10954 SW GENEVA STREET I /
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CITY OF TIGARD
GERTIFICATE: OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PE:.RMI T *. . . . . . . : MST9 3_ 0Tvi
c,�'� {►t 1 DATE ISSUE Di 09/28/93
PARCEL: i S 134AC-05 300 A
SITE ADDRESS—. : 10954 SW GENEVA ST
r_lUBDIVISICSN. . . . c 1.1HRT' S LANDING ZONING:
BLOCK LOT. . . . . . . . . . . * . 1024
CAJISS OF WORK. 'NEW
TYPE OF USE. . . t SF
OCCUPANT'" GRE'. s R3 1�
�M,11PANC:Y L OAU 12. 30 4
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Remarks : PATH 1
owners
RENtl1SSONL;E-: DEV 1
1672 WILLAMETTE FALLS DR
WEST I...INN OR 97068 6
Phone #1 657--5,739
t.:untT".art ore -._....._....___.___..__...._._._.._......_..__................_._ ............._ 1
13E:NAISSANCE: DEVELOPMENT f
1612 SW WILLAMETTE FPI_L9 DR
WEIST I_I NN OR 970613
Phone #►c `.57--13000
l7pq #k. . . 49955
ulucupancy of the ,,above referenced building is hereby given, and certifier
the compliance with the State Of Oregon rapecialtY CoLies for the group,
ocr.upancy, anti use under which the referent:vci permit was issued.
EIRE DEPARTMENT p TNG I 'F', XTUR
BLIILDINO FICIAL
POST IN CONSPICUOUS PLACE
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INSPECTION N(1PIC-
City of Tigard Nuildin'1 Reps '_%ent
13125 SW Nall Blvd. Tiger 1, Ch-Won 97223 f,
InapdctionLi • (R•c-O- -Phan 639-41 5 B�c'•,Ass Phone: 639Y79.....�
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Inspection:_— "'�
Footing Plbg. Underslab Much. Rough-in Appr/Sdwlk
Found. Plbq. Top Out eras Lina FFNAL:
Post/Paam Struct. San. Sewer FramingSiL
Post Beam Mech. Rain Drain l:sulation
Plbg. Underfloor Watai Line Gyt. Bd. -Mach.-
Date Requested: Time:
Address: ti�� �Y��/�L� - Permit ql,__
Builders
THE FOLLOtiiiNG CORRECTIONS ARE REQUIRED: r"----�
1� �r'a
5_ -S 3 os i Vis'
Inspectors
APPR VED DISAPPROVED A: noVED SUBJECT To ABOVE
----Call For Reinep.
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INSP$4�'�ON Nom'_1.CE Z'� • �
City of Tigard Building Departmmt
13125 aw Ball Blvd. Tigard, Oregna 97223
Inspection Line (Rec-o--Pho e)s 639-5175 Business Phones 639-4171
� Inspections — --
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Tooting Plbg. Qnderslab Mech. Rough-in Aper/Sctwlk C;
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fround. Plbg. Top Out Gass Line FINAL: A
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Moch. Rain Drain Insulation -Plumb.
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Plbq. Underfloor Water Line Gyp. Bd. •1Nob.
rate Re"StW r
`".l 75 `�3 __Tires
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Address: l C SH
Pe-'Lt It
Builder: �-
i THE TPLLOWING :jRRECTIONS AR• REQUIRED:
{
1" / oI't� - Dates_
� inspeotor� _
APPROVED 018APPROVED ,- APPROVISD SUBJECT To Awvx
Call Nor Reinep.
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INSPECTION VtYrICIR
Cit? of Tigard Bnilding Departaent (�
13125 ON Ball Blvd. Tigard, oregoD 97223 • �
Inspection Line (Rer-O-Phones 639-4175 Business Phone: 639-4171
Inspections ca
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg. -
Poet/Beam Mech. Rain Drain Insulation -Pt•'Mti, a
Plbg. Underfloor QWater Linn Gyp. Rd.) -Mech.
Date Requesteds_ Timed
11 �
Addresses ll �� r ,( ��l/�AQ.II�� / Permit /s
Builders_
THE FOLLOWING CORRECTIONS ARE RIQUIREDs
czsk- 'T-':z1_:e J?,
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✓t � � ✓fit S Y
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_ 1s Inspmorf '~,— flatae 0 �q,3et
11Pi'ROV1D DISAPPROVED APPROVED SUBJECT TO AMM
Call For Reinsp.
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INSPECTION NOTICE.
City of Ti_tard Building Departinent
13125 SW Ball Blvd. Tigard, Oregon 97223(-'--k- ,... -
Inspection Line (Rec--O-Phone): 629-4175 Buoiness Phone: 639-4171
Inspections— -- _—_
Footing Plbg. Underelab Mech. Rough-in Appc/Sdwlk
Found. Plbg. Top Out Gas Line F'k'ALt
Poet/Beam Struct, San. Sewer Framing
Poet/B. -rm Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
"j Gyp. Bd. -Hech.
Date Requested �-�_Li•--� �3- _ Timet _ _AM _PH _
�}0�j .K . rw
Address:_-[�(_/ 7� � Permit I: r
Builder:_ r (- -r—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. -�_ Dater
J APPROVED DISAPPROVED APPROVED SUBJECT ABOVE
—-Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9722
Inegection Line (Rec-O-Phon,$): 639-4175 Busineee Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwl.k
3 Found. Plbg. Top Out Gas Line.. FINAL:
i Poet/Beam Struct. San. Sewer -Bldg.
' Poec/Deam Mech. Rain Dein Insulation -Plumb.
r
Pl.bg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: /'� "7/ 1VT Time: AM PM
¢' Addreess Permit "0 70
Builder:
M* FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspecfor Date: .r
APPROVED _-� DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building D('partment (f
13125 SW Ball Blvd. Tigerd, 0-egon 97223 "r
Inspection Line (Rec-o-Phone): 639-4175 Businesn PhoneV39-.;171
Inspection:
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk •
"I Found. lbg. TaPiOut_ Cao Line FINALS
-------------
Post/Beam Si nsct. San. Sewer Framing -Bldg.
7;1
I Poet/Beam Mech. Rain Drain Ins:lation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
+� Date Requentel:
;a Addrese s �/ �`+' C7 E�j//��G % Permit
Builders Lati�0
THE FOLLOWTNG CORRECTIONS ARE REQUIRED:
Inspecto : C f -
-- Dates
APPROVED DISAPc`ROVED
APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF T I GARD RE:CE I P7 OF" FlAYMFNI RECEIPT NO. a 93—,''406c)3
CHECK AMOUNT 1.03. f'r 1 �
NAME a Rf7NA I SSANCF Dl~VI;:t..OPMENT CASH HMOU14 T 0. 00
ADDRESS PAYMENT 'DATE:' : 05%28/9.3
SUBDIVISION a
E'URPOSE: OF PAYMENT AMOUNT PAID PURPOSE Or PAYMENT AMOUNT P()ID E
HUIL_E7ING PERM~ 44'j. 50 PLUMBING PERM 15°i. 00 E
a MECHANICAL. FDF 4`. 00 ST. BUILD PER 3E. ;?a
G)LAN CHECK 1=E SVi. F33 SEWER USA 2100. 00 �
clEWE:R INSPECT 3`x. 00 PARKS SDC 500. 00
STORM DRAIN 5nf G�F341. 00 RES I Df N F I Al.. T RAFF I L w EEG 13` 0. 00
MAGIS TRANSI 'r TIF' F"E'E"5 I IQ1. O0
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i_C1T e-4 IAART" S I_ANDIN(3
j' t O9 54 SW GFNF k)A
rOTAl. AMOUNT PAID 103. 6 1 t
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-CITY OF T I CARD r'r.'_.RI1IT #. . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/06/93
13125 SIN Hall Blvd.Tigard,Oregon 97.12398199 (503)639-4171
11'E ADDRE,13S. 1.0954 OW G[:'Nr.:VA S*T PORCE.L-
AJBY)I V I S I ON. . . . : HARTIS LAND INCE', Z ON T NG
;lL.00K. . . . . . . . . . e LOT. . . . . . . . . . . . .*
"LASS OF WORK. . NEW GORSAGE DISPOSAL'S). 1.
I,YPE OF USE. . . . -ISF WASHING MACH. . . . . . . - 1 BACKFLOW F'REVN*TRS. . .0 all,
]CCUPANCY GRP. . :R3 FLAIOP DRAINSf . . . . — -'0 TRAPS. . . . . . . . . . . . . . .0
JORIES. . . . . . . . ..2 WATER HEPTLIR S. . . , : 1 CATCH SA�IINE;. . . . . . . :0
I XTLJRES-------- i..AuNwRy rrmys. . . . . . .o 5F RAIN DROINS. . . . . 11
I NKS. . . . . . . . . . . .( GREASE TRAV13. . . . . . . :0
_AVATOPIE'S. . . . . :5 OTHER FIXTURIF'S. . . . , :0
FUB/SHOWERS. - - - I SEWER L INL (ft ) . . ,, . :0
WAT'ER CLOSUTSJ. - . 3 WATE.R L INE ( ft;) . . . . .. 100
F)ISHWASHERS. . . . I RAIN DRAIN (ft ) . . . . V1
remarks , PnTH I
)14NEP,
?I-'.N A I SE AN CE D E V $
1.672 WILLAMETTE FALL.5 [)R FF,R'T s 44'5. `Jto JH L15/26/93
BIJI-C fi 289. 58 JLH 1715/1 1/93 93.-
,XST I-INN (3 Fl 97068 135pc 221. 2.t3 ill 05/26/93
�'hone #c 65'7-57.3') c381)C" 00 'JI-1 05/26/93
PAIIIi 500. 00 JH 05/26/93
Ilumbing Cont rart oil,: _3_7 M[-",R'r a 4i. 00 1111-11 X15/216/93.
MPLC i 11. 25 J14 05/26/93
M5P(:,' 25 JH 1,215/26/93
:,lam e-
LID——
PF-IRT $ If-5. 00 JH IM/26/93
ELI r15PC 7.$ *75 JH 5/
0Z-"6/93
-Actc-
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REOUIRED INSPECTIONS
I'his permit is issued sub..)(act to the rlptg
Alariotis rontai.ned in the Tigard Ivl�.tnicipai Foot/fjund Insp Rain drain; Insp
+_:ode, State of Ore. Gpqcialty Codes and all. I-Dost/!.4eAm Struct Water Line Insp
otherA
applivable laws. All wuilk wil I 1,1e dc)TIO Post/lke,. m _me
(:ti a n flppv,/E;dwlk Insp
in accordakTlVe with approved plans. This Plm/l.mcislab Insp Mechanical Final
llev'mit will tbxpile if work is T-lot cjtArtecj lr-'I_.M/Un(I e r f 1 o o r P t um b Final
within 18171 days at' issuance, or if wark ts Mechanical Insp D%,tilding Fina '
�Uspr-,nded for more than 180 days. Plumb "fop o.,it Erosion Control
Framinq Insp Crawl Drain
F i r e p l Ace Insp
Gas Line Insp
I n s u I a t i on I n s p
3ciard Insp
�)utl^orized PlUMbing Z— Gyp F011yra—ctor S)ignature
GAIJ for inspection 639-- 4175
"'untractor Notes
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 00
13125 SW Hall Blvd.Tigard,Oregon 87223.8109 (503)830-4171
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-LASSUE
OF _i 413-
YPE tif' 60L : + 't.':• F'I{+.1:_J'i 1'1- •. ,..l.' J1, .w ..
YPEi OF i.:;1.iWV 1 ,- :.iIV -1 . z7 1`t R I GH1. : 14
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'r'{�r\j.2::Y�»t• i r-i.i'!.J. J a.? �• i+'I::4..1.A 1'<i::).�.. _.. ,........_ ...., _...,._.._._...... __..
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Li t i:kk 3.i
; 17 EF7 C:LLIsE T 3, . ;3 5E Wr r; {.- i iii' {f t i . : (.;F2>rr"a'_iE:. TFt►ii�a, . , . . . . alit
J8I^iWASHER!3. . « , k .i. WH`i i! , ;{',+i_ i'L"
yARBAG£ isISP. . . c 1 PATH DROTN i f't 1 . a
-XISH i k'46 IYIACIH. . , 1. is tH N i)1-6W11v!%i. . :' i
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a.�.y... _... MLIL{ lAi�i I r �.i _. .... ;, ,.•. ,. ._.._.w _ ._.._ _ ...._.. _., _.. - ! L Fes: p
' L(EL. * YPU'S. _.,_ _.. lJril i ! 'fca Ck' t vpe amc,urili, lyy' da3 1
JAS/ ! /' VLN'i 6 . . . .. ttrh l IFFY 1. 146k', 1110 JFI 05 6✓'�•.5 Y
st.X Ci�RF+tJT,:I't I:.it_. :3:1',t; F ,i'3t`. ,-i• f;i�`As k 4 •;t. 50 JH 015/26/1),_1
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L{f ! s 1PW.114 . , a�` Hl:l()Ub,. . . . . . 1; 1 LAPL C * 8A9. 3b JL.H 05/11/98 !
UF+N ) =100K +u i:. .''i:'. JI-4 IL'tl-/ f "'1 I
LuuR r'URN. . . a0 GL.t.a DRVLR::"i. 1 i'-iSDG c::60, 011, JFi 0115 L.
;: 6;;11 P". V,41165 Flit:' Ji'{
GAS CAUTi.E:TS: 1 MPRf S 4L.J. 0V- JH to /cO,/9.3
tI:IVF�X"�LFiF1i�{t:l» I)L: 115pc $ :'. c:J ,TH 05/iE:6/93
E"�.c: t�l.L!..i-?i�l�_iii � t='1��'7 x� 1 ',`3. 41y1 .Jl�i �::i,•'G:tii'�:i
%, 75 JH 40;:i/L6/9
tC:15T L. !l` N ut.
'hc,ne #c 6:5;I-
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499'.5 _. _.._...__.._ _._.....__ .,.___ __...._.. _..._. W.._.___._..__._...._.
3,(1-'1 E3. L•,I 10 T AL.
'nis persit is issued sui,<- , .. :.a regulations c+;ntaiaea ;n the 'Er) INSWL_L. l l j.N6
igwd Atnicipe.i Code, :hats of Ort. 50cinit ':a'e-: aid all ether i 00t/f•o 3.iric{ 11)" P I s'3 s,
ii:aial! taNs. All wor; Mtil be gene it tr: appreve, Post/Seam fatr+.tct Gab Live Insp ,
:cans. 'hil i;Owvt Mil i P,rpire V Irork niti lh :altf u S I'ie Am McC'ii,-Ark Ir'i.;u I a l itn I ti
:ays Of issuance. or wort, is tt.3spenc<• i irii ,yi,.+cJr :i.il:a :ns$a f Yfa )aa r ri f risi w
L..lri l + r a' a',3tar Rain cl-' a li, ,.
'trmi.tte 13, r c t / ir+c.{ ,ar,i� ��i Itisla 14LAter• +,_tne
t`-l:umra 7r.,l;t l3 tat ;•il,f,r�/�';r1wIlc , ,;
ti!3,ArxC. )'.i ? ;3 7 U ' t'34i:, {'I •s l•IAt+
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT G =-r��l, � 44. • . � • • - � ��'���
« �
13125 SW Hall Blvd.Tigard,Orogon 97223.8199 (A3)639-417l
PARCEL: 1 cr1 a�+a•�i� -•I-it_k'
NF'ME. •r . . . •
+ . . . . . . . . . . r 1 X I UFtF.- UN I;fa. . .
OF WORT—•,. . . NEW DWELLING
E (I U�iL. . . . . ::3F NO. CIF. BIJ I i._D I Pi[...
arnarkst PATH I
,5`-)0NCi ULV t:ypre ,dourit oy date rec.pi
+7� WILLptML-:TTL FALLS OR E100. 00 JH 051",1619,3
,�:� is N':�F3 '6 ,3':i. �ik�� Ji i k1,:;/ i_•. ?..
WES? LININ Ola
Phone tt: 6S7
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REQUIRED 1 fUF;PEC i I ONS
This AppiicaQ agrees to corply with ail the rules and replatY;tns ewer Inapec t i cn
of the Uni"ied Sewage Agency. The peewit e►:piree 1& uay4 from
tree date ►sued. The total aeount paid will be farreited if the
pe ek #YpIres. The Agency foes not guarantee the accuracy o° the
side Sewer laterals, IF the sewer is not located at rhe �nt _-_ _. •__-� _ ___ ___- _,____.
w given, .he installer shall prospect 3 feet ito ai ----
ua the distance gi`3eri. if not io located, thq i a:
a "Tap and Sir, Sewer" +Pemt ane the Ag
1"Sol).v t 1 r., �,^�;i,�1'F,>lt IJ i...k, / � �„�..._.,_____.._.,._•-________.-__._-_.._. ��_,.__...•,....—•._�Y.___.__._..._...�.
Cal 1 for inspect zuri 639 417:
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ry INSPECTION NOTICE
City of Tigard Building Departmant #639-417/1
13123 811 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec:-O-Phone): 639-4175 Business P p
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i :nepections
Footing Plbg. Underslu, Hoch. Rough-in Appr./Sdwlk
K
Found, Plbg. Top Out Cas Line l:NALs
i
l Vogt/Beam_ Struay: San. Sewer Frcminq -Bldg. r •
a oat/Bess Hoch. Rain Drain Inaulation -Plumb. S
rbg. Underfloor) Nater Lina: Gyp. Bd. -Mecb. B
Date Requeetedt �!✓ 1 __rime: AM PM
Addreses'' el
�- Permit �: � "UyG
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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psctors _ Dates_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NOTI-CA Oa
City o4 Tigard Buildi.ng Departamw
13125 Sw Ball Bled. Tigard, Oregon 97223 �
Inspection Line (Rec-o-Phons)s 639-4175 Business Phone: 639-4171 •
i
FI xMpeation:_ --
ing -lbg. Underslab Mdch. Rough-1n Appr/Sdwlk
IPound. Plbq. 'fop Out Gar LL»s FINAL:
lost/beam Struct. San. Sewer Bramino -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Undsrlloor Water Line Gyp. ad. -Mach.
Date Raquesteds J �� I yU
Timi��``��d�L /(I/ -7 a'I!
Address s�J S 11P-1�t'/� Permit #(1-3- 006 /
Builder• �/--�
THE ROLLOWING cORRECTIONS ARS RZOIREDs
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Inspect1pr !_ - Dates` 2
APPROJVD DISAPPROVED APPROVED SUBJECT TO ABOVE
Gall For Rainap.
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CITY
»izsswliauanwa. PLNCK/RECT OF TIGARD PERMIT 9 //15f 93 - a 2-
COMMUNITY(DEVELOPMENT DEPARTMENT Tigard.0mgon97M
(503)63"17' DATE ISSUED _ •
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JOB ADDRESS:I��S >Gt/ CJEJi`yGJG�� _ TAX MAP/LOT /5/ 3yAr� f�L7&7
SUB: Id/;A�! LOT: L� LAND USE: " 7•_�__
VALUATION:
OWNER � SPECIAL NOTES
NAME: I S�L✓��L -- �{JI��_ _ REISSUE OF: _
ADDRESS: Aal LAST REISSUE: _ r'
0 FLUOR PLAIN/
PHONE: CLf;// S—Z SENSITIVE LAND: _
CONTRACTOR APPROVALS REQU IRCD S ljt3'?-00D3
NAME: "� _ PLANNING: S/L,A2_. d� '
'^. ADDRESS: _ _ ENGINEERING:
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD : (•SS EXP DATE:
i
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: C, l�,. LIST/SUBCONTRACTORS:
MECH: %�/CC v �;' ,JS 'TAX: _
ARCH ENGINEER CALCULATIONS:
trAME: ,_,_ TRUSS DETAILS: _
ADDRESS:,, /�lS !2'Gt/ S OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
ZT� ' �Frai�lG�ti�Y�r;E=ALIC°L 7a �A�i K !V t) �iLM DC P
F r 7iilJGGliS�'fE5 �� `'72EE'7 �5 F�r?E��
-
PPLICANT -[GNATURE
7
Received By: __ ` ��CMZ Date Occe i ved: �j��
PERMIT # ACCT # Df_SCRIPTI�N AMOUNT AMOUNT PD. BAL. DUE
h1` oJ,7o 10-432 00 Building Permit Fees yy$•,v � , -)Z'
10-431 00 Plumbing Permit Fees 1yS3- �" 5,37
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5q)
Building ; •�Y `
•
Plumbing
Mechanical .2 .z)
•
10-433 uu Plans Check Fee 3ua,13 7QS-Z) O YS
Building S Y
Plumbing
Mechanical
10-230 06 Fire
SwJP - 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 1 ,S _
25-448-05 Mass Transit TIF Feces 0
52--449 00 Parks System Oev Charge (PDC) _� '' ' Soo
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _
24-445-01 eater Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) i
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nm/3587P.WPF