12575 SW GRANT AVENUE-2 12575 SW GRANT AVENUE
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BUILDING PIERMIT APPLICA FION TIGARD DATE----4s:il_.W_-_--.. _,1e_ftb 4$18
THE UNDEHSIGNE.D HEREGY APPL-IES FOR APE RM I I FORTHE WORK HEREIN INDICATED BUILDER PHONE 639-1312
Oh AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT SNS. OWNER PHONE
LOT NO.
OWNER .•ir. tiob ''iUor____ JOBAD_DREGS —
ARCHITECT
ENGINEER
BUILDER I,chno h'at�. bld. AODFgSS PorLlsud, OR - _ CESIGNER _
STRUC,JRE O(NEW ❑ REMODEL ❑ ADDITION ❑ REPAIH ❑ RENEWAL ❑ FIRE DAMAGE P CEMOLITION
❑ RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CARPORT LIGARAGE ® STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ .- Ll LAND USE ZONE -_8-3 __.BLDG.TYPE _-�L-_FIRE ZONE----PLAN CHECK I3YE_PW HEA _
_.-_, _ '`:gtlU +►c[ k X .'4_is ~l 4s lie --
_ Y6QULCCttlk`I1CS. JUtlJltlk. Or
:j,�'..-.I�_---
;.!'.L ijac s showii on approve Plat:.
SEWER PERMITk --
OCC.LOAD FLOnR LOAD HEIGHT ^_NO.STORIES AREA, _ NO.BEDROOMS - VALUE 1.0( U.
-_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT_SIDE RIGHT SIDE
Permlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 1.iii WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL AP"LICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 2t,,,)0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax *70
SDC -
Total 2 l.5b --
-- -- - P7CN APPLICAUT OR AGENT
By -..,— -- Receipt No PHONE -
App�-)ved LTW ADDRE98
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DATE INSP. TYPE INSPECTION — r REMA—RKKS�—�- PLUMBING OATS
u y i /.rte Contr ctor�R -
y _ Rough r
ough-r .
Final
— �— —� ---HEATING
Contrarror
-^ — Permit No.
Gas or Oil
Rough-in
---' �— Final
- REWER
—�- Final _
4 — DRIVEWAY
Final
T Storr,Drainage--- —
(Rain Drain)Final
--— _ --_ Curb&Street Final
Approach
t3LDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANFinal
CERTIFICATE OCCUPAN'_ f
LandsLRpl,ig
._._—_____.L� •—_—_�. 2onfg Final
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ORAL-RJR
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT M 648 DATE i - .2
`! l r-
PFRMiT IS GIVEN TO
OF
/ Y
TO CONNECT A ,! `�._� �._" _(f t,...,. a.ar.,l✓y v A
TO THE SYSTEM OF TWGARD S%NTrARY DISTRICT -»� r
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ;._ :...........................TIGARD SANITARY DISTRICT
BY
CONNECTION INS"ECTED AND APPROVED
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Tax Lot 2 S1 2 BB 1900 23-10 Nor-tlh Tigaruville .Addn.
Assessment 925.48
L,-ter31 65.86
991. 34
Paid in full 5-22-61
Address 7 Permit No.___
Name of Occupant__( �i, ���� + Permit charge
Connection fee 2 U 0.
--- - - - Paid by _�'�'"
Date connected
Type of Building _ Inspection fee��� -__
Service Rate----------- Paid by/V��WZp, Date
Contractor - _ Assessment. paid
Size of connection