8625 SW GREENSWARD LANE C,
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8625 SW GREENSWARD LANE.
Address .- 3W Permit
Permit charge __. ,"�� cn
OWnpr_ p �� �L �' Connection fe�e 00 .
Paid by S'LL,.�-�?•� ..
Type of bu.i.ldiny ` ��<<(�c._s��Q,,�' pate connected
Service rate inspection fee
00
Contractor Paid by , ._..� Date
54L2i of connection Assesement paid
SEWER PERMIT M 13908
ofWaehingtoSewerageCome cy CITY OF Tigard DATE 2-15-78
of Washington County
OWNER : _ Dale9 Const. PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLAI :ON :
'j!�BUILD_NG SEWER ❑BUIL.DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
'ONEW XXXXXACIC SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS_ __ DWEL.LING UNITS
PERMIT CONDITIONS: THE APPLICANT AGREES 1'O COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFL• ITE.D SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $
CONNECTION CHARGE 600'
SIiF: SEWER INSTALLATION
ISSUED BY
OTHER
TUT $ E125.
APPTfCANT i DATE
N ilTIC ..lAl3 CF 7'7
AJOVE DATE, EREW SE'iVj.r_
CHARGE ALL QEMA fOR r413SEWER PERMIT
" 13908
AOURL-SS OF SIRUCT0r1E 0625 SW Greensward Lane
TAX MAF' JAX LOT SYSTEM fanno creek
LOT _BLOC K oF _
APPROVED BY DATE �" ISSUE BY DATE
REMARKS bldg. '1088
BUILDING PERMIT APPLICATION CIT TIGAIRD DATEOF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT r-OR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED I!' THE AC'COMPI.AYING PLANS AND SPECIFICATIONS. OWNER PHONE_
I LOT NO.----
OWNER JOB ADDRESS �r I til i3I719t,A13['(.1 F.1 -
H�M2 20DRfiSS
BUILDER 1 II ADDRESS ENGINEER
p71 I—� DESIGNER _
STRUCTURE ANEW ❑_REMODEL _ ❑ADDITION ❑_REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION_
O AESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING — `❑CONDITIONAL USE ❑DESIGN REVIEW ❑_COUNCIL APPROVED ❑SIGNS
QCCUPANCI' LAND USE ZONE_ BLDG.TYPE— Dt FIRE ZONE_� PLAN CHECK BY HtW HEAT gas
,IIIfi . ;:air;., i t r;rniI y dualligq w/atteched gareg.o rr bedroom 3 ireth
--- — _ jarage 504
tier permit nower conn. '%600. Sauer inop. k25.
4CC.LOBQ _F1,4S?B LOAD QO —__�{�1��T 20 1991 NO,BEDROOMS 4 VALUE 4�`QEt �.
BUILDING DEPARTMENT SET BACKS FRONT 72 REAR II' LEFT SIDE 10
RIGHT SIDE
Permit --- —_ —...__-- - ------------------
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Sub-total 191•
Plan Check 10100 REGULATIONS AND AU. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLI.NS AND SPECIFICATIONS AND IN COMPLIANCE W191.00 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONIRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7.24 LIr.ENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total „I .. "
190.24
BY stw
-- ----
APPUCANI OR AGENT -
Approved _ Receipt No.
,A'.+.uw,...
I
GATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No
Rough-in
5-9' - -_ -- Fixture
Final
HEATING-
_ Contractor
Permit No.
Gas or Oil
Rough-in
Final_
--- _ .---- SEWER --
Final _
DRIVEWAY
---- ------ -------- --- ------- Final - --- -- -
-�— Storm Drainage w
(Rain Drain) Final —
Sidewalk
Curb&Street Final
Approach _
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY -- —
CERTIFICATE OCCUPANCY Final
Landscaping
C. ( Zoning Final