7705 SW GENTLE WOODS DRIVE as
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BUIL''JING PERMIT APPLICATION TIGARD DATE _:. r• ? 19-_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1!,E WOFIY.HEREIN INDICATED BUILDER PHONE
OR AS SHGWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT'ONS. OWNER P ON
LOT N0.
OWNER y;y� c!3u12 JOB ADDRESS ;T":'�)r, 'iPT!t.lE? �'?VOd>i :)t".
ARCHITECT
ENGINEER:�llor & Mill^.r 319 "! uort*h, PtI, DESIGNER "Ctllll
GUILDER ADDRESS
STRUCTURE 1 NEW L.] REMODEL ❑ ADDITION U REPAIR O RENEWAL ❑ FIRE DAMAGE O DEMOLITION
LXRES,DENCE [] COMM O EDUCATIONAL O GOVT O RELIGIOUS O PATIO ❑ CARPORT O GARAGE L7 STORAGE O SLABO FENCE
OCCUPANCY _ LAND USE ZONE T_ .BLDG.TYPE —.—FIRE ZONE -PLAN CHECK BY HEAT
T! t;rtlCfi single faraily 1wcllinr, w/nttache , q frac{e
ryorrection 'sheat attached. � 3 tbndro m
SEWER PERMIT 0
OCC.LOAD _ FLOOR LOAD _HEIGHT 1 NO.STORIES_ry - ARLA `31 t) NO.BEDROOMS V,1LIJE _
___BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1112' THIS PERMIT IS ISSUED SUBJECT TO YhE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
267 F10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE AND IT IS HEREBY AGREED THAT THE
Plar Check ' _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
S 7 n 80 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
9ub•c�tal _ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
16,411 LICENSE.SEPARATE PERM,'S REQUIRED FOR SEWER,PLUMal A4 D HEATING.
State Tax `
_— SDC
Total f1p 9 6,2 11drij
PDC-v APPLICANT OR AGENT
— f:1911 - Receipt No. /viIa`�� L
Approved ' - ''/V 16-DRESS PHONE ,f
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor yO—tSZq.
Permit No.AM
Rough--n
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Fixture —
.? -?4 -S Final
HEATING
/� T
Contractor Meew Filo it-.2.2.7V
Permit No 12/ /V
Gas or Oil
� — --- —.._-- _-_------ Rough-In — --
Final
SEWER
----------_------...------ Final i% _ �,7 '
— — ----�--------- DRIVEWAY -
----- Final
Storm Drainage
---- —� IRa:n Drain'Final
Sidevaalk
�— — Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
rF.RTIFICATE OCCUPANCY
Landscaping
2o. inq Final
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