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City of Tigard
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IN15PECTION ME: ----_. PERMIT ci UATE: /.f 26 DATEISS
OWNERS NA,4E : _._Z:f_!�_
ADDRESS: �a���.._ .�rr�r.Jfv►1y 4r, �.�R.
CONTRACTOR :
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Pl GTOR DATE
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City of Tigar111
INSPECTION REQ ri
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INSPECTION TIME :A1 _ PEF NI:T 1"0.: ...... ._.....
DATE: .5 DATE
OWNERS i4AME :
ADDRESS :
GOi�ITRAC?'OR : ---.. ._. .aa
TEST: Ai► O, Water [] , Viaval ,k, La�nrmt—
PElULT: Aperoved O Disapproved ,
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City of Tigard
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BUILDING PERMIT APPLICATION0 TIGARD DATE ____, 19 - 0181
T'-iE UNDERSIGNED HEREBY APPLIES FOR APERMIT F(-,R THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYNG PLANS AND SPECIFICATIONS. OWNER PHONE ___...
9`�J • �,�wiea 10:x15 ::eWo Lentury Oak t
OWNER ADDRESS �UtLUER PRUNE
ENGINEER
f 111LQER A_R-QHIT_LT r._ DESIGNER —.--- -
STRUCTURE bNEW ❑REMODEL _ ❑_ADDITION ❑^^REPAIR ❑RENEWAL [IF IRE DAMAGE _DDF..MOLITION
� FESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUSEDPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SL.AB []FENCEMOND ❑MOVING ❑CONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED USIGNS
CUPANCY— LAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT.____.________
_ 2 bedro:,m singis tTumo
C. LOAD __—FLOOR LOAD —� HEIGHT NO.STORIES AREA VALUE_
BUILDING, DEPARTMENT LQ fj — 5 5-8SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit -- .. 1413.0. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINI'D IN THE BUILDING CODE ZONING
Plan Check 1�• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANL' IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA FIONS AND IN COMPLIANCE WITH
Rec.nrding ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPACTOPS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUNBING AND HEATING.
Total 1.`. >�.48
By
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Approved RPcPipt N
ADDPE55
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-�3-7� 7 • r�''1 w2 t-� Contractor
Permit No. d 0S.7-
7 75� �>� Rough-in
Fixture
Final
HEATING
Contractor '
Permit No.
Gas of Oil
Rough—in
Final
SEWER -/-
Final
—_-- DRIVEWAY7S
Final
— Storm Draina
—• — __ —, (Rain Drain) Final
-- Sidewalk ..
Curb&Street Final
A ptoach A-- y_194S 75'
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
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Lardscaping
I Zoning Fin,,
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