10275 SW GREENLEAF TERRACE-1 rte:, <�
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10275 SW GREENLEAF TERRACE �
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ADDHSS PERMI-, NO.
PL'F.IIIT CH,`,RGE rone
OUNIER CONNECTION FEE
PAID BY
IYPF OF BUILDING DATE CM!NIECTE0
SERVICE RATE IfJ5PCCTION FEE
CONTRP(JOR PAID BY DATE
517F OF COWNECTION ASSESSfIENT PATO
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CITY OF J]GARD
'c A.,; OREGON
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T.D . 1049
Owner:. ............1• . ......... —Permit No....._... ....
Bid)(ling Address.....l..0.279...S.,,...G..r.e.en.le.a.f...Terrace Lot...J1257
Certificate is hereby givurl this......?0......day of.. .�sY.......... ........... j(4_77
that said building may be occupied and
that it complies with all rn(juirements of
the Building Code for the City of Tigard,
as appro.,ed by the Tigam City Council.
; > t .....
Building Inspector' ...... ..
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Al C., A. A
JOHN E. REINitti10f PLUM511IG, IhC BUILDING DEPAhT.A4ENT, TIGARD
P. (), 80A129 NO.
NEa'i3ERC, ORCA 91132 PLUMBING PERMIT
holder of a valid piumbing contractors license is hereby
authorized ,o cause plumbing work as herein noted to be instEilled in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspf;L;tor who shall be notified not less than four
(4) hours prior to the time the Installations are,7dy for inspec'.;an. City of Tigard Business License required
for all contractors and sub-contractors. ,t•,,-,e ,j!��J
Owne>' s,r. � t�' �/CAddress G,' lam' ' e-e l—rr X ''
NUM13ER OF `TOTAL PERMIT NO.'S
TYPE of PERMIT ITEMS FEE ON EACH AMOUNT (office Use Only)1
N T IAl—_.
bin le Family-1 both--each `�' 25.00 S•CSO _
DupleR—Such 1 bath unit _ 25.00
A Mitlonal bethrooms_each 10.00 U 0o
Mobile Home Space—each 16.0) _
INDIVIDUAL FIXTURE FEES__
1 to 50 Fixtures in 1 building--each -a_ — 3_00 '-
51 to 100 Fixtures in 1 building—each 2.50
101 to 200 Fixtures in 1 building—each_ _ _ 2.00
201 or more Fixtures in 1 building—each _ 1.50
MISCELLANEOUS
Building Sewer-1st 50 ft. _ 10.00
Sewor—each additional 100 ft. _ 10.00
Water Service to b_w:ink _ _ 5.00
_Privete_Water v stems—ear_ 100 ft. _ _ 10`00
Other (Speclfx) --
PERMIT '� .–vC� For Plumbing Inspection Fhone 63.94191 -7
3% state G PhArnbing Contractor By
TOTAL , JC RECEIPT NO. Issued Ey l
BUILUNG PERMIT APPLICATION CI Y TIGARD DATE_ 9-14�_ _ ., ,976 �`?
639-3101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN "THE ACCOMPANYING PLAN'S AND SPECIFICAT ONS OWNER PHONE__
LOT NO._�.^._.
OWNER •_ ��� —JOB ADDRF_SS 1(,? 11_' all (JTG�R�QaP HMEFAIDDRESS _
ARCHITECT `—
dl?i ENGINEER
BUILDER ADDRESS _ DESIGNER
STTUCTURE ®NEW ❑REMODEL ❑ADDITION ❑REPAIR --ORENEWAL _❑_FIRE DAMAGEf� ❑DEMOI ITION
49R--EttSIDENCE UCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑P^TIO ❑CARPORT ❑GARArE ❑STORAGEL33LAB []FENCE
LIBOND_ ❑MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW _ ❑COUNCIL APPPOVFD ❑SIGNS_
OCCUPANCY _LAND USE ZONE_ BLDG,TYPE1 NE_ PLAN CHECK. BY _ HEAT_
i"t 1. O a Un Tam townhouse ouse Gonl a 1''�s� 1280 84.r' _— :.!il tlilf3 ( lC;1GalC
u. � I-a�—T�i� roome nd Job #6257
QGSe�L4.91Z,-----t.ln;nE1 LQBp_. _.11�l�tNs—_—_ NO.STORIES 1 _—AR 230 Nu 9CD�OQMS 2 _.YA. 279 9Q_79
BUILDING DEPARTMENT SETBACKS FRONT InIoRin REAR 14 0oln LEFT SIDE COINNR144GHT SIDE " lrel
Permit 1" _ — ---- --=- ------ ---- __ —.
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGUL.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANn IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE PSSUANC:E OF THIS PERMIT DOES NOT WAIVE
aESTRICTIVF. COVENANT. CONTRACTOR AND SUB CONTRACTOi7S TO HAVE CURRENT CITY BUSINESS
State Tax '" ` LICENSE. ,EPAH4►TE ERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
— r:rlIr-t' .d(
Total — •— �
By
-----
APP" ANT 0A AGENT
Approved Receipt No. .�j\
ADDRCSS w-- -- P110NIF --
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41-7- 96
94
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