11015 SW GAARDE STREET 11015 SW CAARDE STREET
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BUILDING PERMIT APPLICATION Cor TIGARD DATF. !U�i� a to ��
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BLIILDER PHONE —_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWr1ERPHONE
LOT NO..-_
OWNER �aMK t�t1l t13Veecc ?>at JOB ADDRES111011 ;fit, tiAarde :)t, HOME ADDRESS
ARCHITECT -
BUI!DER Bill. I.0"AXd ADDRESS ENGINEER
DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION — ❑REPAIR '—ORENEWAL ❑FIRE DAMA_G_E_'QDEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATI--ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑C:APORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND C1 MOVING 0- CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS A�
OCCUPANCY..-LAND USE ZONE--BLDG.1YPE FIRE ZONE_ PLAN CHECK BY�_ HEAT
----14r;ATION: S7ructurss at 11005 Sia Gndrd* St., Axtio
-- ----- 11015 SMS Gaallyde^ St. All $optic tawlee to M pmpeti and fil:ed,__.
_. Alsace-barn &nd shad •t 101475 ,f ,W, Goorde 5t. --
.AREA dS�B 4�44MyVALUE—_____�
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --
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 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 BUSINES,
State Ta147, } LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
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Approved t I'AI I'JINlY! Rereipt Nc,
DATE INSP. TYPIC INSPECINSPECTION! REMARKS PLUMBING DATE
Contractor
Permit No.
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11 Permit No.
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Curb Street Final
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-ftMPORAR.i CERTIFICATE OCCI PAW"I
Zoning Final