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11120 SW 106TH AVENUE-1 l 7 VI i 11120 SW 106TH AVENUE F ch 1 � e I u C f 16 ADDRESSI�� `3c.� /C�� ( PERMIT N0. -747 PERMIT CHARGE none OWNER CONNECTION, FEE COLO, PAID BY sh-� 4o��gd ' n TYPE OF BUILDING �`� DATE CONNECTED SERVICE RATE _ INSPECTION FEE t:ONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID �r . r d 1 I I I I I l7 n '^ 'a U41 c� ti I fi nJ D I t1 r. 0013 f— r) I tdD t O rq ,n ri vi c•: to t, r; i, �� �• c_ R7 7� ti, ito r'J W 47 i� lo:tu vi ri ii, 03 f(: q r) 'l7 i „4 I ^ vi c+ r I I c , 1c to c: •ry j' +� CJ ��., rrl fi c: �, }C ., n u :J X? ?139 BUILDING PERMIT APPLICATION 1O1F TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR P,FERMIT FOR THE WORK HCr+EIN ;NDI(,A'ED BUILDERPHONE f� Z 3�- 09 AS SHOWN AND APPROVED IN THE A. ,COMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER "-eyQ sp;eral JOB ADDRESS p 1120 SIR 100th Ave. HOME AD^'1ESS AI IC!al"ECT I:NG,NEER P JI LDER ADDRESS D-SIGNER ^_ STRUCTURE EINVA ❑REMODEL ["]ADDITION ❑REPAIR ❑RENEWAAL. ❑FIRE DAMAGE ❑DEMOOLITION RESIDENCE ❑COMM ❑EDUCATIONAL CGOWT ❑RELIGIOUS❑ []CARPORT UGARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑Cr)rIDITIONAL USE nOESIGN REVIEW ❑COUNCIL APPROVED 0SIGNS OCCUPANCY_. 1; .LAND USE ZONE ..�-_BLDG.TYPE--,"I4' FIRE ZONE3— PLAN CHECK BY_.r__ A HEATt- _ &'�t, Sinzle+ Ami ,y. Dwellin,;- w1attaehll,d garaf-g--- Cannecticin to earl SOWelr cannot t•,(, r,.Rd , until ntre+At ospwer has been spprov.pci I bedroom � �ati-_ _—�— _- ►w.sx�_'h.r6�=�... --�7' .-_-�G�/� iAi�li r� .-iir_.��is�.s.rsr.� ��.1� �T����(�_C:Cfi.LL.LI� 57G 1,Rrage V5 .1.4AQ___ 20 NDysT If Z )-"-.NO.13ED 9Q.MS a VALUE!5 .900 BUILDING DEPARTMENT SET BACKS FRONT ')' REAR :50+ LEFT SIDF +' ° FIGHT SIDE 11 Permit 1.149.00 - -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT107'S CONTAINED IN THE BUILDING CODE, ZONING Plan Check 94.JFK REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS 4EREBY AGREED THAT THE - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECtFICA NONS IND IN COMPLIANCE WITH Sub-total .,'F;3.,,(y ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - RESTRICTIVE. COVENANTb. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1. 56 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total 2PI.0E; BV APPLJCANI OR A0ENt Ar+provetl 3 tR A-^ - Receipt No, 1 I_ .r ADDRESS — --..—.-- --- -- M/ON . DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE — ���^t Contractor a 1L7�1�15� Permit No. 1'4171 Rough-in Fixture > Final — �, HEATING Contractor Permit No. /^ 7 Gas or Oil /_cru Rough-in Final SEWER -- ' ?� _ Final DRIVEWAY Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG. rEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final Ll� SEWER PERMIT NU 15947 UfUnitied Sewerage Agency of Washington County CITY OF I'x t t d_ DATE June 15, 1978 OWNER: Steve Spegal PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION: ❑ BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: © NEW 0 SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUS-TRIAL FIXTURE UNITS DWELLING UNITS 1 ADDRESS OF STRUCTURE : 11120 SAY 106th Avenue PERMIT CONDITIONS: THE APPL[CANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THF UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORi=EITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION _P_:. robertson I SSI _u BY OTHER TOTAL s 625. APPLICANT I DATE 1 I L�11 • n ~` J1.. .. __111IJ . 1. L ABOVE O4rE. SEVIER s�pl;;OE N° 15947 CHARGE ARGE WILL BEGIN F08 THIS SEWER PERMIT ADDRESS OF 5TIZUCTUf2E 11120 SW tO6th Avenue 'F� •,? ,���, TAX MAP TAX LOT SYSTEM ` LOT 11 BLOCK _ [1F APPROVED BY DATE ISSUED BY DATEM A.U. 'S 1 REMAP'.S _bldg. # 2139 �Ivuwfvjv I of c tl LL h M LO en eq �1 rmiLLs e'�L c , 4 4 I F \ CE14 a Iz LL fu to nI c7 . o w Y O A > C\ d Q r QQu > > ci G GIIIIIII � II� u Q u) aUj �- p� W N ' C; I I r g e � a C) U ^o t.., w is Lj uj Q CLl r r g d G CJ V 7' d 1 19.i 1 U C' W 7 p o C7 p e � ¢r rj a r 7S ►p. •• Y y Q � � �� �0 7 •J G 0i F g a x f ' u7 F. '" l' Q W c O a � � tiii > irh U co C) I NI �� f 7 V Q n r LL u l u OC C I c O C C/ G