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10613 SW KENT STREET A � � ;Irr � 5� ;�•t sr> r f ` s � �X 7 4 i I I r h„ y w ... :m -. t' _ ,..,.ten..,__ •. �,.,.,:,,... I PLUMBING PERMIT 91 137 PERMIT #. . M : PLM 7 ° 'OOCOMMUNITY DEVELOPMEMT DEPARTMENT DATE ISSUED: 07/; 9 r91 131.26 SW FWI Blvd P.O.Bar 23397,Tlpwd,(„49M 9f�fld*A 76 S ITE ADDRESS. .. 10613 SW KENT ST PAR(7EL.: 2S 1 15AA"0. 700 SUBDIVISION. . . . : DSVER LANDING NO. 2 ZONING: R-•4. 5 � BLOCK. . . . . . . . . . . LoT. . . . . . . . . . . . . :76 CLASS OF WORK. .:NEW��- ^-GARBAGE DISPOSALS. . : MOBILE HOME_ SPACES. : TYPE OF USE. . . . :SF* WASHING MACH. . . . . . . : BnCKFLOW PR,EVNTRS. . : 1 � OCCUPANCY GRP. . -R3 FLUOR DRAINS. . . TRAPS. . . . . . . . . . STORIES. . . .. c WATER HEATERS. . . . . . ' CATCH BASINS. . . . . . . .. F I);TURES----._---- -- LAUNDRY TRAYS. . . . . . : 5F RAIN DRAINS. . . . . : SINES. . . . . . . . . . URINALS. . . . . . . . . • . . GREASE TRAPS. . . . . . . . a LAVATORIES. . . . . . 'ETHER FIXTURES. . . . . : i'I.JB/Cif )WEBS. . . . : SEWER LINE (ft ) . . . . : WATER i.:LOSETS. . : WATFR LINE (ft ) . . . . : ■ DISHWASHERS. . . . - RAIN DRAIN (ft ) . . . . : Remarks : INSZ—AI_I_ BACKFLOW DEVICE FOR LAWN SPRINISLE'R Owrier-: ----- - ---_________.___---.____.___.._____ __._____._.____.___.__ FEES MURALT type amount by date recpt 10613 SW KENT ST PRMT $ 1.5. 00 BCR 07/29/91 0 YCT $ 0. '75 BCR 07/Z29/1)1 0 TIGARD OR 972'L'4-•0000 Pti o n e #: 000--000-0000 Cont rac°t or^: OWNER Ptl cane it: 15. 75 TOTAL REQUIRED INSPECTIONS This permit is iss:ed subject to the regulations contained in the Final Inspecticn Y Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. F41 work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if wurk is suspended for, more than 180 days. F'e r m i i t e e i n��t _r r e Isst.ked By - Call for inspect ion - f '9 4175 t j 1 n, i n' ,L r ■ d�y N i.:4i:i. +�.�..w._•�..rw•.r•.+e,....�.•._��._•.._�--.+_n.ar.�....,. �._r_.w_+-..r..._.r___a_U.ra..�r 4 CITY OF T I GARD RFC E I PT OF PAYMENT RECEIPT NO. g91-2'11,5795 CHECK AMOUNT 11.x.;. 15 NAME x (dIJRf;L'. , DORIS CASH AMOUNT r. 0. 00 ADDRESS A 11"06 t.3 SW KENT STREET PAYMENT DATE ti 071",-.'9/9 t EiURDIVTSION c T I ii('PD OR 97c-L-4-4413 PURPOSE:' OF PAYMENT AMOUNT PAIL) PURPOSES OF PAYMENT AMOUNT PAI1) �'LUM I NG PERM 15. elo IST. BU l k..A PER 0. 75 f I a I i-i_1.111.1RING PERMIT PE_M'91- Qi 137 TOTAL. AMOUNT PAID — — —> I F,. '7 LB 1 i tl' Tip - 1 t. r 1' j r5 v �w o �w,y�� •• � �Z'",��,�,,.w'.. .M+.�`,i�z�,�w,`w•'4,y� .��N,��w g,. M M Mti/�/� jn ��y�V��.�_'/ ^r'�,•G��.''`•� I `'�.��.bs''���`��.�"����y?a,�cw' ��'G'�','�'"'hti�"3s'�'{`a* 'ar� r r;��' ed���r�:G\Tx/,�Yi�;'"�'�`„�e�.kyy�,f' "� r;�l�•� '+tr11/ 4•��^Ilip,�'ry�yre4 x4k �;I n�_itJ•ri�...�'{" .,:.,r;P�lrlV:r" ,�rer��'r.r•����U�.R-�'�t�;Vi•"�i��J,�.iS:eaI tiitRlb+cf llrsar�+.'+�.,1i.!. ".:11I}II+tiAry•'1.�+.�af r2�'y° `�F�"" �ie Ak�+•'°�'a t + .n.��pp•,'ow.n,1W, i, e Q,;? R ,_C'��•� �. .�s., d-�•� ��..� rr �*,«wM. ,�. ..� � Chic �7 � � i �� Rte t V�..?? Ln Cdy. r�g rn rJ i ll0 y Cl � 4 .y i J o pl, a 0 o \"W sl t gyp, 'b u 4 w V h a o go ` f v; U { c --- U► 9 .� ti qf, t'O'' f N 0� t' , rN N UO Q1 rn N M {y t+r +� ►�i n ] p '� to � •� 'iJ �� 1.s t �. to y y tC �� `S•E r y U ftS I 't rt Ln r- b u o y Cd 4 O U ii x R f e+� + AR( tTM U ."' f 11 J.17 .. iF� ��t' •tt'��:'M� �' :N1(�6 ���,. �s�� !� ' Fnt� •��rp�py'q�•p� � �t. i'RI�IM,� <,? ��� t�/ 'G41 ,� ' f�'�.�.� ,�.. �erFt''�e�;'R� R�Mi x b.�' t•F•".�?,'��"'lr. �.*�' 4{� �r � h, 1 1 1r'a INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 i Typic of Inspection Date Requested �s1/1 Time A.M.— P.M. Address / �) l L CQ`J_- l _ Permit # aj 201 — Owner �'" �' � 7 '-I _� Lot # BuilderL�� / [ � r The following Building Code deficiencies are required to be corrected: �,��e�,W ��ok{'�`«i w _ ,aE'c%✓i�F' i�rs�/� r� � t�Fes'-tic-!�-��'4 i✓c 1 _ X17 r f ACC ces S {t Mr=�1V. Ya Ln \ t t. <y� X34, ✓s v -Y- 1'O 1 ) L3� �f - - 114 ✓-C S7 Z 3 Presented to _ A Approved / ZZ 7— C _ _.__— Disapproved Date CALL FOR REINSPECTION L� YES I_J NO e, ' �! � ,°jdh�i•Y•��.'iii' ' rti r.&°a� 7 1 I .!f ,..-.-..,,.._.,.., ...3 u -..,... .. ....,-. •...,.na.•a+�'�..a,r,uw,wnwr.�...,-.rwn.. n:..w..:.-,� .. ':.. 13 CITYOF TIVARD tJ:I:I...IJ1:NCa F?1AN:1 L T' GITYOFTi6ARD r-�E:r•�Ma:'r NO.. li)ti1)(:�i'()1.J. I I OREGON y COMMUNITY DEVELOPMENT DEPARTMENT 1 13125 S.W.Hall Blvd.,P.O.Box 23397.Tinard,Oregon 97223.(503)639.4175 I:)A"T'(: :I.!:i�:i l.lf::l:): :I.0/�:28/001 V.... .J(J13 A171?IdIz:15':i : 10&1.3 5W KI::N IF 5 1 t i2s:1. 13AA '3700 E)IJ is DOVE.'A L ANE)TINIC., I AND USE : 1�l/I . 1-01 UG•lt...l.)A 1"t.C)N: v' wi,la 98 GE:'T'BACK5 i PONT : 20 REAP . � ■ WOPK CI...ASS : NLW DWr.::l...L. .tJN:L,rS : 1 LEFT . 5 1111:(:,1••1 T' : ! USE: 'i'YPE:: SINGLE: FAI1II-Y NO . E)E'IJPOOMS : ;'f EXT.WAL..L. CON�-11' . 3 (.'ONG'r . 'T"YPE: VN NO. I:)A'T'H5 : e N: y OCCUU) . (. Nr? . : P3 1:44 I1 . OPENINGS: ■ } (7C(:ItJ�' . I...OA17 IN: 5 : E. . W TOTAL. AtaE:A :1.1399 NO. 51*014:fLS : R :1.51, . :1.476 ROOF UIN!Yr : ''2N1:): 12'a APE'A 5E:G1AP'1 PA'T 1:'C): BASE::ME::N'r7 OCC UFl . SE::1„4A1"d'1 G2A'T'E I:): ! ME:7ZANT NI:':'7 BASE.Mr � F-1».0014 1...OAD: -10 GAPAG;E:: : 1100 F1 PE: !JiP I(L.Fa'1 AI_.APM'7 YE::S _ d Fl::'I...AN CHECK EIY : PJ t. f)E::MAI�eK'a OF" NO . 1 LAST 14)1::::1:(5GUE. O I•"E:E.'S:: . W (JAY P1?'.11:21vil:C'r $'.585 . 00 } E p . 1:1 . DOX 2,329:11. PL.AN PEVIE:W $2.50 . 2:'i I R r Ct.",Afaia 0P 1TIRE.: LNi:1:11 !si1*61 : TAX $19.1?!15 — ta'rl••11:�:r l 1 I r.)r-uL::L,C) 4ME:N r r.:hl�iwraE:!; N M:I: L. 1. .li:.l:d %JAY rl:)(: ( t rOpm) Zi 1150 . 00 T ,JAY M1L..1. ITI-a I:MIL..L)F.:.I»! 51'.)C;f E.h l I w.h:'1') $600 . 0O A 13 . t3 . I.R0X 2..3i:191. G'17C;0114.1 ) 41 50 . 00 T 111'4APO ON 97c'.23 PREPA:I D < 111:1.00 . 00) O 1•4.11ONE:: (:1l03) 6f:1,q R c;'T'GaA'T NCI. :50:1.09 TOTAL :AL.. : 101. ,6!-5A A. 50 i This permit Is Issued subject to the regulations contained In Title 14 1 EL:E:::RI' NO. 7 i. of the TMC. State of Oregon Specialty Codes,zoning regulations »» » — »»» »»w»»»••.. ........ and all other applicable codes and ordinances, and It is hereby pj::(;It.11:pL:,j) C)NS agreed that the work will be done In accordance with the plans and 1. 001 :I:NC: tSf::W1:.P N specifications and in compliance with all applicable codes and ordinances The issuance of this permit does nut waive restrictive 1' (JLR•11'1A'T ION WALL. PAIN D1;'IATN5 covenants Contractor and subcontractors shall have current city h'(:)C„'i T & 1•:111 :AM WA'T E:1:a I_.:1:1dF: j business tax permits.This permit will expire and become null and PLO .UN17EPU_AI:) C:: FY APEINCH/15W void If work is not stat,e,j within 180 days,or if work Is suspended or Evil_A1:3 h'INAI abandoned for a period of 18C days any !Ime after work has commenced.It shall be the responsibility of the permittee to assure I•?I:..E) . T'(:11�'(:)l..l T' all required inspections are requested and apornved. F!34AM1'.N('d V-1-A15 1.. :1 NE: -If(ICA&YAN Permittee SipgM GYP 1.4()APD Issued By —__1',�•.. TON 46:59 /117:1) SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Ij;, 4 .::.c:; e,. .,R�,C..-ar �,..� :-�y{�yNjy��,NiirlWiJew,�,...,».. '_."... ...,. ..,�,..,,.,,,,. ..._.... ..._. _. _......... _...•, \ ''iE:WE:P IAF: NMT'T' ✓ CITY OF TIGA RD YOFT 1-1:PM:L'r N(7. SE:E3tlr.'.0'1t3 CI1Y OF TI6A RD )21004 ' COMMUNITY DEVELOPMENT DEPARTMENT \ DA1 Ei: :15 50EU: I. P8 i U-I 13125 S.W.Holl Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-0175 ��• ..IC)E! ADIJ1'dEi:':�!3 : 1.a rw 3 SW KEi:N"r ST USA NlJMi31s l "TAX MAP 11-01, F'.!�'1. 1.;'.'rF1F1 :3700 !aUB: DOVER LANDILNt,: I_.T' :'7F.� F.IK : � 1_t•'NNla USE ; i SC:a".'f:Ct'lN : 1."i 1 Wt::, : las:; !'1Nt:v: iw , Wt:1Ft1< CL,,1,0:;�; WKW T'YPf::: CiTNGI--.r:: s TFt�,t ;,t.l:��aac:etnt, +RJ:Ji4:k;t!a 5.c c:'cslr,rta.t„t wa.t,lt c+tl.a. rtla.ec�a atrlrl rri{;Is�l.a►.t.:Lc►nsa cadJ 1,110.0 l.Jrt:{.i':Lr�tGl �I !sr�wdrr••s.4;14" (§cdr�nt:��•� . 'T'I.1rt� pr•••�r•sna.t, �;�xNi.r•rr<tta 'Li•'{) ca;n.ytis 1'rcatn tl•1tt <aatr,4s a.tatat.tatcJ . T'ht+i! t,ut.ca1. at m ca u n i, Nat a.cl w a a.a. Lt Fa I'c.• I'rs a t.Ea ca j-41 t.1.10 Ia F..r m:1, 4 e'a x la a.r �e to . T ht ea A I:1�,>r1 c +� ca rt w+!a n ca t �)s.t 6r.r..... m.ntr;+r,1 the la.r::c'c.tu fi r.1.1 F;? a15.7w4tr, �.att,Fr.r a+:l.ta . Ti' IIIA-106a tace.wanr• lir. i ttu i. 1 ctc.ar."ttt!c.l at 1• i•I1Fa mF:•itu.!r+u l +mcert t, GI:i,vrY+tt , t h1Fa a.rtta tart.a.c;sr taFlata.a. Tyr tat+;l:lFttC:t, I'qe;tt. 3.1-1 t:L u n to h r u In t•h 1 ve cl a.to t a►.rt c ca I,J:f.v e�rt . 1:i' 11 ca t, tau 1,a 0 at t em cl , t h e� i.rt us l t at 1.1. Tat{a l+tlicl !a:LclF; !a F;+t»•...r" H F:rr m:1 1, atricl 1,I'1ae 6gPricry w:i a:1 :1.rtti+ Lia.1 a. at :1.at.t,cir•iit1. . I l TNG TALL - ryPk: : 1)t1,C1..1:):r.Nt,; '51EWl'::F'I :LMF+!'PV1:(AA APE A: � i TX'T'Llfdi: LJWE T"!:i : I I:i 4AN'T' TME�f•T(:)VWi:MIi NT ; DWIFI...L..:I:NG UNT 1'I:; : 1. n F F.-.:EK 5 W M:I.L..i..li:il JAY h'6::I�AIA N135 . 0O N ('ONNI'. *.' T(�N C:h•IAW( F' *1 , 1.00 . 00 E 1:1 . to rat:)x ?.5 '7 1. 9 ' T•7(:.rli;D OP i..TN1: 'TAF J:N!�TAl...L.. OTHEP � c 9 N MTL..IAEW JAY T JAY MT1 I...E P Icl.):CL..DEiad R A I:t . ct . riC)X r!:Kc?91. c T"LGAAD glia 9'7PL13 I 1 o Tei"It:INE (,503) 684••~7;:1i1:3 R F+rtaTST' t• '1'1 ]N NCI . '3O:LO°;t T(:)TAI.. •i , �3:�.aa This permit is Issued subject to the regulations contained in Title 14 K7E:C.:1 N0 . of the TMC. State of Oregon Specialty Codes,zoning regulations »••--••»•"•••»••»•••~» •»•-•--»-'- ""'-~"'" - tt and all other applicable codes and ordinances, and it Is herebyE {a{J1:F2L::1) ENFakC:T EIINS d agreed that the work will be done In accordance with the plans and W 01-JI IA-1.N specifications and in compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive covenants Contracto+ and subcontractors shall have current city business tax perm.i-.This permit will expire and become null and `? void if work is not started within 180 days.or If wol k is suspended or abandoned for a period of 180 days any time after work has commenced, It shall be the responsibility of the permittee to assure all required Inspections are requested and approved. Permittee Sig er•• ) Issued By - t I til! 1,WiPE:C;1 :1 ON 639 4:1.75 SEPAR#4TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE • — ai, I•�L.UMD]:NG PI;:'AM1'T CITY OF TIGA RD CI ARD 1"'f?:fTM:1:'T' NO) . : FAL-082056 oaooN r, COMMUNITY DEVELOPMENT DEPARTMENT DATE: :I:SSUISO: 1.01f.,N-)/88 13125 S.W.Hell Blvd..P.O.Box 23397,Tigard,Oregon 9722?.(503)639-0175 I PR+m 90114'.Will. ' 10FE ADDRFE:t5b : 1.06:1.3 SW 1<Ic:N'T' S'T' IAx MAP L(TT 251. 1.:1106A 3700 SUB: DOVI:::R (._AND:I:NG I. F - 76 Ur1 1. AND uwl::: : AZI. ,*")PD :I:TEM: NO : NO: . 4' I< O:L..F1Ssi : NEW WATITP 0;1...0)SiET c? Ic'f1M:OI...Y 1.IATNAL.. I:'sICF l._OW ISI:;VN'TI"e O:(:1N51' . T'YI'I:" : VN I-AVOW-11 O PY ;i T I?FaG P1:4T:MV.14 i LAN.)I) ,GPP P 3 1118 SHOWER ;' (: I':Ir:F15iI:i: '1'I.Ftlo!:i O D J:SHIAlFt!iIl (7,F1G�I:i(1(:,Ei rl:t:!:11*•:'O5A1... I NO . 5'T0PTI:::5 : ra W0St-ITN('.-', MA(t!TNE. 1. 1'.)WI-.I...I... .UN:C'TS .1. L.AUNUPY T PAY G',L I:H:; . I')G?Fi:I:N ( DTA 1:1..00P (aAATN 17,X N K I. !iE.Wli:*'P WAT'Er7 51'OPM/PATN (FT 1. [a'T'M•I I�:FT ' O N E la t:1 . 1:)(7Xt:3 :?�i'1. R T :C(:APA O -- l- T'AX fkEs .25 c 0 N WA' TS KEN R krc.N WF1'T"T'S P'LA.JM1--'lJ:NO A I:)u BOX X 2 3 A Y'r.'.'5 � 7 IJ T;las r dc1 r• 9i l i'P—A 0 I:-,1.4)NC: (30:3) 684-662.6 R I f::t:•;:I: ,'T'r'fFt 1']:(:1N NO . 30878 T U T'AL. : $1.31. . 25 This permit is issued subject to the regulations contained;n Title 14 PI-E-CEJ:F'T NO . 7q of the TMC, State of Oregon Specialty C)des,zoning 'egulations - _ --- - - •••......._ and all other applicable codes and ordinances, and It is hereby RE(All'.I:I-41ED :I:N!i I.-NECT:C(7NS agreed that the work will be done in accordance with the plans and PLU .UNDE W-it-Ar.4 specifications and In compliance with all applicable codes and ordinances. The Issuance of this permit does not waive restrictive POST h IIF::AM covenants. Contractor and subcontractors shell have current city WAT'I:::P I.,:I:NE: business tax permits. This permit will expire and become null and 1'1..1:3 . T(*)I'O(1T void if work is not started within 180 days,or 1(work is suspended or HA I N DI1F1 J:NF: abandoned for a period of 180 days any time after work has I I Ni11 4 , commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved. Permittee Sig e Issued By: — -- - -- 1:'r'il I I (,11':' T'IT5�1"'F:.(;•T .I'f)N fi�xc+� ..r(:I )'") SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE ji 1. N l ME:C:I I -NICAL. 1•!E:.P'M:I: T' t CITY OF TIOAr RD CmOFr16ARD 1='1,*PM:I:'T NO. M I. 03r-20!5 T It MOON (`. COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-41,; 17fi'T IF: ry!a l.lE:C): 10/PH/(3(113 r 1 ..JOB A171' PESS : 10613 !!W KI=:N'T' !Y1' I-AX MAFI/L.(:)'T 25111. 15A0 r:TUU wl.11"»� : DOVE-R I ANU3:NG; L, r' : , f., I: !< . • 1._(7'T a:I.zil::. WORK GUASF-) : NI--.-:W T''IJI'4NACF:* 0.0014 :I. 011 IIANIaL..Fa < LA i j Ural": T'YF'Ei: S:LNG,I...E FAM:TL.Y F'UPNAC:I:- 1.00K.11- AJ:P HANl71.A 1.0K I CC)NS'T.1'YPI':: VN r'I...(7on FURNACL' Ir:VAll) . C )OI_A_::P r (yPP . : 113 1-IE-A1'E-f4 VENT FAN VF::N T' VE-N'T' . GYS'TI:::M j F.L.P/C(7MP, (".S'1.11=' 1-1001) J. I NO.!:+'TC)PTFK511 : 'r." Etl...P/(;OMlo 3­1,51-0) :I:N(::Tl�lk:F2A'T(:)Fi(1:)(:)M DWI:-L..L. .UN I'T'S : 1. hal...A/COMP :1.!5••••301••11::1 TNC:ENE:F'lA'T'C)I;1(COM Rp c IJlU.. 'T'YF"1: GA�-'i E:tLIVCUMI :'f0 °iUhIN Fi�::P0 :fP UNT"f'S MAX . TNPI.)'T 8L P/(:1X)MP 50-HAP C)'T'h•IFA I'"r.l'�h: IaMI'�FtE+'7 G,rl, r•':f 157:N(:, OU-11r.-:'T!:; ] S GiE::MA17K!:; 9 0 F•I:::E:.S : w M:II..I. r:-1a .)AY r'1-:PMIT $1. . oc) N E I:1 . t:I . BOX 2329:1. 1:1-AN PI:;:V:I:f::W 1N10 . :I.;? R rxcArw 0171 FA:X,TAJPE::5 11+:b0 .113 C 0 N F•IFA)TIS! A (3/1:11 NW T Lr:I•:L:1.til bclr�a Mr <,9'I'1.23 0 PI••I(7NF:: (50;31 tr0113 :1.1.39 R 'T'F'tr1'r 1:L')M NO . -:11'7211.:1. 'TOT'AL : tMt9i?. 65 t This permit is issued subject to the regulations contained In Title 14 NIC:.(wE::I:I%VT NO. /G'! Z /L/ of the TMC. State of Oregon Specialty Codes,zoninu regulations and all other applicable codes and ordinances, and it is hereby PFr:WI1J3:AEi:0 )N5i agreed that the work will be done in accordance with the plans and (Wii specifications and in compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive P105,11 M 13f::AM i r covenants. Contractor and subcontractors shall have current city N(7LIG-i••1--lN business tax permits. This permit will expire and become null and Fl.NAI... void it work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved. I i Permittee Signature Issued By: C:AI. t. 1:(71:1 .1:N'il t " II N F+;'9 /l1 75 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE y_ '..' A e�,'�� ;ti?µ. `:'}{,, _�:-- ., �'.-...':—• ,.:. .- •. ly — C s PLAN CHECK APPLICATION PLAN CHECK N _� - p� CITYOFT167ARD, PERMIT q ZG t �J CfTYOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT O1REooa DATE ISSUED Q O d 13125 SW Hrl BR.d.P.O.Box 75997.Tip W.Orepon 97221(603)639-4176 7- _9A J 72or JOB ADDRESS: l©,C0/_ SI/f/ I!�`� r S I Tib TAX MAP/LOT ,;Q/ /� jSUB: 190 v(� <<�n ;;�i •e':. _ LOT: ?!_ - LAND USE: VALUATION: OWNER SPECIAL NOTES t, NAME: _- _ REISSUE OF: ADDRESS: __ _ �_ _ LAST REISSUE: _ FLOOD PLAINi SENSITIVE LAND: PHONE: APPROVALS REQUIRED CONTRACTORr� ' �) ^I L� PLANNING: NAME: � ' pr ENGINEERING: • ADDRESS: J X FIRE DEPT ---- i !, OTHER: _ PHONE: 6- 3-479 7.a`4,7 ITEMS REQUIRED LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: CALCULATIONS: _ ADDRESS: _ TRUSS UET( ILS: _ PARKING PIAN: LANDSCAPE PIAN: PHONE: _ - OTHER: _ COMMENTS: -�— PERMIT 11 ."CCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE p 10--432 00 Building Permit Fees �r•�,�fjJ�O 10-431 00 Plumbing Permit FeesJ , f f 10--431 01 Mechaoical Permit Fees 6,�1-) _ •yu I{ 10--230 01 St?te Building Tax (5X) ilding _f y1S Flum Mechbin �ZD i {<C3b 110 1 10-433 00 Plans Check Fee _ aI • Building z t Plumbing Mech 30-443 00 Sewer Connection (20X) 30-202 00 Sewer Connection (80X) j -�7 -77 30-4�o 00 Sewer Inspection �J _ 51 -448 00 Street: System Dev Charge (SDC) 'J _ 52-449 01 Parks I System Dev Charge (PDC) 52-449 02 Parks II System Dev Charge (PDC) =71 ____ _ 31-450 00 Storm Drainage Syst Uev Chrg (SSDC) 10-230 09 1RFD (95X) d 10-435 UO TRFD (5X) 10-230 06 Washington County Fire #1 (95X) 10-435 00 Washington County Fire H1 (5X) 10-220 00 61mar•t/Wedgewood f TOTAL30 JI PLC 11 Received B 1 � � UHte Rpc 7 y t ..,.. :. - '�"'try':E�„ri:•i eE r 't •,a I $7'ii'�*:: gAll