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7715 SW BONITA ROAD ¢,. yr C0 1 ■ t� 1. 1� \ I 1 V !1. l � r a x. r- 1 .A. .a •} 1 7615 SW 1 \ �f 7 -- - C 1 City of Tigard INSPECTION f r 'NSPECTI ON TIME* A DATE DATF IRci IFn • i ^WNF..RS NAME ' _ PONTROPTOP Cie cl n _f r'o�c ISI.AN t"1/'.) !CFTC I t: h a��' _ I� � � 1 N r W Wj1FXWARJL3 BUILDING PERMIT APPLICATION to Y TIGARD OATE 19 7. �-�' w - �� ����]] THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PFIONr _�_Ll_!f_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE - 1 LOT NO.-- -- OWNERr ramsi{ eriif *311.AD0RESS4((i) SW Ltun,&ta i�u4d HOMEADDRESS - ARCHITECT ENGINEER BUILDER u;. ADDRESS _-DESIGNER STRUCTURE -= EINEW _�❑RFMn7EL ❑ADDITION C3 REPAIR ❑RENEWAL [-]FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T []RELIGIOUS[:]PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LISIGNS OCCUPANCY LAND USE ZONE_.r BLDG._TYPE FIRE ZONE— PLAN CHECGC BY CTed HEAT _ I:amo4it . in of exiatinu single fsm,ily nsls !npca pwr 11,UsC. Coda & Ti - --- ity Llrlinan4as• Styptic Tank to ug pumpoo and filled uAh send ur cSuy ut• I - Colundatiun galls to UG radarsd mar c-_qd s QgC LOAU_ - ELQQR__.LOAD..—_._----HE GISL— BEDROOMS VALUE _-__ BUILDING DEPARTMENT SET BACKS FRONT _ REAR_ LEFT SIDE ____ RIGHT SIDE Permit —�-' THIS PERMIT IS ISSUED SURJFCT T'O THE REGULATIOPi i CONTAINED IN THE BUILDING CODE, ZONING Plan Check 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 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax r, 40LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND ��EATING. Iotal .14(1 By APPLICANT OR AGENT � — Approved Receipt No. rlw DATE INSP. TYPE INSPECTION RKMARKB PLUMJBINO DATE Contractor Permit No, Rough-In Fixture final NEA rlNG I Contractor —� Permlt No. Gat or Oil _ Rough-in Final — SEWER --u Final —_ DRIVEWAY final Storni Drainage 'gain Drain) Final — _ Sidewalk. Curb&Street Final Approach BLDG. DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Fine!