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BLII,-DINPj PERMIT APPLICATION TIGARD DATE -24 _. ,9 N" 1.034
THE UNDERSIGNED HEREBY APPL IES FOR A PERMIT FOR THE WORK HERE J INDICATED 639.6917
OR AS SHGWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC IFICATIOi`JS. OWNER PHONE_
jMNcrl afl&s 'jdk9GKADDRESS Zui7&. JrWr King (.:0 LiIl1
MILDER PHONE
HUILDER C4 Rnoflni;4 ENGINEER
---- ARCHITECT _DESIGNER
STRUCTURE- ❑ ,EW ❑REMODEL ❑ADDITION _ ❑Rt1A!11 C_JRENEWAL. ❑FIRE DAMAGE— []DEMOLITION
❑ EESIDENCE ❑„OMM`JcDUCAIIONAL EIGOV'T ❑RELIGIOUSLJPATIO_[jCARPCRT ❑GARAGE ❑SrORAGEOSI.AB ❑FENCE
BJNf -L11;vVIryG ❑CCVDITIOIiAL USE ❑DESIGN REVIEW ❑COUNCIL APPA ,vED IJb,qNS
=.UPANCY_e _LAND USE ZONE BLDG.1 rE �--FIRE ZONE_ PLAN CHECK BY_ HEAT
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CC l-OAD FL-)OR LOAD /k r
_--� HEIGHT _ ___NO,STORIES_ AREA VALUE
BUILDING DEPARTMENT
- - SET BACKS FRONT — REAR LEF r SIDE RIGHT SIDE
THIS PERMIT IS ISSUER SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODF, 23NING
Plan Check REGULATIONS AND ALL APPLICABLE CODE; AND ORDINANCES, AND IT IS HEREBY AGREED 14kT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN;AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL .APPLICABLE COVES AND ORDINANCE^ THE ISSUANCE OF THIS PERMI r DOES NOT WAIVE
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RESTRICrIVF COVENAi47S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C11 BUSINESS
%StelLICENSE. SEPARATE PEnrAITS HEOUIRED FOR SEWER, PLUMBING AND HEATING
Total --
8, 24
By
— - - APPLICANT OR
Approved Receipt No -
ADDRESS