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9205 SW BURNHAM STREET-1• r q ITY Xw ii, BUILDING' PERMIT APPLICATION CSF TIGARD DATE_ _____ i9_`•� THE UNDERSIGNED HEREBY APPLIES FOR APERN,I FOR THE WORK E:EPEIN INDICATED 13U;LDERPf4O ' _ —_ OR AS SHOWN AND APPROVED IN THE ACCOM?ANYING PLANS AND SPEC!FICATIONS, GWNERPHONE. LOT NO.— OWNER FZ. ]& "11KW8t®rJ08 ADDRESS 92U:i SW Ciurnhana St, HOME ADDRESS________ ARCHITEC r ENGINEER BUILDERADDRESSDESIGNER STRUCTURE — ❑NEW QREMnDEL � ❑AnDITION ❑REPAIR ❑RENEWAL ❑FIRE -AMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REI_IGIOUS❑PA'IO ❑CAR PORT ❑GARAGE ❑STORAGE❑-�SLAB [-]FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS OCCUPANCY '—'- LAND USE ZONE �`� BLDG,TYPE_ FIRE ZONE_? PLAN CHECK BY EXu� HEAT -.. �l�INL A PL5& HOUSE: FOR W-FILE; 01A. _— -- ,Install han0follp on steps at rear door avid handrails in stairway in3ids. -- __� In3tall tomporary relief valuer on hot water hooter. 01cl.oce rwar porch. N4.,STQRIE5 _--_AB9A N.9 B.EQMQ_M --.__YAI�l�. �L1U• — BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit ' `A.00 'fHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS 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 COMPLIANCF Will H Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF (HIS PERMIT DOES NOT :'VAIVF RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Ta:c /y; ��0 LICENSE. SE,'ARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HEATING. Total By p APPL-CANT OP AGF.Nt -- --_ i`— Approved ; ReceiptNo, .eve — Yi�O�ii�.�.�wWi�Yb.aw�K4"S't.�yr�•••— •-- .. --- o41f1wr.,4.=.....w.,.uumwr..w. .r....... y•;._;tri"/llv'Fk;/.14;:NNsAf... f"...__-_ r CIT ' 4/�3 f 70 YT+ BUIL DING PERMIT APPLICATION OF TIGARDE DAT _ 19 32 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUr-DER PHONE OM AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE- LOT NO _... OWNER L r Iai- 1•" J08 ADDRESS Burnham ild. HOME ADDRESS ARCHITECTv BUILDER ')rj,rikkji!IPvr ADDRESS '119" I• nrm Porid f is t0 ENGINEER tt--�� .DESIGNER STRUCTURE ❑NEW ❑RI'mnDEL ❑ADDITION (REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE `ISTORAGECISLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS 4CCUPANCY LAND USE ZONE--_ --._BLDG.TYPE_—..__-___FIRE ZONE PLAN CHECK ©Y,_____ HEAT,_, 0mullsh q&j:&rhe, slab' and faundatLon»- --- ----�. NQ-STQPJU--- AREA._.—____ N0 BEDRQUV2 VALIJ-E-__ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIOF Permit ...- -------_.--_�.r THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFD THAT THF -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALI. APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT' RUSINFSS State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUM8dJG OND WEAliNG. Total By - -- -------- ------•--- dl•: ., APPJCAN1 OR AGENT Appf ovP(I Receipt No. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough4n Final SEWSR Final DRIVEWAIW Final Stom Drainage Inain Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT. FINAL __Ft:MP(JRARYY] CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final Address Permit 'lame of Occupant Permit charge Poid Date connected Type of Building �,r�_g Inspection fee Service Rate Paid by ---Date Contractor !r '-,I ARsessment 0 Paid Size of connection lm APPLICATION FOR SEWER SERVICE The undersigned agrees, in consideration of the sewer service conn--ion by the Tigard unitary District, to abide by and comply with the ordinances, regulations and rules of the Dist- rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im- posed from time to time when due and before such charges become delinquent. I fully understand that all unpaid sewer service charges become a lien upon the property served as stipulated in O. R. S. 224.220. Connections to the District's system must be made uy bonded contractors and,/or bonded and licensed plumbers. --------------Owner -------- APPROVED B f Superintendent TIGARD SANITARY DISTRICT 8841 S. W. Commercial St. Tigard, Oregon