11965 SW 72ND AVENUE y
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11965 S.W. 72ND AVENUE
TlOFT11FAARD
COMMUNITY DEVELOPMENT DEPARTMENT rCffyh BUILD
TW42D PERMIT #. . .IIG. . . . .PERMIT
FUpq I_V
13126 SW Hall BW. P.O.80K P3397,TlgaM,Oregon 97223(5 00690N
- (nT?"41 I DATE ipcziir,r).
SITE ADDRESS. . . : 11965 '-,w 72ND AV
lbub;,J I V I S I ON. . . . PARCEL--
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ZONING: C-G
RE I5SUE: FLOOR AREAS-----------
CLASS OF WORK. :DEM STEXTERIOR WALL CONSTRUCTION-
.
TYPE OF USE. . . :SF SFIRECON . . . . Sf N-
D. . . : �� F S., E.- W-
PROTECT C)PENINGS?--------------.
TYPE OF CONST. :SN THIRD. . . . sf N: S. E:
OCCUPANCY GRF,. :R3 0 Sf ROOF CONST : W
OCCUPANCY LOAD: FIRE FRET ) .-
BASEMENT. : sf AREA SEP. RATED:
1-1 T. f t GARAGIE. . . - sf
BGMT, MEZZ": REDD 3ETBACKS- k_)CCU SEP. RATED:
FLOOR LOAD. . . . : psf LEFT: ft RGIT: ft FIR SPKL:
DWELLING UNITS: FRNT: ft REAR: SMOR DET. . :
BEDRMS: BATHS: IMP SURFACE: ft FIR ALRM: HNDICP ACC.
VALUE. $ : 0 PRO CORR: PARKING:
Remarks : Demolish or
existing SFJ. All debt-is to be removed. Flump a
tank, Oorc.'P sewer-. Insp. reqs-,iceded For filled septic to nd fill septic
nk , mapped sewer,.
------------------ FEES type amount
STANLEY GEORGE (W COAST GROCERS REP. )
10910 SW 79TH AVE by jate r ecpt
PRMT $ 25- 00 JLH 12/16/91
TIGARD nR 5 P C T $ *5 JLIA 1-2/16/91
Phone #: 624-8901
Contractor.:
EMMERT INTERNATIONAL
11811 S. HWY 21 -,
CLACKArins OR 97015
Phonp
Reg #. . : 0080,
26. 25 TOTAL
This pervit is Issued subject to the rea4lations contained in the 9EQUIRED INSPECTIONS Pum
Tigard Municipal Code, State of Ore. Specialty Codes and all other r-aPp/Fill Septic Sewet- line
applicable laws. All work will be done in accordance with Final Inspection
approved Plans. This ppreit will Mire if work is not started
within 180 days of issuancf, or if work Is suspended for @or@
than 180 days.
Pet-m it t p
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iqnatut e
Issuea By : t-
7
Cal f0l" it;sPection 639-4175