14630 SW 89TH AVENUE-1 14630 °W S9TH AVENUE -
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BUILDING PERMIT APPLICATION ��Y TIGARD DATE Iat,quet 23 19 76 1
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE r,'r)RK HEREIN INDICATED BUILDERFr1ON
OR AS SHOWN AND APPROVED IN ',IE ACCOMPANYING PLA'IS A,.') SPECIFICATIONS. OWNER PI-oNF" —
LOT NO
OWNER
JOB ADDRESS 14-630 SW 89th HOME ADDRESS
- ARCHITECT
ENGINEER
_BUILDER ADDRESSDESIGNER _
STRUCTURE ❑NEW ❑REMODEL QADDITION ❑REPAIRtt--11 ❑RENEWAL ❑_FIRE DAMAGE_ ❑DEMOLITION
MAISIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[]PATIO13CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
MOND MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED SIGNS
■
OCCUPANCY LAND USE ZONE-_ BLDG.TYPE _ —FIRE ZONE.— PLAN CHECK BY -_ HEAT.- _
Inst.: x 24 c-arpurt per plra> s
10200.
Qom.LOAD FLOOR LOAD ____-- T �_fJU.5TORIES AREA UL
BUILDING DEPARTMENT StT BACKS FRONT REAR LEFT SIDE - _ RIGHT SIDE _
Permit ] i�!►� �� _�_---
'(HIS PERMIT IS ISSUED SLINJFCT TO THF RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANC:WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODI' AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURriENT CITY BUSINESS
State Tax LICFNSF. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBy •`
_ !A—' ICANT OR AGENT
Approved T1J I Receipt No.
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