15615 SW 88TH AVENUE 1-5615 SW 88TH AVENUE
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dull-ONG PERNAIT APPLICATION `oF TIGARD DATE July 7 ^?'
THE UNDERSIGNED HEREBY APPLIES FOR APERMI-r FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS S,IO'WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO.
OWNER, joneA CQL1 ,+s. )OB ADDRESS 1,r,l.a 15 SIV hiltb AVN_ HOME ADDRESS _-
ARCHITECT
ENGINEER
BIJILDER ADDRESS DESIGNER _ _e
STRUCTURE ;NEW ❑_REMODEL _❑_ADDITION ❑REPAIR — ORENE'.VAL ❑FIRE DAMAGE ❑',EMOLITION
❑ RESIDENCF ❑CC1MM C]COUCA.TIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
❑BOND El MOVING —❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL. APPROVED _ LJSIGNS �- -
OCCUPANLY._:,-=�-lLAND USE ZONE— —BLDG,TYPE___.—.FIRE ZONE,-.L PLAN CHECK BY _ HEAT���-
"Cant slugle "n-A.ly !,welling a, Ea to p ---
.—_ � lr)edxacrsrl
( .LOAD F1.Q47- LOAD O --AEIGHT 20--N-Q—.5S95j-U ' ARES �V:` NO.BEDRQUM-S—._ VALUE 411, 100
BUILDING DEPARTMENT SET BACKS FRONT 25 REAR 2431 - LIFT SIDE 4 1 E RIGHT SIDE 14 / T __
Permit 1F"+),f?Q
-THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check f).00 REGOLATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCOROANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SuF,-total 10.00 ALI- APPLICABLE CODES AND ORDINGNCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ('. If) LICENSE, SEPARATE PER'AITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total `,Af, .+SO >>0C S100' M2
APPLICANT OR AGE' '
4pproved r.v f-receipt "'o.
PA�Wh N' L I
LATE INSP. TYPE INSPECTIONREF,1PRIKS PLUMBING DATE
_ __
Contractor
Permit No.
ROLIgh-in
Fixture
Fin:1
HEATING
Contractor
Pormit No.
Gas or
oil
Rough-in
Final
SEWER
Fl.,di
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL T 6iIW614 A 'CUPANCY
iFinml
CERTIFICATE OCCUPANCY Landscaping
Zoning Final
i
ADDRESS �u l`� `��4� �j L u �ut,t�_ PERri.T NO.
PERMIT CHARGE none �
OWNER _�J ') ',<' CONNECTION FEE
PAIO BY
TYPE OF BUILDING DA'T'E CONNECTED
SERVICE RATE /� � INSPECTION FEE s
CONTRACTOR PAID BY 0r1TE
SIZE OF CONNECTION ,�ASSESSMENT PAID �'