7400 SW CHERRY DRIVE-1 S J
ADDRESS:
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JANUARY, 1998
ADDRESS CHANGE
OLD: 13615 SW 72ND AVE
NEW: 7410 SW CHERRY STREET
FOR NEWER PERMITS SEE
CHERRY STREET FILE
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---CITY OF TIGARD SEWER CONNECTION
3 EIR lyl 11
COMMUNITY DEVELOPMENT DEPARTMENT PL H M I I �!. . . .. . . . : bWR94--
13125 SW Hall Blvd.Tiprd,Orogon 97223o8199 (503)6351-4171 Of.0E.
F,ORCEL: 2"S101DC-00500
ZONING: C—r'
I LA\4-iN T N(ilyll
ij:;H Nu. . . . . . . . . . FIXTURE LINI-IS. . .
k-1-4)SS OF WORK. . . 1&)L, 1)W L-L L.I 1\16 UN i i S. . : I
TYPE OF UESE. . . . . .S V` N OF' BU I LD I NGS I
I YPFW_ i.4 I.J.
E E R
M a r- C: Ct INNEC I f-A N'57 1;'46 UUSE f 0 S EW
JVj 11 u I,
L_VL ilU 1 1 1 W I L-Mi-W i i-; type am 0'..trlt by dame r,ecpt
00 JG 0 lb/0 1)
-
INSP 3 3't;. IZ.LA JU 06 09/9,1
: J-Iclrie 0:
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Llr\i 0 k 9 i i. 1 1)
22-*`;,'-,. 00 Pi I%)J_
I I UNs
Poplicant q,Pe,. to coaly with all the ru'.es and regulations ''IeVJC-t% JT)1:,0eCti0l)
I.-,e U7,.',.Fd SpwacE Age-icy, The permit ex..ry 18@ days from
tre date i-.-sued. 1:itjl asojnt paid will to forfeited if the
expires. the PgencV noes not guarantee the accuracy of the
s_dE sevie- .'at,!rais. If the sewer is not ioca;vd at the measurement
z1ver, the insto_i�er sF311 crosr2uct � fee'. it all directions from
t')P OistancP ;:ven, If not so located, the installer shall ourcha5e,
1 la, ar�,J -'emit and the Avercv will install a lateral.
'ell
Li.1 I for_'_ 1_T)-S-P_PCt_1 OT-1 b,.;9-4175
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Residential BUildir PernIit Application �
City of Tigard
13125 SW Hall Blvd. v
Tigard, OR 97223
(503) 639-4171
Jobsite Address: X-31/w%h .S Lt.1 /�����
l Office )se Ong(
Subdivision: Lot #
Planta, Rec#— --
Valuation: _ - --
Permit #
i
Owner: �TL�� Reissue o}
Address: -7s VV —7� #�� ---- Map & TL
�L r_ G72:23
Approvais Required
Phone: -
Planning — -
Contractor: lLi I_ . ' a u V Engineering _ ---
Address: �� DCS -r?(•� . `"u�Ti'�) ,�� Other —
items Required
Phone: C 0
f Subcontractors —
Contractor's License # ' yzL"2
(attach copy of current Oregon license) Truss C'aails _ --
Subconti actors: Other --
Plumbing:
Mechanical:
(attach copy of current OR Contractor's Ucense)
Architect/Engineer: '
R Address:
Phone:
M.
COMMENTS: N1.:-,ARS ,--rb ge u C �3 L, J 11-A 1)l:V
Y3-S. L�
3 s R�� S I�C.,�=�..z:-, 0
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Applicant Signature & Phone numt•:r
Received by: _ Date Received: _
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Permit >; Account Description Amount Amt. Pd. 13t,l. Dur_
Bldg. Permit (BUILD) - —
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _—
State Tax (TAX) —
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) _
Bldg: _
Plumb:
Mech:
Sewer Connection (SWUSA)
y Sewer Inspectio i (SWINSP) _
Parks Dev Charge (PKSDC)
Storm Drainage Chg (•SDSDC)
Residential TIF (TIF-R) —
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF4)
a Institutional TIF (TIF-IS)
n:
v, Office TIF (TIF-0)
Water Quality (WOUAL).----
:`' Water Quantity (WOUA"
–' Fire District (FIRE) _
TOTALS: