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DATE—
V104
I (�' CITY T, DC_t��._-- 19 8 No
. JIL_DiN , PERMIT APPLICATION �.
u' r ^AFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED EUILDERPI40,J 2 i 1�38
aNU APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON
LOT NO —
HMrs Berthq._-H4.:!'_�r JOBADL 'ESS 16210 S.W. Kink, Char+ ADDRESS
ARCHITECT
ENGINEER
"low do Sidi_MoS Ess 4'34_N. Tillamook Por Jra 4ER
_ . _. - ff--11
RE C�tiEW ❑REMODEL ❑ADDITION REPAIR L„JRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
;'INrF 0 ,rMM [IF' ZONAL ❑(,OV'T CJRFIIGIOUSiJPATIO OCARPORT (_]GARAGE ❑STORAGEUSLAS ❑FENCE
-'IND 0MOVING ❑CONDITIONAL USE DDLSIC,NREVIEW ❑COUNCIL APPROVED ❑SIGNS
I';,N!-N' L AND USE ZONE._•__..-_____.BLDG TYPE_.._____._.-._FIRE ZONE._.— PLAN CHECK BY— HEAT—
t'eroc.f house with CertRintektd 240 three= r b combs ion _
tea s t
r. CaI Flg9.gJ.S?AJ? JYS2.@C►HQ4L�1S___�L�.€_
14.1 1 ILDING UEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
- — THIS PERMIT IS ISSUED SUBJECT TO TIIE IiCGULA',IONS CONTAINED IN THE BUILDINr, CODE, ZONING
Flan CI'Ieck KEGULATIONS AND ALL APPLICABLE COUCr AND ORDINANCES, AND IT IS HErldY AGRI co THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIAPICE WITH
uhIrNal ALL APPLICAIIE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAI 'E
— —'— —'--- RESTRICTIVE ::OVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CL'RRFNT CITY BUSIN .S
LICL•JSE. SEPARATE PERMITS REOUIRFD FOR SEWER. PLUMBING AND HEATING.
r,,al Clow H() / & Siding Co
APPI ICA T OR AGENT
t u'I,vecf Receipt No. 1�
- --— - - ----- _43i!-E...H.--m Pon L' o
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