15830 SW OAK MEADOW LANE 15930 SW OAK MEADOW LANE
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PERfiIT NO. �l� .3
ADDRESS
�) PEPMIT CHARGE _ none
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PAID BY �-
TYPE OF BUILDING ----- DATE CON%1ECTED -- —
SEMCE RATE _ QL INSPECTION FEE
CONTRACTOR _ ^� _ PAID BY _M DATE
SIZE Of' CONNECTION ASSESSMENT _ PAID -
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.T CITY TIGARD
BUILDING PERMIT APPLICA � ION of IIATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNERBUILDERPONE --=----
OWNER PHONE--
IN
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OR AS SHOWN AND APPROVED IiN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Lor --
,,; Illi. I`IiS:-.[.'; "<< ,FlRIA1EAUDRE55 --•–
.>WNERt i lW �t� C)RFy• fir' ET AL DRL:SS`
ENGINEER
ADDRESS
DESIGNI_ ' �- ----
EiUILUER ^^ ��--11 F-1 tt�--tt
STRUCTURE F:JNEW �J RE'M_nDEL ADDITION 0REPAIR_� IJRENEWAL- []FIRE DAMAGE - L.IDEMJI'EN N
_RESIDENCE ❑COMM ❑FOUCATIONAL D-OV'T ORFLIGIOUSLPATIO ❑CARPORT_LJ�ARAt�E [I STORAGE C�SLAE3 Lr-
-FENCE
OBOND ❑MOVING ❑CONDITIONAL USE _ - ❑DESIG__ N REVIEW_ [:]COUNCIL APPROVED _ ❑SIGr�s
-- 'i-7 -BL0.i T PF._ FIRE 20NE; PLAN CHECK BY
OCCUPANCY"-3 _LAND USE ZONEE .-
--- ®--�llllltJk� Deme
as 1Q 50G'bg. �,rlletaP 'Terrace ------- - _
frame d4lailinkj w/a h,md I�Qrlt~Q" �- 2 Liedri'su p � ur�t,h
rrn,rlwr pormit 17300 — V
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1 E I NO.8FJZI34 MS�-____YAL.0�--• •
HEIQ T x� ViiD SIQ1lE� _.
1 T_, d LOFT SIDE
1-� RIGHT SIDE ��' �"3
BUILDING DEPARTMENT SET BACKS FRONT_` REAR _
Pe mit $1 i7.00
THIS PERMIT IS ISSUED SUBJECT TO tHE REGULATIONS CONTAINED' NIS Hj1�FRiE9VDA(UREED THATING CODE, THE
Plan Check 1cou REGULATIONS AND ALL APPLICABLE CODES AND ORDINANING
CES, AND
_ WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
S Ib � All APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-total f17
COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
RESTRICTIVE
�"ate Tait t;l♦2u4IGENSE. 5EPAER;RM�TS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total l7",S.sC+ PO �r �py,I�UUUq�L�r�1
BY PJ APP1.!,,t4T OR AGEN1� — '—
Approved f:1 l Receipt No. --
DATE INSP. TYPE INSPECTION _ REMARKS
PLUMBING DATE
Contractor
Permit No. 3(o U
5- 2F
_ Rough4n
Fixture
Final
J HEATING
✓�f�S 1 Contractor -
// —A
l�i Permit No.
Gat w OI I
_ Roughen
Final
SEWER
Final
DRIVEWAY
Final
Stortlt Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL T--_ TEMPORARY CERTIFICATE OCCUPANCY
CERTIMCATE OCCUPANCY Final
l.andecaping
Zoning Final
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