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15690 SW GREENLEAF COURT �w 1 r- �n 0 r,n E C` h R� R, R) ,U C) C' I I ,1 y_ — 15590 SW GREENLEAF COURT ADDRE55 fS PERMIT N0. DEHMI CnHrti�E. � _�r_ gone CONNU.TION FEE O W N E R PAID BY TYPE OF BUILDING DATE CONNECTED _ SERVICE RATE 5f INSPECTION FEE --- F.1ID BY DATE -- ;ONTRACTOR _ - ' SIZE OF CONNECTION A59E. SSMENT PF ID t ' i I City of I T gard INSPECTION REQUEST for iNSPECTION TIME :Cr-.,(-M PERMIT NO.: — DATE: ? //7/777 DATE ISSUED:_.LI OWNERS NAME : ADDRESS : CONTRACTOR : /zL -� .� TEST' Air Q, Water Ll , Visual 1, Laboratory (] RESULT: Approved ,f? , Disappr( ied ❑ , Pending ❑ SKETCH.' - ? INSPECTOR DATE COTF Attach supplementoi feet data here tol p . r- .3 r LL <<n,, cv el el LO V) I l ►�" f v in D d u_ LL � I V a 4 o r- o .• U) ❑ ri I. Q a Y t' v m Q) �) r' U. N �EE ~ uJ N a a Q CI o v Q I � oogoo <aoc� c;ac) oc78 w ,y ouj Q w cl 't un v v N f- C; 1 C.l J _ � C) u c� a; F _ z m r uj ?c c ® r O r). o a a s .i a G V T, :� z P rN�{ oj f") LA h) Ln M uj cn b / Cc tLa O � �. r Q 7 may, ��1q N �j' _ E eC, x c +, p 0 in u! cr ,. tQ YuD01 O �o a a r—i ` ro iii a 0. uj I fl. = li LL. ;W71 U. _ CI.,, ns [1I fY1 6 Q `. Dh D� tlu rBLIIL.)ING DEPARTMENT, TIGAt�D NO. 1�IIH E.RE'ItN1RDt PI,.:.P,iN,,,ItIC. i'LLIMBING PERMIT —---- P. Q.GQY 1�9 holder of a valid plumbing contractors licerse is hereby authorized to cause plumbing work as herein noted to be llnspelctor ied iwho Ls all be Hodance lt fiedth enolt les; turn ha n o ioto� Tigard, Stich in,tallaUons regalia inspection by the City (4) hours I.rior to the tune the installations are ready for insp�e)ction. City ofTigard Business License regLiired -contractor S. for all contractors and sub . �� Z- — Date Addres �1-1 .=__. elt� �s��`�-' - —I PERMITRMIT NU.'S T AL Own NUMBER OF AMOUNT (office Ilse OWN)ITEMS FEE ON EACH - TYPE OF PERMIT 13�-5125.00 Sin la Fem1IY=1 bath-each ___�_— ---- 25.00 ---- puplex_-Each 1 bath unit 10.00 Additlonal bathroon t-ouch 15.00 --- -- Mobile Hume Sp_,ce-eoch ---' INf7tl____VIOUA� FIXTURE FEES - 3.00-- -- _ 1 to 50 F xturos in 1 building-eAch - - 2.0 5' to 100 rixtures in t building-eech - 2.00 --- 10i 200 Fixtures in 1 build n9-eech --- 201 or more Fixtures in 1 Laildin _.._ -.— _ MISCELLAKEOUS 10.00 Auilti nuStewer--1s50 ft. ------ -- 10.00 Sewer-eecheddltionol 100 ft, l-6.00 Water Se+vice to build;ng____. - 10.00— Private_Water Systems eech 100 it. Other 5 elfy,) - PERMIT f •U•.4. ��� _ For Plumbing Inspection Phor,a 619.4191 ! Plumbiog Contractor By State Issued Ey -- iOTAL RECEIPT NO. - r�r -- City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :— DATE: O. :_.._DATE:/�/'!�7/?� DATE ISSUED OWNERS NAME : ~ O - C- ADDRESS: LS lv ;?U CONTRACTOR : ,2Z_42G9 _._ TEST : Air G, Water , Vinuul w, Loborotory I] RESULT: Approved 27" Disapproved C , Pending D SKETCH: IN EC TOR DATE [:NO1'E : Attoch supplemental test data Loreto «_,..�.��w�.., .. ._ .. r•,-,..«<....„ .....w+�!.n*^"':.awM"' rr �w+w..n r�.+*MsN"y1R�*w'p'1.�1�'�l�r .wnc«,w7+r�..*�"�""'a.n'� �BUILI©«ING PERMIT APPLICATION 11�' TIGARD DATE -�►e'" 76 _ 19 I THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERi-HONC�`-y�,�� SPECIFICATIONS, OWNERPHONE OR AS SHOWN .AND APPROVED IN 1HE ACCOMPANYING PLANS AND SPECIFICATIONS, C LOT NO.— OWNER - JOB ADDRESS 5uA Gruianlea HO111 ADDRESS ARCHITECT ENGINEER BUILDER nn__ ❑ ADDRESS _ � DESIGNER U �- 'JAUCTURE NEVII _REMODEL _❑_ADDITION ❑REPAIR �__DRENEWAL ❑FIRE DAMAGE, ❑DEMOLITION Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO []CAR PORT DGARAGE ❑STORAGE❑SLAB ❑FENCE �❑BONO []MOVING ❑CONDITIONAL_ USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY---!—LAND USE ZONE .—BLDG.TYPE_ .— FIRE ZONE!— PIAN CHECK, 13Y----- Ab Y= _.—Ab 2:,6 Unit of Ciduo 1 As in a 2 bodriam 2 beth singie " evel w►Iit. with a cuyUlfe getSQ0 — r nor,. Qcc LUAU_----__-_ F-�.49�i.�QA1? _J 1.CaEJI._..— —NO,MffiU� _AMA—__.�.4�AAEAI�QS�M3"-- VBLUE._.--- --- s BUILDING DEPARTMENTT BACKS FRONT 1'3'4 REAR 25' LEFT SIDE `R1I11 ! L t,RIGHT SIDE ' Rl Permit 154,UO SE — --------- __�. ---- - ----=-.� �. -- ,A� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING l� Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED IHAT THE WORK WILL BE nONE IN ACCORDANCE WITH THe PLANS AND SPECIFICATIONS AND IN'^OMPt IANCE WITH Sub-,,o.31 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4•r9: _ LICENSE. SEPARATE PERMITS RECUIRED FOR SEWER, PLUMBING AND HEATING. :>raal®>r Irtir�� . Total 166,9� �.j.ZIU By APPi iCANT 17R AGEN1 Approved Receipt No - AcI�RF. i%/7�. wd-iaJ 16 G,ae) /a 8) 4�116,