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ORFGONT. '
0«r,er:.....................�'.....................................................Permit No. 1 ......
339
15610 SW 98th Ave. Lot 542..... ........ e
a Building Address... .......
.....
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Certificate is hereby given this.... 4........day of....A.y.9.y.S..t... ........... 14,.?.....
•.,,� :F, that said building may be occupied and
that it complies with all requirements of �
tie Building Code for the City of Tigard,
as approved by the Tigard City Council. *
Building Inspector
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JOHN E. R►,;4.1y!T PI;,1!1BIJti, (,,,,,BUILDING DEPAKTMEN'i, TIGAKID
i'. N0.
0. GOY. 1119 PLUMBING PERMIT
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holder of a valid plumbing contractors license is hereby T
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations req-.. -e inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub.-contractors. �e f
Address
NUMBER OF TOT AL. PERMIT NO.'S
TYPE OF PERMIT _ ITEMS FEES UN EACH AMOUNT (Office Use Cnly)
TIAL
Single Family-1 both-each _ ✓ _ 25,00 S,
Duplex-•Foch 1 bath unit V 25.00
_Additional bathrooms each _ 10.00
Mobile Home Space- each 15.00
INDIVIEPUAL FIXTURE FEES
1 to 50 Fixturos in 1 building-each - 3.00
51 to 100 Fixtwas in 1 buildin -each _ 2.5C___
101 to 200 Fixtures in 1 building-each 2.00
_201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS _
building Sowar--1st 50 It. 10.00
_Sewer-loch additional 100 ft. _ 10.OG_
Water Service to building 5.00
Private Wnter Systems-each 100 ft.�_ 1000
Other (Specify);
PERMIT For Pluinbing inspection Phone 6394191
i
__31% State Plumbing Contractor By
TOTAL '!j RECEIPT NO. Issued Ey "—
UNIFIED S E VIJ E R AG E AGENCY NO. -
WASH I NG TON COUNTY DATE 1-9-77
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: -------. _...----
OWNER'S ADDRESS:
STREET
C17V 5TATE ZIP
BUILDING SITE: LOT__ 542— BLOCK ADDITION _
TAX LOT N0. TYPE OF OCCUPANCY __-_. residence
ADDRESS 15610 SW 98th Ave.
DWELLING UNITS- ------ 1-- ------ -- -------_.._____ _ FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE INSPECTION FEE __25�-- TOTAL DEPOSITED
__ _b��d�_
(NEW) (EXISTING) BUILDING SEWER SYSTEM ______Fenno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT-
SEWER
PPLICANT_SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. 1
LINE SIZE ---.______ _ _ ._ __ - _ INSTALLER
j
RECEIVED BY-_�•' '�
- ------ C
IaOENCY Op AGENT)
Bldg. #1339
COMMENTS: .
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
I
BUILDING PERMIT APPLICATION GOF TIGARD DATE "f-13-77
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE_y� _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
Lo,r NO.
OWNER I '4L JOB ADORE.SS 15610 5W 90th AV** HOlnf-ADDRESS _
ANCHITEC''
ENGINEER
B JILDEI3 c c';:I ADDRESS DESIGNER_
STRUCTURE Q EW — ❑REMODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL OFIP.E DAMAGE []DEMOLITION
NESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS QPATIO ❑CARPORT ❑GARAGE ❑STORAGE[]SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW _❑COUNCIL APPRO:D ❑SIGNS
OCCUPANCY �� Ii_LAND USE ZONE_ '7 BLDG.TYPE,_ `atj FIRE ZONE PLAN CHECK BY altw HEAT—__—
' t I ,:_15e9 ManQhamittar rd-issug game as IC256_"a_l.I- Creenisef Tern_ _
—A ..J,/attfiGhad uargue 2 b6cicoom 2 both
FLOOR ',r1.AD----HEIGHT NO�3ZQ� �'� ��JI_19 4 NO.=BDsM,5 YALUE59111480,
BUILDING DEPARTMENTSET BACKS FRONT :��.:+619 REAR 22 miD• LEFT SIDE RIGHT SIDE
Permit 1:,7.00 — - =-- --. -- -
THIS PERMIT IS ISSUEL ,UFJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COME, ZONING
Plan Check '10000 REGULATIONS AND ALL AI P, ICAALE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICARLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax .1001 LICENSE. SEPARATE PERMITS HEOUIPED FOR SEWF.F,, PLUMBING AND HEATING.
Total _ 1_72*til
By
APi'i i( r'% J7 CR POF,Nt ----- - — —
Approved '"� frl Receipt No
G't�---
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UA(E INSP. TYPE INSPECTION _ REMARKS PLUMBING DATE
lG —_------- -- _ -
-___. _— Contractor-7—
Permit No.
Rou h•in
Fixture
--_� Final -
-�?"1 HEATING
— i Contraror
°e.mit No.
4—Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
r
— Sidewalk
Curb&Street Final
—
A read _
BLDr% DEPT.FINAL TEMPORARY CERTIFICATE OCCUFANCY
CERTIFICATE OCCUPANCY Final
/- Landscaping _
l toning Final
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Address _ ,/ G/v o•,� f�'�"` Gcc,�— w Permit N o.
Permit charge 2,L)72 � .
Owner 1� �° Connection fee
Paid by C'
Type of building c�.-1 Date connected
Service rate �% Inspection fee S `�
Cont-actor Paid by d , te
Size of connection Assessment Paid