8635 SW INEZ STREET 8635 SW INEZ STREET
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-,rldr as B 3S Permit N10.
Permit r.harge2
22
Connect-ion fee elle
Paid by
gate connocLed
ry i r i -D Inspection Fee
n t ra r f,--j r Paid by date
i -,P- or c;-)nr,,.,ction Aosessment Paid
lyes �,d ✓ i � �� /-1/7 If.
SEWER PERMIT N9
Unified SeweragdAgency Ticprd DATE 5-12-78
o1 Washington County C I l Y Of
OWNER : Dale Const. _ PHONE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
x,Q(;BUILDING SEWER C] BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x 4,j< NEW xfxj-SINGLE FAMILY [] COMMERCIAL
[] EXIST. (PRIOR TO 7-- 1-70 ) ❑ MUL'T . RES. [] INDUSTRIAL
FIXTURE. UNITS__ DWELLING UNITS,_ 1 _
g 4� -t�'
ADDRESS OF STRUCTURE : • V7" SLI Inez St.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED Sf'WERAGE ikGFNCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE--
HUNDRED ,',ND TWEhiY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _w B. Greene
ISSUED BY
OTHEP
TOTAL_ 7, 626. ---_
DATE
L.I CANT
SEWER PERMIT N? 15899
ADDRESS OF STRUCTURE SW Inez St.
TAX MAP TAX LOT SYSTEM fanno creek
LOT __BLOCK _ _ OF
Fj-12.-7
i APPROVED BY DATE ISSUED BY DATE
I
0. U. ' S 1 REMARKS bldy• #2092
" 3;,�"I"...� ...�.r���`._..._..., +wr�w.r..�M,....r_..�u•ly.:r� w�/�.t_r•_r rte♦ •r�-+rv._._�,.r,.M.
BUILDING PERMIT APPLICATION ATION IIOF
T' TIGARD DATE- `
(HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK H-'REIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONF G _
LOT NO.
OWNER 3`i • JOB ADDRESS Slid r nu z 5t. HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER AUDRESS DESIGNER
STRUCTURE ANEW ❑REMODEL ❑AOCITION ❑REPAIR ❑RENEWAL ❑FItIR--ttEDAMAGE ❑DEMOLITION
[] RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [-]STORAGE❑SLAB ❑FENCE
❑BOND UMOVING ❑CONDITIONAL USF ❑DESIGN IIEVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY__A LAND USF ZONE BLDG.TYPE_ FIRE ZONL 'AN CHECK BY' 3�i' HEAT_ �I F
y dw*llin , w/attached y®raWe hbidro�am 3 loath
2CC._1+S2A.2__ _.__FL4.S1H_14A.�_ t1_ HEIGHT20 _d4.SI451F�—. ARFL 1 «U Iv0..9ED894M __
BUILDING DLPARTMENT $ET BACKS FRONT REAR I.141 LOFT SIDE 21 RIGHT SIDE
Permit '.,18 7.017
THIS PERMIT I5 ISSUED SUBIECT TO THE REGULATIONS CONTAINED IN THE BUILVING CODE, ZONING
Plan Check 0 3.r. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A4D IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT NAIVE
48 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7• UF.E ds:r SEP$FAf5.ERMITS REUUIRED FOR SEWER, PLUMBING AND HEATING.
Total 281,96 FI Ci.C• #'7 #100.
BY
APPLICANT OR AGENT
Approved LW Receipt No.
r)
DATE I:ISP. TYPE INSPECTION REMARKS PLUMBING DATE
Cor tractor !
Permit No.
Rough-in
Fixture
-Final
HEATING
Contrac�Of _
Permit No. 2 Z
Gas or Oil
Rough-in
n
Final
/ — SEWER
Final
DRIVEWAY
r—� Final
Ston Drainage
(Rein Drain)Final,
i --
Sidewalk
Curb&Street Final
Approach
BLDG.DEPY FEM
INAL TPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ----- —
Landscaping
Zoninn Final
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