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BUILDING PERMIT APPLICATION TIGARD 5725
THF 11NDEIT-1 -',NFD HEREBY APPS 11-S FOR A PERMi1 FOR THE WORK HEREIN INDICATED CL':'`.;ER PHONE 642..!1,89L_
OH AS SHOLVN Arit)APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ''obert ;iow*_lti JOB ADDRESS :1340 SW Inez St- —__ a :;3- 1i 4,c3uY)- :L---_— r,
— ARCHITECT
Stein Construction 16675 Sli Spell .,an Or.. BVt'�ESIGNER NGINEER Stein
BUILDSsR _ -- ADDRESS —_— M ---
STRUCTURE ❑ NEW ❑ REMODEL_ 0 ADDITION ❑ REPAIR _❑ RENEWAL ❑ FIRE DAMAGa ❑ DEMOLITION
MERESIDENCE ❑ COMM C] EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
—� i)WFI—
OCCUPANCY �.-3 —LAND USE ZONE K"7 =BLDQ.TYPE S4'�—FIRE ZONE— — PLAN CHECK BY HEAT
=_� ---
t;onstruct FaiAly FiDout .Wdition to Sin>r1e loatnil4 DwIling.,
-
See correction sheet attached.
io Plumbing or r"echanical stork. _
SEWER PERMIT
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 11Et N0.BEDROOMS _ VALUE
BUILDINGDEPARrMENT SETBACKS FRONT REAR 27 LEFTSIDE 25 RIGHT SIDE
Permit _ 26a• K? _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 14.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
42 WITH ALL APPLICABLE CODES AND ORDINANCES. TI4E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
S (kl
._ub•total RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMIT S RLOUIRED FOR SEWER,.'LUMBING AND HEATING.
State Tax 4Z 1.1?.
— - SDC-
Total 43.12 _
--- — PDCN APPLICANT OR AGENT
By
Approved 0141d Receipt No. ADDRESS �r+oNF
DATE INSP. TYPE INSPECTION REMARKS ?LUMBING DATE
Contractor
G- � Permit No.
Rough-in
73 �t �ttGii. -_ Fixture
c' o �_ ✓/ -- Final
HEATING --
/r7-/ Contractor
v
Permit No. o
Gas or Oil
Rough-in
F nal
SEWER
Final
DRIVEWAY -
Final
S1arm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
13L.DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPA Y
CERTIFICATE OCCUPANCY 7 Er Final
Landscaping
Zone„j Final
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!1
1%
is
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Address 1300 S.W. Inez ___ Permit No. 1559 _..
Permit charge_______—
Owner _ r, Connection fee 4o0.0o
Pa; a by_.__Marys n .Panrciae_.__._._...._ _...
Type of building Residence Date connected 4-13-72
Service rate 3.00 per month Inspection
Contractor. Marvin Penrose Paid by same Da .e—__
Size of connection wl _ Ascessment -Pa-Ld_.._._,_... ._
A-V)
I
tIFIMAM
PERMIT TO CC7IVi NEcI,
Tigard Sanitary District
PERMIT N? 155,5 PATL
PFRMIT IS GIVEN To / / 1.. _ n., _ -_—_—•
OF
TO CONNECT A
TO THE SYS7 EM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DI 4CRIBED PREMISES UNTIL CON.,
NFCTION IS MADE AND INSPECTION OF C'bNNF.CTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID �.%._..-......i.....................TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
-- -_— Date --- — — Superintendent
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