12015 SW KAROL COURT 12015 SW KAROL COURT
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BUILDING PERMIT APPLICATION TIGARD DATE_,q�'..�.�/ �OP /j..,
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THE UNDERSIGNED HEREBY APPLIES FOn APERMIT FOP THE OJORK IIEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANiv AND 'SPECIFICATIONS OWNER PHONE —
OWNER I P / y� /r Irr ADGRESS _�)~ � 8U11 DEN PRUNE _
}] ' ENGINEER
BUILDER J 0"»`P w _—6HSHI T ECT — � DESIGNER
rrJS--TttRUCTURE8NEW ❑REMODEL [I11 ADDITION � 0REPA14 ❑RENEWAL ❑F.RE DAMAGE ❑Ur-MOLITION
LRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSInPAT,O ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
BOND ❑MOVING ❑CONDITIONAL USE ❑DESICN REVIEW ❑COUNCIL APPROVED ❑SIGNS
"CUPANCY_.^_LAND USE ZONE y bLDGTYPE FIRE ZONE— PLAN CHECK BY_ HEAT
OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --
--' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIRIED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI4F.
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE INITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT VVAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State I, 1� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING O.ASD HEATING.
TotalBV
APPL.ICAN't OR ADEN?
Approved ;.���i. Receipt No - --_-._
ADDAILSS
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Address 12015 S.W. Karol Ct. _ Permit N(,.—
Permit charge
Owner Connection fee 400.00
Paid by Tigard I'ome Builders
Type of building Residence Date connected 8/24/31
Service rate Inspection fee_ 25.00
Contractor Paid by same as above Date
Size of connection 400 Assessment Paid
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PE'tMIT TO CONNECT '
Tivard Sanitary District ti' d 1. 4
"ERMIT N° 1518 DATS
PERMIT IS GIVEN TO ��n1 }'� f t:�-1
OFJ. � 11�'LX-�t � ---- - —
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TO CONNECP A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
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THIS PERMIT MUST 9F. 'POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID �.... t�Q:..r .......TIGARD SANITARY DISTRICT
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CONNECTION INSPECTED AND APPROVED
Date 6upertntendent
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1272 DATE `/ / ,f _ 2L
PERMIT IS GIVEN TO
TO CONNECT A
TO THE:SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES URITIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAIDa....,rt:,al... ...........TIGARD SANITARY DTSTR T
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CONNECTION INSPECTED AND APPROVED
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Date Superintendent
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