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8625 SW INEZ STREET fR ! � 'w► � � � ii 1 8625 SW INEZ STREET I i a Addr333 _ ; ��. Permit No. / 2 U Permit charge 22 0 Owner �.c`�� o �Ia� Connection fico �cd Paid by ll Tyre of building �2G� _ Date r_on, acted Service rate � Inspection fee S Contractor Paid LY Date Size of connection Assessment g� paid to ACDRE5S S PFHMI T NO. rj _.._._ PFRPIIT CHARGE none OWNER ' _ CONNECTION FEE PAID BY TYPE OF BUILDING e rn_ ' DATE CONNECTFU 5ERUICE RATE INSPECTION F ,--E CONTRACTOR PAID BY DATE , SIZE OF CONNECTION ASSESSMENT PAID ;jwjw 0 fa SEWER PERMIT,�f-� �.l" 13.915 0) 01 Unified Sewerage Agency CITY Uf- Tig&,d DATE 2-21-78 of Washington County -— �� F� PHONE : OWNER : L,�d:-li P. P,3, nw __. � ._ -- OWNER 'S ADDRESS: _ TYPE OF INSTALLATIUNt ❑hUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: X'®NEW OXSINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1- 0-0 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNTTS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION , PLEASE REFER TO THE PERMIT NI:MBER . THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATfON OCCUR. FEES: PERMIT FEE $ 25. CONNECTION CHARGE GOO. SIDE SEWER INSTALLATION _ ISSUED BY OTHER -TOTAL $ 625^ APPLICANT DATE A Ur: SEUVER PER�UIIT N" 13915 ADDRESS OF S''RUCTURf ___ 8625 SW Inez St. TAX HAP TPX LOT r SYSTEM _ LOT 1 '1 BLOC K OF APfrF<l_lvf=f? BY DATE ISSUED BY DATE RC MARKS_ bldg. #1896 I BUILDING PERMIT APPLICATION C(Fv TIGARD► DATE_•- i.-7L 19_ a21-31'©l26 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHCNF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ LOT NO._ r_ OWNER Laddie Pal onek JOB ADDRESS `►2a 541 Into, HOME ADDRESS ARCHITECT flame ENGINEER BUILDER _ ADDRESS 11 DESIGNER STRUC'URE x0HY£W _ 0REMODEL _ l_,IADDITION OREPAIR CRENEWAL - ❑FIRE DAMAGE []DEMOLITION 001ESIDENCE ❑COMM ❑EDUCATIONAL CGOV'T ❑RELIGI 'USCOPATIO ❑CA'APORT ❑GARAGE ❑`,'TORAGELOSLAB ❑FENCF MOND ❑PtOVING n"ANDITIONAL USE ❑DESIGN REVIEW L '-JNCIL APPROVED ❑SIGNS — � —_=--'-- y7 3 === ra :L! 3;3 OCCUPANCY LAND USE ZONE_ W BLDG.TYPE FIRE ZONE—. PLAN CHECK BY_— HEA - I,oi»C. Sil'19113 ; amily dU9111119 w/at:tarttud yaraI m __---- _:i_11 fid r f—m m 2 tint tj _ r g arta ii :illi ciewer pormit .1 :3915 Nawar Cann. $600o r. swer ionp. $25. QGC.LOAD -_ FL00 LOAp QQ ?.0 HEIGHT NO.STORIESi.�_ AREA._15R4BEDR40M5 .5 VA UEl3!� r Ih BUILDING DEPARTMENT __ SET BACKS FRONT 20 34 REAR LEFT SIDE E11GHT SIDE Permit z�lS.nI' --- - ----... THIS PERMIT IS ISSUED SUR.IECT TO THE. REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 87. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- - - WORK WILL BE DONE 114 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W1TH Subtotal 21 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - - RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACT)RS TO HAVE CURRENT CITY BUSINESS State Tax Ui,' I ICENSF SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By APPt.ICANT OR AGFN r Approved w Receipt Nu. -- AD 01 Ir>NF t' DATE INSP. TY,,E INSPECTION REMARKS PLUMBING DATE a Contractor _ _ Permit No Rough-in Fixture e"W. Vt1L Final HEATING Contractor Permit No. Gas or Oil — --- — -----— Raugh_in —--— - Final _ SEWER P� � L Firial DRIVEWAY —_ Final Storm Drainage tl (Rain Drain) Final Sidewalk �! Curb&Street Final - _ Annrnarh BLDG DEPT.FINAL TEMPORARY _ CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping I ( Zoning Final �1 3 f. • �i I; i i ( I r,j