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14030 SW 72ND AVENUE
IF W "F W W ! W 14030 SW 72ND AVENUE i i KWINUM BUILDING PERMIT APPLICA i ION 11 Y TIG,ARD DATE q!-tember 1 19 76 1130 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 620-4232 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON97 LOT NO. OWNER tik?U1"¢ 1rL 1':�l:. . :. JOB ADDRESS •14030 S.W. 72nd HOME ADDRE�: ARCHITECT ENGINEER BUILDERrr--J11 ADDR'---SS DESIGNER ❑ Y _ STRUCTURE NEW LREMODEL — ❑ADDITION CREPAIR LIRENEWAL - ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCANONAL. ❑GOV'T ❑RELIGIOUS OPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ©SIGNS QC.'UPANCY _L/UVD USE ZONE BLDG.TYPE---___FIRE ZONE— PLAN CHECK BY, _ HFAT.- -. 16' A 7Copy: Georgia-pacific, Gypsum Division ------ -_-- ---,------ Produc-; Leveloiment Laboratory, Color -- Brown and Blue _ .__.-k1 lerial : 3/4" plywood, :3,1300 W lamps – -- -- -- - CZCC,LOAD HEIGFlI._8 r NO.SIQ9.1j.$----- AREA 64aq - BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE _ RIGHT SIDE Permit ya l?0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIIACATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR!,, TO HAVE CIIRRENT CITY BUSINESS State Tax LICENSE. SFPAAATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING. Total ;35.00 By -- _-__ APPLICANT OP AGENT Approved Receipt No I AODRES5 --- -PHOS- — - ....:,,..�........n6......:�:�r�r1.... .—.--.-....raJr�.....ae:.ria.:b..-1M. ..r...w.r.w.w,.,.........--:_-. _. ..w...e:,�.,r.:r.,.._....e+......w..»;r.w...ar...rr.w.ow...... u.._..... MF WLITZW, EF-malIff PERMIT TO CONNECT Tigard Sanitary District PERMIT N9 1017 DATE _ -- -- - - - PERMIT IS GIVEN TO 1- TO CONNECT A �._. TO THE SYSTEM O1'' TI(-,.ARD SANITARY DISTRICT AT { TIIIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS "4ADE AND INSPECTION OA' CONNECTION HAS BEEN COM- PLETED, PERMIT NEE PAID $ ............................TI(:ARD SANITARY DISTRICT 90, , B, CONNEvrioN INSPECTED AND APITROVED Date — _. _. Superinte eand�t Address ITA.'�O,j�f Permit Name of OccupantCTA�r�R Pge1L,S--_ Permit charge 2 ------ ---... __ Connection fee - Paid ----- __._ Date connected q-/3— G 7 Type of Building Inspection fee_/ P �_�-__— Service Rate_—. _ Paid by _- Contractor Assessment Sias of connection G " _.