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1�. BUILDING DEPARTMENT, TIGARD
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PLUMBING PERMIT N?
=NM , --e# a ,Mlid plumbing contractors license is hereby
authorized to cau' e plumbing work herein noted to be installed in accordance with the plumbing code of
Tigard. S.,L�1 install3tions require i ection by the City Inspector vvho shall be notified not less than flour
(4) hourF prio. *n the time the installations are ready for inspection. City of Tigard Business License required
for all cr-ntr ctors and u -contractors.
Job
O.vner_� 1 �2 _L c_r� �1� V Address— .Y_41yAt^4-�
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NUMBER OF TOTAL
TYPE. OF PERMIT ITEMS _ FF.E ON EACH MOUNT p
9 SIDENTIA
S_nole Fa2jjy 1 bath-each _ _1 _25.00 Z r c>
Duplex•-E7ch 1 bith unit _ _-._-- 15.00
Additional bathrooms-each -� 10.00
Mobile Hame Space-each 15.00 _
INDIVIDUAL FIXTURES
1 to 50 Fixtures In 1 '`iilding-,each 3.00
I 51 to 100 Fixtures in 1 building--eoch _- — - 2.50
101 to 200 Fixtu-es in 1 building-each —� � �- - _ 2.00
i201 or more Fixtures in 1 building-each
lMISCELLANE0US
� Sew -each additional 7:10}t. ��• _ 10.00_
—Water Ser.;c! to build;r,o
_ Other ISnAriFy►;
_ —_ — --- ----- -aa - __—_--
PERMIT roe Plumbing Inspection Phone 639 4171 d
I 4%;State Z v G Plumbin r ctor I3y _
I TOTAL —^� Z RECEIPT NO. Issue --
...r. -,,,:°rri�'+9Wvg'ty-"Pi�4'•"Ir'c""'''�•-r 7+ ., _ ,
�- �� CITY
BUI,_DIO G PERMIT APPLICATION of TIGARD DATE______ ,
THE UNDERSIGNED HERERY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS .iND S'ECIFICATIONS OWNERPHONF
LOT NO.
OWNER —_�JOB ADDRESS' LtitkL NOME ADDRESS
�— ARCHITECT "
BUILDER ,`,ODRESSIlf 'I 'I t ENGINEER
�••� --7--- _ _r _ DE1_IGNER
STRUCTURE LJNEW IJRF'Mf1DEL ❑ADDITION _ ❑REPAIR — ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT `❑GARAGE ❑STORAGE❑SLAD OFENCF
_ ❑BOND ❑MOVING [:]CONDITIONAL USE —❑DESIGN REVIEW ❑COUNCIL APPROV_D ❑SIGNS
OCCUPANCY __LAND U.E ZONE —113 ..BLDG.TYPE FIRE ZONE_. J PLAN CHECK BY.. -- NEAT
I'onat rwct single family dwelling w/attaGhi- L I ---- _—
I. CORRECTION SHEET ATTA,_ii s
I wrsr 1 13rmi.t .i.881b — sw1'S.0Q --- ---- ----
—__— a•r�,�---y�!--5���-fi'''r. —
40
QCC• LOAQ_._ _ FLQ9A_I.4L1L-- —NEIStHL__,,,__ NO.ST4 $. AREA ND BEU_A_44_M$ LADE
BUILDING DEPARTMENT - SET BACKS FRONT 7'4 REAR 41 LEFT SIDE RIGHT SIDE
Permit t2u 1IJ _THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK P.I1.L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
I, SIJb totill9 � iYi ALL APPLICABLE CODES AND ORDINANCES THE. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RFSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
State Tax 10*60 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $408, It! 'L/,. u41jusi.%U
By P1
/ APPLiCANt OR AOF_N7
Approved I' j Rrrmpt No E�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ Contractor 6km er
Permit No.
Rough-in
Fixture
s �u dw.0 -_ - Final s'
HEATING
Contractor 6e,A q-
PermitNo. 2708 /B.?v .ZB`8L
V Gee or Oil
_ S Rough-4n - ---
S'EWER
— - Final
DR EWAY�--
Finel � f
offi Dralnege
r •.
Ral rein)Final
9 _ _ Sidewalk -
Curh&Street Final
77 Approach
' BLDG. EP .R TEMPORARY CERT CAI E OCCUPANCY
CERTIFICATE OCCUPANCY Final
�� � �� Landscaping
Zoning Final
i
{I ci ry TIG;RD DATE��_—_. ,9 _ �iT 9 z7v�►
BUILDING PERMIT AID PLICATION of _�,2o-ozz3
THE*UNDERSIGNED HE APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILO_RP.,-cal
OR AS SHO`�:N AND APPROVED IN THE ACCOti'WING PLANS AND SPECIFICATIONS, OWNEPI'tlor;_
LOT NO u,41
OS A00RESS ( ��N•
o�/V£P �EYiN uG6� J �I� .� ARCFyITECT
��/. ENGINEER
%HUI�_O 4 t A00RC4, l� � -i_`� n DESIGNERr-� ^^ _
STRUCTURE r:E'N Cl ME.M JOEL_ QADDITIOP•1 QFlEPAIR__�_CIRENEViiAl- DFIRE DAMAGE ClOEMOLI rlJPi
cSIDEPICE [ry1C0`fr.l ❑EDUCATIONAL ❑GOV'T ❑RR
ELIGIOUSC.jPAr10 [:�CAPoRr ❑GARAGE ❑SrORAGEQSLAB ❑PENCE
rA_, _ --
C�I.UPAN'y ' LAND USE ZON ," . OLOG Tv _.FIRE ZONE _ PLAN CHECK By _ _ VSAT___C _
SEWER PERMIT
��, °0 r W3-0-A-9-ZSC FI I�H1' Q_ _-�2 � Rte �r AR---a3 '.>NO SECROOMS VA I F 0O�
SUILCIP:G DEPARTMENT SE r BACKS FRONT REAR _ LEF_SIDE RIGHT SIDE
I
Perm it &J O �•�
THIS P�AMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
P14n Check / Z, REGULATIONS AND Al 1_ APPLICABLE CODES AND ORDINANCES, AND IT IS H--aEBY AGREED THAT THE
��--- v%JrlK N+,LL BE DONE IN ACCOF DANCE WITH THE PLANS A?i0 SPECIFICATIONS AND IN CGhIPLIt,NGE Y;ITN
SU7 tOCdl 7, SO ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT 'NAIVE
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7. RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CO irRACTORS TO HAVE CURRENT CITY BUSINESS
S:3t2 Td:< /U' �I LICENSE. SEPARATE PERMITS ReQUIRED FOR SEINEA, PLU`.BING AND HEATING.
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SZ P0� ;
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Appruv!�
Receipt No
SEWER C0`l'!CCTI0N C7Oa
SEWER INSPECTION $
SEWER SURCHARGE
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