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ciTr OF
BRIDING PERMIT APPLICATION TIGARD DATE 4-2V ,9 ' N° 0255
TAE UN--9SIGNED HEREBY APPLIES FOH APERMIT FOR THE WORK HEREIN INDICATED 639-0204
C)R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT'ONS. OWNER AGGRESS PHONE_
OWNER
ran Voote>; 12ab5 BUILDER PHONE 5,W, brookside Ct. ! ..
—
F Tum Elullingtnn ENG114EER Sbaron Pout"" ----
RuiLL Efl AP.CHIT9-QT_ _ I-�DESIGNER _
S
TRUCTURE ❑NEW ❑_REMODEL —EIALIDITION ❑REPAIR ❑RENEWAL OFIttRR�E DAMAGE []DEMOLITIONlJ
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE L1 STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING Wat%''�r►}9FF1AM i.USE ❑DESIGN REVIEW _ ❑COUNCIL APPROVED ❑SIGNS
.QCCUPANCY _LAND USE ZONE-. �~ 1 _BLDG TYPE FIREZONE--- PLAN CHECK BYr 'Y' HEA" •
construct 20 x 20 addition on v&ar o, llwolling according tD approved
plane,
gC-- �Q�
. LOAD _-FLOOR LOAD HEIG_H_'_ NO.STORIES ____ AREA VALUE
BUILDING DEPARTMENT 27 65 14
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit :9,00
THIS PERM 'i IS ISSUED SUBJECT TO THE RCGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 14.00 REGULATIONS IND ALL APPLICABLE CODE'S AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BL IONS IN ACCORDANCE WI TH THE PIANS AND SPECIFICATIONS AND IN CORlPLIANCE WITH
Rec.,-,iing ALL APPLICA?'.E CODES AND GRDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE CUVENANTS. C014TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 1 ,26 LICENSE. SEPARATE PERMITS RSOUIRED F09 SEWER, PLUMBING AND HEATING.
Total 42,20
BY � 7
— APPLICANT OR AGENt '—�--- '--- —
Approved Receipt NL,
DATE INSP. TYPE INSPECTION
REMARKS _PLUMBING DATE
�— Contractor
Permit No.
Rough-in
Fixture
i —
zJ. Final
`- — HEATING
Contractor, ,�,.��,�
Permit No.
Gas or Oil
Rough-in
-- Fi•tal
---- _ _ _— SEWER
Final
— DRIVEWAY —
Final
Storm Drainage
I
rain) Final
k
-- Street Final
BLDG.DEPT, FINAL TEMPOHARV h
CEHIIFICATE OCCUPANCY CERTIFICATE OCCUPANCY
Final
Landscaping
Zoning Final
Address 6— ?.6 5111 AiC>Om,r-r.ur i it No.
Name of Occupant_ __. Permit charge d+�• Oo
Connection fee-
Paid by_____
11
Date connected 1e;,/,r A6
Type of Building �S C`SipC.csc:c Inspection fee /n civ
Service Rate � ��`' Paid by _ _ _ ���� Date
Contractor k'�1 K cC_
.__ Assessment__ Paid
Size of connection y
PERMIT TO :OONNECT
City ®f Tigard
Permit Ntt 308 DA TF
PERMIT iS GIVEN TO r �!� �_ 4t ey___ �.
OF
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
AT +�-'rte' --- - '. ('�/ r' pec Ile /
TRIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL COW
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
,1 It9 !!
PERMIT FEE PAID $ .CITY OF TIGARD
CONNECT!ON INSPECTED AND APPROVED
Date Superintendent