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12285 SW 106TH DRIVE 12285 SW 106TH DRIVE q M >4 r w t' rr i r c c� k tK � n � � f >14 w ry > o I CN rS �� #4 rl W C:) Q ,a I I f I 71 U7 III m N n� �i L-i.moi, U U U U u i J t,,,,.r,.. ,•�,,,�.,.M •yr 'r.•rf"�"'1+,'�.. .. `�' � /t.� r� .�"�,,,�. Y� 3'd,'`-�"�.�•�'yt. ' .=r•"t'' '�f- �� ,11`r t�'� �'1:-� ,! � �� .� +rf;tte6y ��. f � •��• r 'a,+1:'K4 � �.�i rrr�r tir•, r i 00 Ln ' Cd • 1 i ` • 0 to • { Cd04 41 Y u 0 lil �+Nm to '•. I�I i • • • • �.•Ii,Y ' + t I.�\`(1111 • • + � tko • �! '. ra Ln 1 - • • W Cd i�c� 1�L,l�•, •••;1„111 �� SO•�• y rvW,��'4 k� �� ` ,r. `'+-.,moi:: .:•{..,. „r «a J �' WF INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Plc-uested ✓ -�7' o Time—.- A.M. P.M. 7 Address /U4 Permit Owner _ _-__ _ Lot # Builder —The following Building Code deficiencies are required to be corrected: - - -- i Presented to _ Approved Inspector ._, Cl Disapproved Date CALL FOR REINSPECTION YES ONO r MIMI "Auff OF T'� RD 'Itl� NO . BUIE18026"I C17YOF ARD .;OMMUNITY DEVELOPMENT DEPARTMENT ONE 2/1.9/88 13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 i:,rt H. r)m r .NC). 800267 J013 ADIN-4ESS : 12285 W 3.06TH DPIVE fox MN--)/(.J)'1 A()A 03900 !:3 11:11: 1. f UK I ANU USE: 1.01 S*.CZE : V At..LIATT ON: 11, 9 ,000 Lit:*VWACK�i F-RUNT : PIFKAP: WORK CN-ASS : AUDITZON OWEL.L .UNIT15 : LEF'T': F-41 GIA 1, (TH-ILT! NO DEDIVAXI!i*) 1:.'X I' WAI. 1, CX)N4-)T : CONST TYPE' : VN NC). BATHS : N S . E W OU1.01UP, (AW VA 1,440,11 0PEJ4:lJq(:"!: OCC UP I OAD IN 15 : 1:; W t tri 61. nPE'XI 15 1.ST ROOF CONS r : F IPE:: rw:v? I IVA(",,1-1,11, 61`411:6 SET,A- lTi, 1:400 L:1) 3111): MMUP FiliVA1417 1-4A VE:1:) 1 1-0011 L.OAU : GAPAGUE 1::,1 PE 5 F.)1:4 K I..w? Al APM7 V 1.Ow(61,M) DF. I CA T'YPEHult"Fl . ACCIEISE;,? !11 IY! (,I II 1 1, NY . Llp P1::.MAWK!:li : NO L.AITT, 0 robert. bother !'5 W IP;31111.5 49W 1.061,111 ch, .)N I E) 411.'f N E tigw.rd cal., 9722.5 R P11-11C)INK I"! I I')X t 0.1 (ITHE-11 41vk.I Of IMI.NT (.:I 1(1111(::1 C GDG( !il'()Pm) 0 N R T PUC :0 A < Ili 10 -137 C T 0 R . .......... This permit 19 issued subject to the regulations contained In Title 14 ......... of the TMC, State of Oregon Specialty Codes. zoning regulations and all other applicable codes and ordinances. and It Is hereby Agreed that the work will be done in accordance with the plans and I. I.NAl specifications And in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void It work is not started within 180 days.or if work is suspended or abandoned for a period of 180 days any time After work has commenced It shall be the responsibility of the permittee to assure all required Inspections are requested and approved 0(64 14 Permittee Signature Isstied By I I F011:1 TW51:11:1,1111 LIN 6,5'9 R:11. 1!5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE v� a W p W _�1 :,•�IBJ ` O cL n J us � cJ F YY \ wl> t 1 W WcI 3 1 n 0 4 h R In at �O aL-3 e o N q i ; t� LML I l v t=- O ®- /09 II q Ly o o L W / -J �/ lz > O 1H 'a // "1 I O EL CL C C x a co a 51 I Z <a yr �o�o3f� �� I i r F i - . lob I � M f2.e,dty � �1 h� m f CIE_ ,W`Op1j I "+�� •• CC R dam> �1 k [v • W / v, ti W tn Q N y r - 0.gOlf R \T � q Fin It<&IM, i E-4 ~ \ � � W w F G1 O q y0. � ° ►� q w W ol / !� I N t3 N t'qn� ppb +- Y� W O q V u 43 EQ F. GI Y e 1 / n t NCyh •J � 4 � A a F. L, 5 r.� o r Ltd t Z D coo i f N b 0 WESTVIEW OF NEWBERG 1004 Springbrook Newberg, Oregon 97132 503-538-1122 - .. .. i�_ -tY.... �a-:.. r•-... .'�"'tT .. .... .. ..1--. .... '. '�'t�.:.rM!at}LYMfwMILA#'iA:t�,yna'v t t' �OMUNfl N t WESTVIEW OF NEWBERG 1004 Springbrook Newberg, Oregon 97132 503-538-1122 ��uJ25 6o4Pb) •�L•..., ....d: .:n'_ _..:�. . %,�', r.*.'!"'"r.,�,..F,.._ ... _. ..,. ....:Ya�w.:u.R9.M�tt!R"%!!4 CISci � c « I i Eb � I T � , i I � BUILDIN NO. RMIT _ T� �� PERMIT 2� �-Z- U p\cf�ci CrTylLlttD COMMUNITY DEVELOPMENT DEPARTMENT O1"'OH DATE ISSUED: 13M&W.Has BK%I,P.O.ear 23307.TWFA Oneon e7=(oda)6"4170 PRIM.PMT.NO. : JOB ADDRESS: N41 !_>�'� �'t _. -----_-- --- TAX MAP/LOT .�."-�_�_ 3�'_._. ��1wt2_. Lr: LAND USE; LOT SIZE: . �_.� VALUATION: _ pOd i SETBACKS �/ I FRONT: __ REAR: / WORX CLASS: DWELL/UNITS: LEF1. _ - -__-_- RIGHT: ._ - USE TYPE: NO.BEDROOKS: CONST.TYPE: NO.BATHS: M'CUP.GRP.: - ---_-.- OCCUP.LOAD: — TOTAL AREA: 110.STORIES: 1ST: _,----___--ROOF CONST: ___ FIRE RET: ^� HEIGHT: - 29D: ------ -_AREA SEPAR: BASEMENT: _ _ 3RD: - ___--- OCCUP.SZPAR: - __ - MEZZANINE: _ _ r BASSH"T FLOOR LOAD - -- GARAiaE: �,__�.- FIT3E SPMR: -_- ALARM: _ ----- FLOW (cm)= — - DETECT:- - - HEAT TYPE: _ HDCP.ACCXSS• _ _ CORR: - --- PLAY CFiECIfy BY CRJQ /� J _ REISSUE OF NO. SEWER PKIWIT:__ LAST REISSUE -� 1 Name. NASI FEES: _ �(.SI) E , Qf) Z� PERMIT q tT-1 i►C PLAN REVIEW 8' y 3.- Phone FIRE DEPT p n! STATE TAX C Name: �,}_� �j ,� LLQ /I L nom' DEVELOPMENT CHARGES: - T Address: �00�>' �ni�t�i. Ane.,lc 2DAC). SDC (STORM) _ ----- A �f�JY�c o G� �l )/3L SDC (STREET) — - -- _-- o Phone: 3 I �-2-, PDC = PBRPAID r��.y3 TOTAL: -r RECEIPT NO. UQUIRED INSPECTIONS FOOTING SEWER FOUNDATION WALT. RAIN DRAINS POST & BEAM WATER LINE PLB. UNDER.SLAB CITY APPROCH/SW SLAB FINAL PLB.TOPOUT FRAMING FIREPLACE GAS LINE INSULATION Permittee signature GYP.BOARD Issued By: CALL WK IRSE,FLTIDp�3q=Yr7S -- i I City of Tigard I UVSP'ECTION REOUEST for INSPECTION TIME : PERMIT NO. : — DATE: ' ' DATE ISSUED:__L_j, OWNERS NAME : I ADDRESS : CONTRACTOR : TEST. Air ❑, Water p ,I Vieu! , Liihoratory RESULT: A roved Disapproved\� IPP � , pproved ❑ i Pending p I SKETCH: i INSPECTOR DATE EN OTE Attach supplementul test data hetet] t r FILE COP'y City of Tigard INSPECTION REQUEST f o r INSPFCTION TIME :4/.,/-:r_ ERMIT NO. : — DATE: /J—/Z,- / DATE ISSUED:--L--I. OWNERS NAME : _ ADDRESS : CONTRACTOR : TEST Air ❑, Water ❑ , V.sual,�, Laboratory ❑ RESULT. Approved Cl , Disapproved , Pending O SKETCH' 5 4 l2Z �(5 -!� lJt 7- A4F AA..) F-4f I'llXc494o po-se go iaf to, I2 - 12 -�? w * 0 Pte,t� I0 Cz 11o�R�zv. I V&Lm �, (, � INSPECTOR DATE vc0� � I I COTE:rA�ttoch sup"Y10 fast data herst� i I P I QLL Address—LL_ al , 10 6-e '.d, Permit No. L7 Permit che+rge Owner a n n 9 c t i o n fee Paid by t/ Type of building f , Date connected tf __I – -7 Service rate Inspection fee `s [contractor _'� . �.e�--�,� _ Paid by date Size of connection # Assessment paid . 57 i CITY tip T IGARD Ci:mFicATE of l)t:CU1ANCY am Hfl.}J1:;E of RFzrac'TION The City of Tigard heteby certifies that. the ucculancy of the following described structure or premier, with regect to which a restriction of ocruAncy was, on Qo(:ember 20 _, 19 �> re%orded in Book I 1 , Pew _j .,' , Deed Necurd of Washingtun County, Oregon, lr. hereby authwrlzed and appruved. DMCRIKION OF }'FU LKTY: lot. 19, Clydesdale Subdivialon, Tax Map X ,I 3AA cw?": — tin r t:.. k I -.V- BUDDING IVWT NUMR)M: 73-209 BUM I y0 ADDIt1l9: 12 ;_��_ 1 n�,i f, c..:._ — This 1s to certify the -,aid structure meetn with the require- marts of the Ruilding Code of the City r,f Tigard and the above referenced restriction ii, hereby released asci termirat.ed. IN MITNIZIG ill};NF:uF, the under^igned authorized officer of the City of T.gard has cauaed thin certlfien a and relear.e of rentrietion to be vxecuted this r day of Title: i� -A, 3TATE W 10MON )s r County of Washington ) on this /yw day of %(�� „e , 1y,1•/, personally appenred before re the above :grad `:A A llt.� l`—, wfw;e signature appears. hereon and who acknowledged to me that he executed the name in his offical calacity on behalf of the City of Tigard. At tie A t Notary Public of Oregon G 1 0 M,y Ctmmisrion ezplren: N.4 04 S axfa "@0400.14. hw�. M R.. 4. 0, E 1001 USE 135 •g ars., n r flit, 17. ,f>s� *..:.:� t.=..9 _ .�.a,`-"�` {� �� 1:'/ 4ww�► �' 0, t n A n 49 CITY OF TIGARD v cY D OREGON r� Owner:...Dr...K....Ferry......................................... Permit No......73.7!U4...... �+ Building Address.........1228.5...S.W....1.06.th...Av.e.............................................. Certificate is hereby given this......ath....(lay of...N-ov.ember..........9 19....7.4.. i ),f ti that said building may be occupied and r� r that it complies with all requirements of the Building Code for the City of Tigard, , ` • t' + � F t' � ':� as approved by the Tigard City Council. .(� .Tl?��'r ....... ....�`.:..... .......... .. ..... \) - +r Building Inspector �.� .:.. l? :.�• U �� I<7 �_ it •-,:. �� .:,, v �> �,7 w• �:. V J J l�l J �r s w ® w w _ � I City of Tigard INSPECTION REQUEST for 0 INSPECTION TIME:��'44-21""Z' PERMIT NO. : DATE: A2/11/7,y DATE ISSUED :.._lam OWNERS NAME : Prz,Z ---- A DD R E S S: 42 P. f�r .!'. ��-, /441 CONTRACTOR : c""I - —'� - ---- TEST : Air 0, Water[] Vieual p , Laboratory [] I RESULT: ApproveuIV Disapproved Q Pending El SKETCH: I I I I I I INSPECTOR DATE COLE Attach supplemental test data beret a] I 1 12475 S. W. Katherin Tigard, Oregon 97223 Mr. Nick Nieher Building Department city of Tigard Tigard, Oregon Dear Tr. Hiobers As per our anreement today at the locations ment- ioned below, We will remove and replace the rejected sidewalk at 12295 and 12285 S. W. 106th Dr. within 30 days. In the meantime please remove the rejection notices from the houses so as not to discourage prospective buyers or create confusion and conflict with tfg buyer Patterson Realty has for the house at 12.2.05 S. W. 106th Dr. Thanks for your cooperation. Yours tru y, i Dallas K Fefry �/ r � s �r � I� e� �■r City of Tigard INSPECTION REQUEST for /'�--_--_— INSPECTION TIME: 491'c v PERMIT NO. :— DATE: /v / 9 / ad DATE ISSUED : Z Z OWNERS NAME : Z'—i—k ADDRESS: /s 21.1c ss,., /UG rl CONTRACTOR : TEST : Air ❑, Water❑ , Visual 13 , Laboratory ❑ RESOLT: Approved [3 , Disapproved ❑ , Pending ❑ SKETCH. INSPECTOR DATE COTE: Attach supplemental test data bereto� City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: C' �T E: '136YZK DATE ISSUED:__L_1... OWNERS NAME : /-),,K—' ADDRESS : CONTRACTOR TEST: Air 0 , Water ❑ 'Visual] , Lab ora tory0 RESULT. Approved , Disapproved ❑ Pending ❑ SKETCH: /t 1S /_ l6 �Q INSPECTOR DATE COTE : Attach supplemental toot data hsretl i City of Tigard INSPECTION REQUEST for .5,H6?e:- / t:,.. INSPECTION TIME : PERMIT NO. : DATE: / / DATE ISSUED:—," OWNERS NAME : .. ADDRESS : r - Lai C 4ype 4,,,,4.i CONTRACTOR : TEST: Air O, Water [j , Visual ❑ , Laboratory p , I RESULT: Approved", Disapproved L] , PendlnQ' 'SKETCH: I /9Vk� ♦UAB`s jJ ��iL / �,rJ/�awtit�S i INSPECTOR DATE I INOTE Attach supplemental test data heret] O i t I I City of Tigard INSPECTION REQUEST for INSPECTION TIME PERMIT NO. : i DATE: DATE ISSUED : Z OWNERS NAME : �- ADDRE CONTRACTOR :,5flit I TEST : Air ❑, Water 0 , Visual Laboratory p f RESULT' Approved ❑ , Disapproved , Pending 0 SKETCH: i -o OV INV- INSPECTOR DATE i ENOT6 Attach supplemental test data beret] 0 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : _ PERMIT NO DATE: DATE ISSUED:--I-J-. OWNERS NAME : ADDRESS : CONTRACTOR TEST. Air ❑, Water L] , Visual ❑ , Laboratory [I RESULT. Approved Disapproved ❑ , Pending ❑ SKETCH. Sl C SPECTOR DATE ltta^h supplemental test data hereto] w w w It 1 1� 1 i I I City of Tigard INSPECTION REQUEST for 1 INSPECTION TIME:, �-� PERMIT NO. : DATE: DATE ISSUED : I Z OWNERS NAME : ��• .' }' ADDRESS: CONTRACTOR . .fit' i0cfO00---Aii& TEST : Air 0, Water[] Visual „ Laboratory I RESULT*, Approved , Disapproved O , Pending O SKETCH. I INSPECTOR DATE I CNOTE . Attach supplemental tett data hereto I l City of Tigard INSPECTION REQUEST � for INSPECTION TIME: PERMIT NO. : __— DATE: j /z DATE ISSUED :--,(—/ I DWNERS NAME :— 15— ADDRESS: O N T R A C TO R : "EST : Air ❑, Water❑ , Visual ❑ , Laboratory ❑ 7ESULT: Approved, Disapproved ❑ Pending ❑ F KETCH: =/5 @ /.c, I S I I I I INSPECTOR DATE I Attach Supplemental tett data beret 431 I �O7 • w ® It 1f N w rww !• I I City of Tigard INSPECTION REQUEST I for ,o d / n- t,. I INSPECTION TIME: _,w'�.- 0(L' PERMIT NO. :— DATE: x;21&1 %4 DATE ISSUED :__1_L OWNERS NAME : 1) t �� -- ADDRESS: _Z017 CONTRACTOR : TEST : Air ❑, Water❑ , visual ❑ , Laboratory ❑ RESULT: Approved Disapproved ❑ , Pending ❑ I SKETCH. I I I I I 0 INSPECTOR DATE LOTIS ' Attach supplemental test data bereta City of Tigard INSPECTION REQUEST i fQ& INSPECTION TIME : � � ` PERMIT NO. : . DATE: 1 l— DATE I SSUED',_1—I OWNERS NAME : KAY IADDRESS ---- C 0 N T R A C T 0 R : - _ --__ _— - _-_-- ----- TEST . A r J, Water ,:] , \/is GI , La' ,rator� p RESULT ', Approved ❑ , Disapproved, , Ponding Lj IKETCH: I S ' I t � 6i� INSPECTOR DATE CNOTF Attach Supplemental test data heret] 1 PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. _7�^ ? 3 Permit fee Water Closets Toilets _} C Pcrmit Issued jo. 7� Batt_;. Tubs _ �� Approved by _ -- _Lavatory_ Washm _Basiri _- ��L+ Building Per 'lt Shower _ _ Receipt No. L Sin�csi_Di.shwashing_-- _ Snks,_Kitc_hen _ ;' _Sinks. Crdinary__�__ _ Locati ='•on of Bu.ildin _S ink L- Bar----- -------- ----- ----- =--- - --- {_1.c ------- --_ -- Sinks, Sl.U_._ --- - -----___--___—�__�_-_ -LT------------ Autr.) tic Dishwasher y Laundr I'ra s Name & Address of Owner Drains, Floor -- ------- - —�.-_------------ -- - _._ Drains Area —_.-�-- Drains._,_Refri.gera to%— __ —_—_.___.----------•--____-- - -', Rain Drains ��' - -,� Automatic Washer -- _��_ Name & Address of Plumber :?ountains�rig - — /11 _� <; - --=i-a- --�----- — Fountains. Soda _Hat Water Tank _ ��.�.' -- -------------- ------------------ _Water Service i, Urinals - - Ruildi.n �0ld car New) (Alter, Repair or _ Cat..^.h-Basins -Tara_ c Tn-c;Tall_ _ i -- - --- ------ Lawn_Spt_i.nk].tr_ System _ _ � - - ------ r--- -------------------- Swimming Io o l Other_—__------------- -------------- ----- - -- spr ii n k le.r_Sy s t e rtr - ---- - -------- — ----- ---- ------ -This permit becomes null and vu-cl if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 1.20 days at any time after work is c,:mmenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified herein cr not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Signature of Applicant C l�i';1•� EXHIB!T "A" CITY Of TIGARD Residential Structure Oceupsn;• Restriction KNOW ALL LIEN By THESE PRESENTS, that occupancy of residential structure (R) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, in prohibited by the ordinance of the City of Tigard, Oregon: (The City will Issue a release as soon as a fleal inspection determines that the construction to satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: ,/Z 2 .11 S _,{rte , < <• rrr NAME OF OWNER: " '/' ,, ' - 1ADORE55 OF OWNER: /2�/J S� S ✓. �7.[ ...c,� _�I�i,_ �� e Yd i 1 IN WITNESS WMEREOE, the undersigned has caused this restriction to be executed this day of , 19_. OWNERS Name APPROVED: TTtle — ByI AI�+YIr'J (;�1rr f f1juilding Official City of Tigard STATE OF OREGON ) ae. County of Usshington ) _ __, 19 Personally appeared before as the above named and arknowledged the foregoing instrument to be voluntJery act and deed. StAtE CK C01WN E Mmes- !1 Notary Pudic d r '?T;e g o n aK..•ti My F:osslesion Expires; ad E+c+•,1M ad t..Oh R owitvC NOV � r�o.K.+ I:n b+e cam' Wo �.si.� •M M•1 +►w '^v0 de W WWAc� Wof rlrnidl ad Ido „1 w.f C^unh 4M „„p 00-411 1 1, rno a �►� r 4 7 Fli6..� !7 r� acs l��13 r EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (e) on the following dear,ibed lands prior to the recording of an occupancy permit releasing the restriction in the Dead Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a release as soon as a fleal inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: _ 'r ADDRESS OF PROPERTY: NAME OF OWNER ADDRESS OF OWNER; IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: Name APPROVED: Title eYe uilding Official ity of Tigard STATE OF OREGON County of Washington as. , 19 4y Personally appeared before as the above named 4 4 , _ and acknowledged the foregoing Instrument to be ,;. voluntary act and deed. otary ub c r ragon My rommission Expiresi �F_, Z CITY OF TIGARD ,:470 s « A41.+ s....+ Tlti A"C opeGON 17223 APPLICATION FOR BUILDING PF:I+MIT El LJ Addition E - Remodel 13move Urrnu Now Construction x lish -`r R_ 'Y LSSUF.D- :L-J1-73 BUILDING PERMIT ZONING - BATE� 77.00 No. NUILDING FEE $ DATF: RECEIVED_ so pLA•4 CHrCK S ' r erordinq ?.0 Oq3 etatu RY S VALUAT IOti -- - OTHER ___- 27 - RECEIPT S 120 No. 9f�0� TOTAL 1 rW.) SETS-OF PLA4% AND PLAT PLANS MUST DE FURNISHED WITH APPLICATION LOT 1 lot 14 C* [Sl 3AA CENSUS TRACT W-19_ _ JOB 1 — Architect or, 1'.ngineer_ Bruinier Address 1304 S.W. Bertha_tllvd - Portland. Urugon 97219 PhrneCh6-3022 ow ne r __ D. v, Phone 639-7320 Address b.k. ferry Builder _ P(hoone_ Ad f r e s s t.J BUILDING USE Sint3le Res. Multi Pea. LJ r�- Comm. Industrial OCCUPANCY GROUP__j No. of Stories_, Total lieyht_, 1;,.+___, Area of l.ot- .. 1 48 Type of Construction f,XffAXfff1'!i► V Floor Area B 12 2 -_ 46 Set Backs: Front_ 11L Back_, L.Slde._� R.Side _S__, 4" Sewer use Tigardgeptic Tank Private sewer Pilot* 0Drywell 3/4" Storm Sewer Ditch l_J .rater Service Pipe Sire_ __ Street and Curb Requirements ____,_. Aa, -x%11• -- -No. of Parkinq Spaces_ -__4- - Driveway width,_._12__---_----_-_. SI.PARATE PERMITS REQUIRED FOR SE,4ER AND PLUMBING SPECIAL INFO%4ATInN AUURtSS ASSIGNED S.ji.-l�iil►�+ a ""- DATE�12-12-7 FIELD CHECK BY__- -_19 -- 1 PEP-MIT APPROVED RY sr�:, It is un•lerstood drat all work will conform with applicahl- �IFr)( and or mance bui wi he dinq of the e occupied untflnasCertificate of Occupancyrr� tlI hasbeenissuedtby thelCity of Tigard Buildinq Inspector. 0nKt .-16 UNIFIED SEWERAGE AGENCY WASHINGTON COUNTY 1 -}''- CITY OF Tr,ger0 ADPL iCA'TION FOR SEWER CONNE C 1 1t IN PE:RN11 1 0WN1 tr !1.K. try Ov"'41 It ,tarn cr•r 1 � sten •r Bull uJI l:! 1,I•i t. NI r. 111 )y0fl9�Elj r TAX LOT t OF a A t.IPA7dc:ADD P t SS WWI Ori ji�- v tslut,r A , DWELLIV V Ir rI,, SLINCHAR+.e t r,l 'CARLE N.d CO, Dalt J #4C (. il!-'A141T FEF *, I% IIF 15 ►r.l'. , 4 .r'Ir1 , vEw'I [EX.. T Mt 0, [WE" �YSTI (yard t Avis! . r erily '.v N r:Jlei dre,1 r.'•,�rrr, , APP, !CANT SEWER PERMIT TWIN PE"Mil i CONNEC TfON i[) THE 'I A .t I ,'t[E !A?c INS TAt.I F N FlEctivrD yt.l r p� r •OlNti I Thi} AI,nlr ,rr ,..I In...,.. . .t. •n', ,nrtMlY rr�I; rL..r,,