9290 SW ELECTRIC STREET N
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9290 9W ELECTRIC STREET
L3�23ZS D RIKRTI MS 0626
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CITY OF TIGARD
11420 L W. Mein 91*0
TIGARD, ORIGON WM
APPLICATION FOR BUILDING PERMIT
New Construction ❑
Demolish ❑x Addition ElRemodel C Move ❑
ZONING C g DATE ISSUED___9-_7-73 BUILDING PERMIT
BUILDING FEE $ 5.00 No. ,
DATE RECEIVED 9L-_73_ PLAN CHECK $ 5U una percent __23210
--
BY`-______ OTHER $ VALHATION $�
TOTAL $ 5,50 RECEIPT
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 1 MAP R CENSUS TRACT _ JOB N_
Architect or Engineer
Address �__ _ _-_- -----.--`Phone -- _
Owner Doodell
Address _--___-Phone_
Builder Rossetti-Reed Enterprises, Inc.-
Address -�tasJ: _ --�_ Phone_
BUI ING USE Single Res. a Multi Res, ElComm. U Indus 1 U
OCCUPAN ROUP No. of Stories- Total Height ea of Lot`--_
j Type of Constru on I II III IV V Floor Area�/�/
Set Backs: Front_ Back. L.Side R.Side
i
Private Sewer Pipe Size r` Septic Tank ❑
Water Service Pipe Size rm Sewer ❑ !-itch ❑ Drywell❑
Street and Curb R rements
Driveway th No. f Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
Demolish one house
ADDRESS ASSIGNED_ --g9an .gy,w._E1,icti.Ltr.
FIELD CHECK BY _.Eur _- -�._._ _ -_.__ _DATE 9-7-73
PERMIT APPROVED BY ------
It is understood that all work will conform with :applicable codes and ordinances
of the State of Oregon and the City of Tigard, Orogon, and that the build'.ng will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
1Signature o pplicant
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Address 9� ✓�t .,r�c LSC' Permit No. i�
Name of Occupant _ � Pem it,charge
krL .0 Paid by _
Date connected
Type of Building lJ��� -C�c,E' Inspection fee__
Service Rate �• T ll Paid by _ ___,___Date
Contractor C4—. Imo,. ( Yt.rf-�._ Assessment Paid_
Site of connection