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BUILDING PERMIT APPLICATION 11 Y TIGARD DA TF
THF UNDERSIr_;NED HERERY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE_� _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.
OWNER JOB ADDRESS —�_�— HOME ADDRESS
ARCHITECT
ENGINEER
GUILDER ll� ADDRESS„ r DESIGNER _
STRUCTURE C1 NEW ❑RFMODEL ❑ADDI'TION ❑REPAIR _❑_RENEWAL —❑FIRE DAMAGE ODEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'1 ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SL_AB LIFENCF
1BOND C3 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑'SIGNS
OCCUPANCY_.,_LAND USE ZONE-------BLDG.r, TYPE = FIP,E ZONE.— PLAN CHECK BY-- HEAI
_ . a 1'omsiiy weiting anCi cetc;bchou t,;.
�!F f2c'R 9IT ji2997 (jut 2p914:j 5W OUrft;aa'I— -- - — --__
QGC�I.QA�_ _ 1.45 R LOA1�___r..__�_H�L�i►�I L'=—��;iT�FiLE�_�.�... AREA 1 - N_Q.@t 49�!&__ VALUE
BUILDING
__—
BUILDING DEPARTMENT SET BACKS FRONT _ -� REAR ' '�LEFT SIDE_ — RIGHT SIDE
Permit
--- THIS PERMIT IS ISSUED SUBJECT 'TO THE REGULATIONS CONTAINED IN THE BU'LDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFRENY 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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWF,,, PLUMBING AND HEATING.
Total 1t`.v0*60 iUC — *41JU.
By Flit: �-2 ------
_._—_� -. APPLICANT OR AGENT
Approved lr Receipt No. '4 7 1
PH r —�
d
l
DATE--�INSP. '1.'YPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. �60
Rough-in
bC,4er _ ----------- Fixture _—
♦- N&( _– —�_ --- Final
1�=I�..-JL
(t�•rr O GQ menta./Arf�` ► HEATING
Contractor
%%A ` �Y-- Permit No.
Gas or Oil
li_�� --- ------- �_�_...._--- ------- Rough-in _
Final
SEWER
Final
-_ ---- �— DRIVEWAY
• -----�—..-------- Final
Storm Drainage
(Rain Drain)Final
N Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL T1:MPORARY CERTIF'ICA'TE oCCIA'ANCY Final
CERTIFICATE OCCUPANCY / /S Q/
l� �J Landscaping
Zoning Final