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54
BUILDING PERMIT APPLICATIONy
TIGARD DATE—_ t „"I" ,ie 1 387
TH!"-'VDER SIGNFD HLHEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN 'NDICATED BUILDER PHONE 643-12100
OR AS SHOWN A1101•PPROVED IN THE ACCOMPANYING PLANS ANC`SPECIFICATIONS. OWNER,PHONE
OWNER - JOBADDRESS `� r101 Cool, Ct LOT NO. 1,4—(:OpR0r `YLcek
_
ARCHITECT
BUILDERNGINEER
l?fill Y;.i;•_11Q L'1 • �t1AESIQNER Piere`•11—11arr.lay
ADDRESS
STRUCTURE ® NEW ❑ REMODEL El ADDITION ❑ REPAIR ❑ RENEWAL E7 FIRE DAMAGE ❑ UEM_0_LITION
JVIES'DENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLASE] FENCE
(-)/-:Gl.1PANCY k-3 LAND USE ZONE I:--5 VIALDG.TYPE 51.( FIRE ZONE---=PLAN CHECK BY "'
_ �_.___ HEAL t_ '_sr_
'rmstr'uct sinc11e family dwellinc, mitt, attar�hed
corrc-Ctinn sheet tat cached.Ailk — _ -—
— — —, --- ? 1:�,a t
SEWER PERMIT# 2.�`:.1 4 C) , c;ararye 524
OCC.LOAD FLOOR LVAD "•!1 HEIGHT 12 NO,STORIES 1 AREA 16 6 ONO.BEDROOMS#` VALUE
BUILDING DEPARTMENT SET BACKS FRONT l}{ REA7 '' LEFT SIDE `•'.%' RIGHT SIDE
[By
it THIS PERMIT IS ISSUED SUBJECT 1O THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Check 1. 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODEn HND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
total ' •i. ` (� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CITY BUSINFSS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PL':MBING AND HEATING.
Tax_l SDC—
PDCM 1l APPLICANT ORAGENT
Receipt No.oved ADDREB
DATE INSP. TYPE INSPECTION REMARK$ PLUMBING DATE
Contractor
Permit
7 L L ,
IX Rough-in
Fixture
I-S Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
OC
CIS'
OCCUPANCYF
7_jj�j_p0Rj_Ry __ — CERTIFICATE Aperoftch
BLDG. DEPT. I- N A L
77 Final
Zoning Final