15915 SW OAK MEADOW LANE 15915 SW OAK MEADOW LANE
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►, PERMIT N0.
A D D R E S S�. 1 �.(.�
PERP11T CHARGE _ none_
CONNECTION FE E ��.�,________
P A I D BY
_ ^ DATE Cot;NECTED
TYPE OF BUILDING —
INSPECTION FEE
SERVICE RATE �_._._._ _S=am - ---
C0NTRAC70R __ -
PAID 8Y _ -- DATE
SIZE OF ColviECTION
ASSESSMENT PAID
--�
IT
BUILDING PERMIT APPLICATION 1OFY TIGARDUATE,
114[ HN()1 W"ION 1' I) 111 Hf BY APPI !�S FOR A 01ERM IT FOR THE WORK IAFRF IN INDICATED BUILDER PHONt'
OR AS SHOWN ANP AfPPi?')VFD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-----
LOT NO.-
OWN-Elikil1ifttifl ILJJV, t, Qlg JOB ADIJK;5i 'J 11 'L)IJIU i3OftMtADDREi3
ARCHITECT
ENGINEER
I�
BUILDER _moi ADDRESS DESIGNER
S(RUCTURF 13NEW Q REMODEL CIADDITION Q REPAIR (DRENEWAL CIFIRE DAMAGE LIDEMOLITION
In RESIDENCE CILOMM OEDUCATIONAL OGOV" C,REI IGIOUS OPATIO 0 CAR PORT []GARAGE 0 STORAGE II. iSLAB CDFFN(:.E
CIBOND CIMO.VING 000NDITIONAL USE Q DESIGN REVIEW CICOUNCIL APPROVED DSIGNS
OCCUPANCY_' 7a LAND USE ZONE__�_ 7 .BLDG,TYPE __FIRE ZONE__3 PLAN CHECK BYL_61_._ HEA1
sy -iummerrield Leine,
rame dwu,&' iinW w/attsched tlerage - 2 k)eciruam — 2 tlath,
Sewer Permit ,,17307
1366'*
j 2
BUILDING DEPARTMENT SETBACKS FRONT 1 E PEAR 1151 1 1 1 T SIDE RIGHT SIDt. t)'
Permit $1 7
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING k-')DE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREFLI I HAT T-IE
W�,RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI I H
Sub-total ALL APPLICABLE COr)ES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PF';TRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY M13INFS."
State I aoi 6s'4 LICENSE SEPARATE PERMITS "EnuiRED FOR SEWER, PLUMBING AND HEATING.
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Total W30 2G Iq..
3v p 1. APFLiFANT OpA6FP;T__---
Approved I Inirlari Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE -
---� Contractor --
Permit No. 15
—
Fixture
—
/21/S-�� SLIA/ / ___ Final �^
Ian _,79 4.1
S _ HEATING -�
Ccritractor
Permit No. 1�
,( Gas or Oil
v- Hough•in
final
SEWER
final----�---
-- — DRIVEWAY
----- Final -Z �7
Stonrt Drainage
(Rain Drain)Final
Sidewalk
A - Curb A Street flOW
Approach
OG.r7EPT.FE
INAL _ TMPORARY CERTIFICATE OCCUPANCY Final
CERTIMCATE OCCUPANCY -- - - — -
h LandscaPing
Zoning Final
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