11334 SW IRONWOOD LOOP 11:34 SW IRONWOOD LOOF
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Add permit No.
Permit rharge
Qwner r-, Connection t* --e ll
Pi.id by
Type of building 2- - ._ _ Date connected _
Service rateK' Inspection Fee
ContractorPaid by Date--------_�..
Si LG of LWIMEction _ Assessment paid
7 7 y ? o yb
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11334• .SW...IronW
t glLilding :�ddreS5 . 19..7.?. ;.
11
day of....F.ebruary....... .
Certificate is hereby given this.....-
! that said building may be oceupied and
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that it omltlies ��-ith all rFquirements of
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the Building Code for the City of Tigard,
1J as approved by the",rigard City council. )
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Builtiitnc inspectur
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City of Tigard '?
INSPECTION REQUEST
for I
INSPECTION TIME: PERMIT NO. :
DATE: 1 .,r DATE ISSUED :--J--/-
OWN E RS
SSUED :_._.1_L_OWNERS NA`aE : �f�2 1
ADDRESS: lL. &3 sf
CONTRACTOR
TEST : Air p, Water[] , Visual Laboratory p
RESULT: ApprovedVisepproved C' Pending p
SKETCH.
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INSPECTOR DATE
FrTF. : Attoch supplemental test data beret
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City o" T'gard
INSPECTION Rf:', LI ES T'
for Ij
INtPECTION TIME' _ _.___.._____ PERMIT' NO. :--
DATE.
O. :DATE. ZLZLL,�i DATE ISSUED :._.._L.�
OWNERS NAME : -
ADDRESS: %l .'3 y J,�� .� ���____
CONTRACTOR : L,5 4,1 __ r`' ____
TEST' Air p, Woter [I , Visual 0 , Laboratory a
RESULT: Approved M , Disapproved C Pending []
SKETCH: w
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INSPECTOR DATE
NOTE: Attach supplemental test dnta beretp� I
UNIFIED SEWERAGE AGENCY NO. _ 10657
WASHINGTON COUNTY DATE 29 , 1976 _
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: .__-- Monogram Homes --_ ----
OWNER'S ADDRESS:
STREET
CITY STATE 71P
BUILDING SITE: LOT.-.129-0-_ BLOCK -..---. ____ ADDITION _
TAX LOT NO. _1/51.-.34.AB_______ TYPE OF OCCUPANCY __-
A D D R E SS _- _ !_-/-:f - i__h=:� c!
DWELLING UNITS _ FIXTURE UNITS
SURCHARGE IF APPLICABLE____._..____
PERMIT FEE ..._575.00_ INSPECTION FEE 25 .00 TOTAL DEPOSITED ..600.00
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and r,�gulations of the Unified Sewr.age Agency.
APPLICANT ------C9_ _ _
-- ---- -- _
SEWER PERMIT
THIS PERMIT A!+THORIZES CONNECTION TO THE SEWER SYSTEM.
LINO ^IZE .___-__ __.... -________ INSTALLER
RECEIVED BY.
(AGENCY OR '1'S AGENT)
COMMENTS:._ Building Permit _#1095
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
_._ __ -,..,-r..�....r.,nm-�+^'.vtw�s7a^•T.*•Mlu�.�r�r.�....,rh.,.n-•..n...-rn.,...,.-•.-,�,,. �.�.,-�•+w►'�ew^•-+`+'.+T+"^•-"'�i'v""P
BUILDING PERMIT APPLICATIGN 11T TIGARD DATE 8•ept 2,-h- 19—
OF
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THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWry AND APPROVED IN THE
ACggMP NYING PLANS AND SPECIFICATIONS. OWNER
.P,HON�97
LOT►�O
UUUCLk1I;i kivI (!SJ AJw — _
-
OWNER JOB ADDRESS HOME ADDRESS
11E1 ARCHITECT
ENGINEER
BUILDER .•��yy ADDR_ESS "" ' DESIGNER
STRUCTURE in NEW ❑REMODEL ❑ADDITION _ ❑J IEPAJR ❑RENEWr-�AL _ [:]FIRE DAMAGE ❑DEMOLITION
Q RESIDENCE ❑COMM COEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO QCAR PORT UGARAGE ❑STORAGF❑SLAB ❑FENCE
❑BOND _ [-]MOVING ❑CONDITIONAL USF ❑DESIGN REVIEW DCOUNCII-APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE. BLDG.TYPE---F IRE ZONE— PLAN CHECK BY- HEAI-._-—�
uo;. .1. �jingle 1�amilq Uwellin;; w/attached y� ►raKe
Tax Map 1S1-34AAK 8 ;l Itedroom 2 liatil
---- Gar -- 480 eq. '
---- T R q
UCS', LQAp,_ NO STORIES AREA NO.8EDR4gMS VALUE
BUIL DING DEPARTMENT
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– SET HACKS FRONT � REAR LEFT SIDE f� RIGHT SIDE
Permit 13:1.01) -
- 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
-- WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI TH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
J RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SFWFR, PLUMBING AND HEATING.
Total '
By F, W.
- _ APP' "ANT OR AGENT f'
Approved Recellil No I ` .. '
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