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CITYOF TIGARD A�
COMMUNITY DEVELOPMENT DEPARTMENT o�iooN BUILDING PERMIT
13126 SW HWI Blvd. P.O.Boor 23327,Tip W.Qrpon 97223 (603)8.99-4176 P E R M I 1 #. . . » . . . : B L1 P 9 c 01. i.
,.,39-4171 DATE I,S;SUED: 04,130/92
SITE ADDRESS. . . : 11735 .::w i W1Vii AV PARCEL: I S 136DC--020C,;
51JADIVI5ION. . . . : ZONING: C-G
BLOCK LOT. . . . . . . . . . . .. . .
IZE7.SSUE.: --_--- -FLOOR AREAS--_______._.._.- EXTEPIOR WALL. CONSIRUC,rIOI\I
,[.ASS OF WORK. :DEM FIRST. . . . : s f N: S: E: W:
TYPE OF USE. . . :SF SECOND Sf PROTECT
TYFIE OF CONST. :5N THIRD. . . . a s f Ns S: E: W :
()C:CUF'ANCY GRP. :R3 TOTAL- _..__.-_: 0 S f ROOF CONST: F IRE RET
UCCUF'ANCY LOAD: BASEMENT. : sf AREA SEF'. RATED:
3TOR. : HT. : ft GARAGE. . . : f OCCU SP".P. RATED:
i:1SMT?: ME Z 7.?: RE:OD ___--
1=LC1OW. LOAD. . . . : p s f LEFT: ft RC HT: ft FIR SF'Kl_: aMOK DET. . :
DWELLING UNITS: FRNT: ft RE=AR: ft FIR ALRM: HNDICP ACC:
DEDRMS: BATHS- I I,,IP SURFACE: PRO CORP: (='ARK ING:
VALUE=. $ : 0
Remarl<s : Demolish existing SFT). All debris to be removed. Pr.tmp and f3. 11 septic,
Lank, or, cap sewer-. Insp. r-eqUir"ed far^ filled septic tank or, dapped Sewer.
r.jwner: ____..._____.______-__.._____.___._---___._ -----_--_-___-_.. FEES
STANLEY GEORGE (W COACT GROCERS REF'. ) type amoUnt by date recpt
1091O SW 79TH AVE PRMT $ 5. 00 JLH O4/3O/92 -
5PC",T 4 1. 25 .JLH O4/,30/9i' -
T I GARD OR 97223
''hone #: 624-6901
Cantra;ctur. _.__.________________.- _-__--__
t-EMMERT INTERNATIONAL_
1 1.61 1 SE: H W Y 212
CL.ACKAMAS OR 97015 --._---•---- - ------.____.__________.___
I='hune ##: (-,55-71()J 4 J26. 25 TOTAL
Keca #» . : 00E:I05
_-- -- - REUU I RE:D 1 NaF'ECT I ONS '-_--.-
This permit is issued subject to the regulations contained in the Pi_rmp/FF i l 1 Septic
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. Ali work Viii be done in accordance with
approved plans. This permit will expire if wore is not started
within 180 days of issuance, or if work is suspended for more ......
than 180 days. ...__.
~ 1 er^mittee Sipnat1.rre:
By :
Crrll for inspection - 639-41751