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14255 SW 72ND AVENUE-2 ■ Mr 14,255 SW 72ND AVENUE ^l I E•� '� F.� E-i cn t, rr 114 v "1 ti N iJ � 1 h•i 9 11L CITY OF TIGARD piium Wn-3 PermitI Building Department Residential El Commercial ® NO. _---- r' New I Installation ❑ Replace ❑ Addition [] Alteration ❑ ���Licensed Date �1G� Plumber -- _ O.NvnPI1� _ Address r Job Ad Appfcant Phone f� 120 es - -� _ CITY BUSINESS LICENSE REQUIRED FOR AL.- TRACTORS AND SUE-CONTRACTORS I 1 i ENI No. FEE TOTAL ITEM _ hIO. FEE TOTAL Fixtures Traps 7.50 Sewer:First 100 ft. Dishwasher30.00 7.50 _ Each Addit.100 ft. 15.00 IGarbage Disposal 7.50 Ejector Pump Water Heater ---- 7.50 —_ 7.50 Water:First 100 ft. 2000 Backflow Preventer 7.50 Each Addit.200 ft.. " —-- - 15.00 Storm&Rain Drain:First 100 ft. 30.00 - Each Add;,t.200 ft. 15.00 i tJthar(Sper Mobile Home Space 25.00 : 1 cify) t Rain Drain-Single Fam.Dwellin�c «_.. 4— PERMIT FE DD Commont4; - I -- w — -- Issued By: STATE (� la Receipt No. _ Applicant4, 3939 BUILDING PERMIT APPLICATION TIGARD DATE__ _ ''"?__ ,is THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE VvORK HEREIN INDICATED BUILDER PHONE 23` -- `J OR AS SHO'✓VN AND APPROVED IN THE.4000MPANY!NG PLANS AND SPECIFICATIONS. OWNER PHONE_ '- 7 .= 'r ta)' LOTNO. 402 OWNER 4'"ought: & Coo JOBADDR_ES_S_142$5 111x" 72nd Avenue•. - __ 2F*1-12r. ARCHITECT ENGINEER A.M,%latrem BUILDER P.A.A.nderswo Co. ADDRESS -342"T NE T481sey,Ptld 0 DESIGNER�� STRUCTURE ❑ NEW ❑ REMODEL CYADDITION ❑ REPAIR _❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION Ll RESIDENCE (n COMM ❑ EDUCATIONAL ❑ GOV'T D RELIGIOUS E-1 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE L BLASE] FENCE OCCUPANCY LAND USE ZONE "%LDG,TYPE FIREZONE -- PLANCHECKBY SIWh _HEAT__ '!.Atmct crane runway all per planfi and COCK. '',inct to Planning [kept. conditions SEWER PERMIT N OCC.LOAD _FLOOR LOAD _ _HEIGHT _ N0,STOPIES APFA NO,BEDROOMS VALUE BUILDING DEPARTMENT SETBACKS --F_RONt REAR LEFT SIDE RIGHT SIDE_ _ Permit 1400 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILUING CODE, TONING �� nn REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF Plan Check • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE n WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal •�1RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS A' 7�ra C, LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— Total `4 PDCN APPLI A—'LENT OR AGENT By Receipt No. Approved � k•�'i I L I ------------- — PHONE iff wz wx iwWE VWX OF I V DATrS INSP, TYPE IN'-iPECTION REMARKS PLUMBING DATE Cnntractor ------- — —� — Permit No. Rough-in ef Fixture — — --- �.C. ----- HEATING —` Contractor Permit No. Gas or Oil �— — Rough-in _ Final - -- - —�_—..--- � SEWER — --_-- Final DRIVEWAY T Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final —r------- - — -- -- ----- -- - Appr•.)ach -- BLDG. DEPT.F,64il. rEMPORAPY T CERTIFICATE OCCUPANCY final GdRTIFICATE OCCUPANCY _ I -� Landscaping __ Zoning Final r BUILDING PERMIT ArPLiCATION TIGARD DATE-(�Y_G!__ L- THE UNDF_RS!GNED HEV?•- r APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED B 0 OR AS SHOWN AND APPROVED IN THE j-,CCON11PANYING PLANS AND, PECIFICATIONS. OWNER PHONE nj• TwK Lor NO. #-PZ t JVA JOB ADDRESS 4A , ENGINEE BUILDEF7 I�Lt�QsOr lrG'I ADDRESS3.4 —_ -- STRUCTURE ❑ NEW ❑ REMODEL ADDITION �`-1.. REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE- COIAM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE u STORAGE ❑ St.AE❑ FENCE OC.C.iirANCY /-` LAND USE"LO`1E jd'?!BLDG.TYPE __FIRE ZONE .PLAN CHECK BY _HEAT_ Z?A P7 C o m b t r- *44 - SEWER PERMIT N OCC.LOAD FLOOR LOAD FIEIGHT NO.STORIES _ AREA NO.BEDROOMS VALUtIK�� -BUILDING DEPARTMENT SETBACKS FRONT_ — Qj REAR LEFT SIDE RIGHT SIDE Pgrmlt , THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOW$4101 Q REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE �PlonCheck ♦�' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COUIPLIANC>r Wli'H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE f Sub total _ O O _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOkS TO HAVE CURRENT CITY BUSINESS 1! LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. :tate Tax • ' SDC;-- AUCA44? JTotalLL PDC; Nl7�� By _ Receipt No. - -- - - - - Approved ADDNES: PHONE SWC - P W C -- tr -- - --- 00 SEWER CONNECTION S — `�' dh "��� '� /UP SEWER INSPECTION $ /AIDN, SEWER SURCHARGE ! p) / h- sd4 - /s-� STAT F aE vORT FINAL ACTION TIGARI) 1'T�AivNING DEPART14ENZ CITYOF TI��RD OCTOBER 8, 1981 WASHINGTON COUNTY,OREGON DOCKET: SDR 31-81 FOUGHT & COMPANY - 72nd Avenue NPO #k 5 DATE OF APPLICATION: October 7, 1981 APPLTC..ANT: Arland Anderson OWNER: Fought E Company 3427 N.E. Halsey 142.55 S.W. 72nd Ave. Portland, Oregon 97213 Tigard, Oregon 97223 SITE LOCATION: 14255 S.W. 72nd Venue 2S1-12A Lot 402 & 502 I ST.TE DESIGNATION: M-2 Heavy Industrial Zone PREVIOUS ACTION: ZC 7-74, Ordinance 74-27 SITE DESIGN REVIEW COWAXNTS: Improvements along S.W. 72nd Avenl-ie will be rude in conjunction with the Local Improvement District (LID) now being formalized. Parking is a problem. P.vwever, the site plan shows an additional 82 spaces t_., be added. STAFF ACTION: Staff approvPg construction of the overhead crane-way and additlon•,l parking :maces wit'z the following conditions: 1. A site obscuring fence shall be installed along the East and South line of the new parking area. 2. Landscaping along S.W. 72nd Avenue may be delayed until the completion of the work under the LID along this frontage. 3. No changes will be made to approved plans or specifications unless formal application is made to the appropriate City Department and changes bre approved by that. Department. Application for changes will be made in writing and slhall include applicable drawings. 4. All proposed utilities shall be ,placed undergroun(.',. Street lighting installations shall be approved by the Public Work.. Department. 5. All street and parking areas shall be concrete or asphalt. Ali sidewalks shall be concrete. J Al die Toward - Planning Director NOT?,': Sign below to acknowledge conditions set forth for this project and return to the City of T1gard Planning Department, Failure to acknowlelge will result in no further action on this project with regards to issuance of Building Permits or nrigincering approval. �) licant Sig'llttlr S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH!&, rel Cli l`r' Jnr r DME CITY 1 'G��la DHrr 11.-77-7f , �s._—_. t��7 BUILDING PERMIT APPLICATION OF 235-0661 THE UNDERSIGNED HEREBY APPI IES FOR APERMIT FOR THE WORK HEREIN INDIC,1TED BUILDER!'HONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE—— LOT NO._— t �71.el�lT� fic '.SJ• j4kj'J SWT HOME ADDRESS OWNER JOB ADDRESS ARCHITECT ENGINEER }I N. Anderwin Co. ADDRESS DESIGNER BUILDER � _ ------ STRUCTURE 'ONEW ❑REMODEL ❑ADDITION _ [ REPAIR ❑REPJEWAL ❑ IRE DAMAGE� ❑DEMrO�LITION ❑ P.ESIDENCEXDCOMM ❑EpUCATIONAI ❑GnV'T ❑RELIGIOUS�I'ATIO CJ CAR PO' ❑GARAGE STORAGE❑SLAB ❑FENCE ❑BOND C1 MOVING [ICON: 'TIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROV D [:]SIGNS -- -- — / �;�M 4 FIRE ZONE TV HEAT 1= PLAN CHECK BY– L. k,' OCCUPANCY--l--LAND USE ZONE BLDG TYPE -- Const. 10x12 concrete Mack b1d3q. fur paint vBt.JrayG ul'll,. i-'or plan -�07 Sheet 1b2 - -- — 1 240 29500. HEIGHT--__ __.�1P�A NO,BEQBQQMi__._._-YALSIL_� .-- BUILDING DEPARTMENT JI RACKS FRONT REAR LEFT SIDE RIGHT SIDE _ Permit 24s J0 = — _,.—,.------ THIS Pt 1M1T IS I�S�IED UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 12.1010 REGULAI'(`NR AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1.09 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWFH, PLUMBING AND HEATING. Total 37*08 By ----- AFID�.,�C'ANT On AGENT-----' ". -- -�. --- [Approved Ilhl wht No ADDRESS DATE INSF, TYPE INSPECTIOp�N��� REMARKS PLUMBING 'DATE Contractor --— Permit No. Rou h-in Fixture Final HEATING -- Contractor __-- _--- — Permit No. Gas or Oil - -.� —._ -- Rough-in -- --- -- — — -- -- Final ----- - _ ------ ----- -- - -- SEWER -- - ----------- — --- —----- Final --- --- DRIVEWAY —__ - — _ --- ----- - _------- Final ---- - --------.-----__--- -- --- Storm Drainage— _� (Rain Drain) Final — --- --- — — -- Sidewalk — -- — _�_____, Curb&Street Final _ _ A roach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final - Landscaping Zoning Final 1 V C1 ;�w = WN �\ I O w V zIr yW " z~ ; az 1. JU.r '� J NZC,ii� �^ i C l *X W~ a o > U) m rn w W J 1" O z F u N V w Huj a ui o ° r, 00 � ❑ Cl za � � W w ~ O Y 2 H Q W w w 2 C) w 2 l7 (7 = 0 CL O a � I 'J Q UJ UJ 6 I Oa ui Q FO ' T I = Na. >H I S ul 2 G N ° t/ V zoyQ Q Z ° H U, C1 > Z � � � o= w U. O O m O r l w as ¢ wz UO 4 a a y Q Q - 2 (\� Q Q m , w Fyu w �0 fn M J w0. u 2 d C J 0 z W V z O Qcr Q V w u z (r. " O °. z I 2f. r_� 4 Q2wVm W ¢ J F p Q c u { Z C) ¢ O a w �Cla a h w ui 0- C� ¢ �I 0 0 -( I rn a LL cr N �J u ' v'r+ wCc N~ u QO i p U. Y Z 2 E, w O 2 Zp ~ ax J aC a ` Q G Q N ^`� Q Fu z �OW - N n H 2 UI Q w w O VC. t ,� w Q ? ° u Q �� r �� Q ¢ a C7 ¢w. b y p F d 2 CL C`( u c� r l N [i I ma04u0 IQ :)< q the LL > a U � � I N � Qwr. Q W w F z w I Ow Q20Qd I a w z I ° ¢11 e F 7 u, uxw c: O l9 u CI w Y = 2 � zOU, > f C Q U a w Q Q t l� ( i 2 WawuQ > Q O � 9 m u<w e = c: Q Cl 0 z Lo ° ,A � o � � >N o {C ° C I N LL �- ul a g � Ui a C) <n f o x m O Y 2 d ui 7 z , { ) &A c9 a to u .-1 4 (jl W S� l w u U Q7 , N � � . QfLJ Q CL Q u ,'' U p c l < } > V > a w c it a c x 7 CCC] 1Tt ¢ s U.l ui z > o o CL Z Q w > ¢ o Q UJ i w C I z ` a ? a o n c" u V r III ( of I G ® Fm ff w t w BUILDING PERMIT APPLICATION `"o Y TIGARD DATE_11"'23"76__. ,■G� 1178 THF LINDERSI GNED HEREBY APPLIES FOR A PERMIT FOR THE WOR K HEREIN INDICATED BUILDER PHONE -`�`�` OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF f LRT NO. OWNERFouC,ht ¢ COx JOB ADDRESS 14255 Sm, 72nd AVee HOME ADDRESS ARCHITECT ENGINEER `F� WN Bldg. , Port., BUILDER wAs Ando Ts' _^ ADDRESS DESIGNER STRUCTURE_�❑NEW_ ❑REMt,nEL_ _ADD fI TION ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCEXJaCOMM_❑ED'JCATIONA' �❑GOV'T LJREOGIOUS❑PATIO ❑CARPOhT ❑GARAGE:❑STOnAGE❑SLAB ❑FENCE r LIBOND ❑MOVING ❑CONDI fIONAL USE ❑DESIGN REVIEW EI000NCIL APPROVED ❑SIGNS OCCUPANCY__LAND USE ZONE -BLDG.TYPE __---FIRE ZONE— PLAN CHECK BY HEAD _ 'Mis garLoit it, . 4►siaaid fur riwj_fnr .v.: ru-lcrote fov�ldatiOrIm jL_yp Be cahuWn uf, plans- L-1 6 E.-j, 11 ? ,, pruperad b, Art .� Ji 18t1p yWn�1 nNHr� t3 nc� is subduct to the approval of Tlue ro Plarmin , Gommision for Conditional Use or the land area, It is understood by Applicant, that should the lt+Ilcl uop area Irhery this structure is 10f stwd, in nE.O. appiovedo the nun a on trill-�ca�Qv o a sn onpi pGp. OCC.LOAD _-0013 LOAD �__l1FIOHT ...^_�NQ,>�IQH1F.5_�_AA�A NO.BEDTi49.MS. VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _ Pe,mit127900 - - TTI1S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check X13.50 REGULAf1ONS AND ALL APPI ICABLE CODES AND ORDINANCES, AND It IS HEP.EBY AGREED THAT THE --- – WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.87 LICENSE SEPARATE PERMITS RF.OUIRFD FOR SEWER, PLUMBING AND HEATING. Total — 195.3 " AP t ANT OR AGENT Appmvpd ( Receipt N„ - ----- _�___ A b DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE• —_ Contractor Permit No. Rou h-in Fixture Final HEATING Contractor Permit No. — Gas or Oil --- —. _ Rou h•in —_+^_� _ Final _ SEWER — Final — DRIVEN AY — —� Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach _ BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping 1 1 Zoning Final 4 ,S 4 i �Y V 1 I o w L1 2F � >N w U3QzN J LL 1 N a w o D w up ap— xpx > G1 1 N a p m z ► Ow a ~ ❑ g m w w 0,cC0'v 10 = a p zoo z N f z O C7 o = owp 27 I' I It Q m x [ ` T I CL O S um, Ny W Z n M. ¢ Oa F I = x >h w N p F N � y d a tT LL) T El > � ~ 1' HO = - y o , w ppL � p ¢ w - LLyx Ll a a m � I� a Aa �oo� 1 u to (t J X w zy0. wl' 2 U Q e 3 I O u VVVJ y LL v+ z d u ? I I V ww I�v1 Q ppy -Oa i w Ji wIL 15, w N u ., w 1Q � zui N I` Q (� Q I O wdIY1 s p u ZCl > z IX I O wCc, 4Q' 0 r R. Q O w O d Z IOC z0 L ) 3 x , w a x ¢ w O� cw.1 ¢ °- vii f o a ~ « v �iu_ � c, . Q a p F (� O z O C.l ' o OGtOtN a ¢ \:J p' V ~ LL >. � U V `� N alawf V 1 N w t -1 Z _ f Q w w F, z w v O `17 � a6 O 0 U O_ R u• G' 1T H vOiC1 ? Uww . WO Qr, u w4 C) CI � O NQO �Od C �' LL '�' Nu1 ?' uQ 1S. Q O z F xmywa C) ul 1ALL. le I r -'F C) to f. n <' a �Xd � z a 1 ? y a w S; CL� n - 1 d 0 tIwOiwy Cl o [ 1 } 'in C) Up ul21 P cl b6 i u, Q [ I u a M G r _C I ,Q. � lil w 4 �` t>! o' 7 �? a z C.l_ 1z7 u. Lr) � y [� [ I I LL n ;! u, 'i S n N a C� w iI n > Q Q w ? U :� u c u UI u! ts.l °� cl E c ° N n cI [ II - A u C F C •; 4 � V SENDER: its ours to fellow instructions an other nide FIXASE FI,RNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (ddditional charges rcquircdTcr tkaae acrviras) Show address Deliver ONLY where lel,veted � _ to addressee I RECEIPT" Receivedthe numbered sMicle described below AEOISTENEU N0.- –– j1�6i7�VOMQIt f XK E F AADRi$SE (Must alvr,�y�bo/Tiled!n} dAT- IFIEl1 INSURED N . DA 6 DEl1YERE0 §HnW WHERE E (O i )raquented,and tncledo TO C;adc) iff In _ Vale--- RECEIPT FOR CF ci IFIEr MAIL---30,- (plus postage) SENT TO POSTMARK _ 1osuiFh Me Foright OR DATE- _-- (`r� STREET AND NO, 1' „-�•, ; t i P.O., STATE AND ZIP CODE i• Cr; Tigard Oregon bPt97?.23 - _ 'i3ii>fi iitiAW ren Aoolfi M itis-`-" — RETURN )• flio �e whom and date Aellverira _`-15# R[C[I►i With delivery to addressee only _. 85 0 ilRVICq ' !' 11Mwn h o" date Md when delivered 36� _ _ _ IN dtllWiy to addresses�nlv _ ISd • D—`EL'IVI A 10 ADO §9EF-WLV- Soo CS klikTIFL DELIVERY (extra fN►!Julrod) PS NO INSURANCE COVERAGE PROVIDED-- (Sao othor lid*) Apt, 1 10707j X500 NOT FOR INTERNATIONAL MAIL +rro Ian q sao-ra.t i1Vild uI I Faye .,undt NrLoreen Wilson Joe Fought Sewer Services I)aIJuly 18, 1973 Please submit a sewer connection sheet for Fought & Company, 14755 S.W. '2nd Avenue for $18.00/month se that I can start billing them as of July 1, 1973. � `Y �- S� rN 1-73 'S cLuz t Address 14255 S.W. 72-nd Ave. Permit No. _ Permit charge Owner Fought and Company Connection fee Paid by Type of building Industlal Date connected Service rate 18.00 per month _ Inspection fee Contractor Paid by Date Size of connection _ .issesament _.._ Paid WIF ..� ,. CITY ,OF TIGARD 13420 S. W. Main So sm TIGARD, OREGON 9122� APPLICATION FOR BUILDING PERMIT New Construction Demolish El Addition Remodel Q MoveC ZONING M-2 DATE ISSUED_ 3-15-73 BUILDING PERMIT DATE RECEIVED 2•2773 ��•---- ,, .)-) $UILDING FEE $ No. " — C PLAN CHECK $ 20.80 '" 7- OTHER $ VALUATION $ 5,500 TOTAL $ 52.80 RECEIPT No. - -] TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT #_t/l 402 MAP #_2$1 1.211 CENSUS TRACT —W-7 JOB N --__- Architect or Engineer Jansen & Associates Address— `1962 N.W. Kea Z, Owner Fought & Co, Ino, Address 14 9.Nr_Z —AYOu TlQiCst__-------- . .-------_____Phone Builder H. A. Andersen Co. Address 3427 N.E. Halrey_St.j_Portlknd _ —Phone BUILDING USE Sinqle Res. 11 Multi Res. � � Comm. 0 Industrial OCCUPANCY GROUP----- No. of Stories Total Height Area of Lot_ Type of Construction I II III IV V Floor Area B l 2 Set Backs: Front_ Back _ L.Side r,.Side (n� Private Sewer Pipe Size Y4 Sewer, Septic Tank U water Service Pipe Size- Storm Sewer tI Ditch l___J DryweII Street and Curb Requir%!ments Driveway Width _ No. of Parkinq Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PiXMNING SPECIAL INFORMATION ADDRESS ASSIGNED T_1AR55_kjW, 72nd -- - -- - - FIELD CHECK BY _- DATE PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinance of the State of Oregon and the City of Tigard, Oregon, and that the building wi not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. Siqnatyte of Appll an t ester. ..,.........'. PERMIT TO CONNECT City of Tigard PeF-mit S22 PERMIT IS GIVEN TO_ �•�''"+�Y .�_.�-7_ �7t �., _ TO CONNECT A-__-__-. TO THE SYSTEM OF CITY OF TIGARD •l y� AT— ell - _ - 1 r i= THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON. NECTION IS MACE AND INSPECTION OF CONNECTION HAS BERN COMPLETED. PERMIT FEE PAID $ "°��.'�"� CITY OF TIGARD 4 ��//p� (� is ,p I . p r i CONNECTION INSPECTED AND APPROVED i Date -- SuorMNn 4mt ._ _ KM i A, .hese__��T.5. _ .✓ lC/. /.e:P — Permit Name of Occu,ant•_-4-e '1� l?�..�f 6� permit charge Oma' Conn action fee Paid by ���.�ct- co,o , __ - -- Date connected Type of Building ,Lti'D"S Inspection fee...�_1 O Service Rate Paid by A! �fe 4, Dab 3 Contractor . AsreRsment Paid Size of connection