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B'.111-DING PERMIT APPLICATION TIGARD DAT _ 532
THL'IINDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN'I DICA D- BUILDE PHONE 2_54-3988
OR.AFS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_02!!02!! U7 --
OWNER ptDrm ChziBCeLaen JOBADDRESS 825(,_ LOT NO.
ARCHITECT
BUILDER ADDRESS SAMt. ENGINEER
_ DESIGNER
r`RUCTURE F-1NEW [1 REMODEL r; ADDITION O REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE X COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ ST09AGE ❑ SLAB[] FENCE
OCCUPANCY 8-2 LAND USE ZONE BLDG.TYPE �N FIRE ZONE PLAN CHECK BY `BCR�— HEAT $
Construct interior ��f:iCs area CO existing building per o
---- NProved plana
(Non—structural)
SEWER PERMIT N _
OCC.LOAD FLOOR LOAD HEIGHT — NO. T—�
1__ AREA z26 A N0.BEDROOMS__.. VALUE b��
BUILDING DEPARTMENT — � -----
SET BACKS FRONT _PEAR LEFT SIDE RIGHT SIDE
Permlt_ 5b•5U THIS PERMIT IS ISSUED SUBJECT TG THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 36. REGULA(IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS IsEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICC.fIONS AND IN COMPLIANCE
Subtotal 93023 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
2.26 LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
State Tait
Total 95.49 SDG
dDGq APPLICANT—TO AQENT
By _ --
Approved bCRsb js Recelpt No
PHONE
DATE INLA JYPE INSPECTION REMARKS PLUMEili
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Parrmit Nr...
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HEATING
'311!0-Oil
SEWER
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Curb&Street F P.-W
TEMPORARY
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ERT!FICATE OCCUPA PA..'
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