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8595 SW GREENSWARD LANE
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BUILDING PERMIT APPLICATION 11TTIGA,RD DATE starch 16 _. ,9 7b
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.-L -'r
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
a LOT NO.
OWNER r'nve ll�,.;uuy8 :OB ADDRESS 8995 Sw Greellawl'u.I - HOME ADDRESS $ Rt 200k N61?
�— —
ARCHITECT
�N1Af 12125 Canyon Lane fZfl. ENGINEER bon lexande k
BUILDER if��Ae ADDRESS y DESIGNER
STPLICTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL - ❑FIRE DAMAGE _❑DEMOLITION
C3 RESIDENCE ❑COMM ❑LDUCATIONAL ❑GOV'T CIRE1_IGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USF []DESIGN REVIEW ❑COUNCIL APPRCVED ❑SIGNS
OCCUPANCY�t-2 LAND USE ZONE A-2;BLDG.TYPE N —FIRE ZONE__ PLAN CHECK. BY_I- ""et' HEAT—_.
Construct duploto 2 family ch-;otling with attached garages.
r bAth
-----
Sever k'e -mit No. 15822 - ---
!?='-QA2 FW-0R_LOALL.-40---___Hfds3Hl--20 _.IY9-=Rtes-_'2 AREA2376 NO.BE4P4QAa5_ _ VAWf 54'6()2
BUII_DINIi DEPARTMENT SET BACKS FRONT '20 ?FAR 344 LEFT SIDE ZO RIGHT SIDE
Permit
7�y THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
'7 WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total /jSS� 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 4e' �' � LICENSE. SEPARATE PERMITS HEGUIRED FOR SEWER, PLUMBING AND HEATING.
TOtaI .10- •.
SU(. - #410.UO
-_--.__ PUC #2 - $120.00
BY _ ----
_..—.__—_. •-�� A A T U ii AGENT
Approved t " Ref-elpt NO. 1 11 .5 sw Canyon Ra. "
ADDRESS h�u1Nt
REMARKS PLUMBING DA-1 E
UATE INSP. TYPE INSPECTION
Contractor
ed, Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
lHou RILin-
Final
SEWER
Final
DRIVEWAY_____
Final
Storrn_Djrai�e
(Rain Drain) Final
Sidewalk
Curb&Street Final
Appruach
OCCUPANCY I F I CAT E OCCUPANCY
BLDG, DEPT.FINAL TEMPORARY CERT Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
SEWERPER. (�
3 , 158220
Unified Sewerage Agency r 1 DATE March 16, 1978
of Washington County CITY OF Ticarr D
OWNER : Benne' Homes PHONE : 644-4492
OWNER 'S ADDRESS: �12L25 SW Canyon Lane
TYPE OF IN'7TALLATION:
® BUILDING SEWER [] BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
iiF'r! ❑ SINGLE FAMILY ❑ COMMERCIAL
❑ XIST. (PRIOR TO 7- 1-70 ) ® MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 2
ADDRESS OF STRUCTURE : 9595 SW Greensward
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING, FOR INSPECTION,
PLEAS17 EFER TO THE PERMIT NUMBTR. THIS APPLICATION EXPIRES IN ONE-
HONORED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PE=R,+IT FEE $ 35.00
CONNFCTION CHARGE 1.200.00
SIDE SEWER INSTALLArION
ISSUED BY)
OTHER
TQTAL $ 123.5.00 f
•?APPLICANT DATE
`611Y8 iiF hit
UATE, SE'AV SERVICE NN:) C .
WILL W,1,4 rHTS SEW� �� �� � 11 1.•�� 2 j'(2
ADUr?r LAS OF STRUCTURE Greensward
TAX HAP �._ _ TAY, Lo,r _ SYSTEM
L O J ___.__,_,-_____B I.O C K ._ __ OF
E. T. Walden 3/t6/78 B. Rawl.Ings 3/16/78
APPROVED B Y [)AT F IS-SUED BY DA'T'E
RI'M ARKS Bldg. Permit 01969 �-`