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13300 SW 110TH AVENUE-1 f � _ 13300 SW 110TH AVENUE rJ il-1I I fy i O � ' t Q ' I CY: u, V I y ykc b off ;n rr) 114 ' Id I T1 IJT[ f 1 0-1 , 1 a� r cn I M t r , M.IJ'B 1•tiG F'F I NIT APPLICATI'A El',,.!mJ ti 1404147 P JJ tt pt,rmi t f� .. .� .�....._• Wer ► 1.'1:L.:':.._w� ._.,. "7 }'r:r,.T i t. .1 s r tx.dy Ap},r, d t _. _ _ :Mrd, . • . Y ; ,. . x f. .....,.. • ... ,.w» ..,.�..ti., •• .••,..�/�.�/ .... ... ....... .•r.....r...-... ..r.N•wY.r__.u_...Yti.Y�/..Yr.Y�.w...,w .. .... _• ..:� ,. .t,. •i Caj;,..,....,•._.. ..w.n.._.......~.. .. ...' ��� ���1`�L/1..�.. U/..�:..tel.^��-..,1-.�. r ....!.'.a.. ..... • ... .... ., .Y . Lr 11�. • .. ... 4.R .'�.�-�•wr'.�K�.-}.w�1.f� O�•.w�.1.. O' lww�..�.�. _ r: a l r•' t' i�. _ �_ ' !�a it of Ineta911 ; I r•.:t It t 1f' 1 '. .. ;• z. a c _ r'.t +�G11iMc rived Within A ►,.•rte A.3 ;,r,; �Ir1 , a! A 120 dave at q:.! l.1. ., t ►• n, i I ►.r r t r ;r, I,rrr;. Y tir:lr.t;r .. :1'r .l e, .r 1'i t" 2'4'0:1 frl ! �yrl.il 1.. Fid I a i r 9911r1e: to he true St1/I r. .r•rr h v1,- i 'r ! iuW;, tir r 'WI 1.1 he laz:!.'. . w • 1 w► ! L (1 h►•, Irl e f ;n: t i1 8 riot presum to n r.t r r 1 '. r t'.. 1 . t ,� i local lqw regulating t�fFi�:+tare ::.t 1pplJ.e �,r . AddressI So ^ ��� .,�11�? ,_, Parmit No. Permit charge -- Owner Connection fee l ��.,h, - �A-,;L Paid byr, ('' ,. . �, . ' �J��►� ....�.._. i ype of building _Q- ��,,.,�,.,,�,.... Date connectedz- Service rats , W UlkkyL .,.,..,....._ Inspection fee Cclitiaotor ■,^11�,p�}{ �_ paid by �'°,. ,; ._.,..., date r...�.�.� WMI��i�r 11�^�,..w Site of connection Assessment paid J w w w w w w w w w r �ofc3 � UN ; FIED SEWERAGE AGENCY NO. _ 4721 WASHINGTON COUNTY F)ATF 8-24-72 CITY OF--- APPLICATION F---APPLICATION FCR SEWER CONNECTION PERMIT OWN E R: Provincial Homes OWNER'S ADDRESS. SfIREET CITY STATE BUILDING SITE: LDT 2 .. BLOCK 1 ADDITION TAX LOT NO. _- _ TYPE OF OCCUPANCY Saeidance ADDRESS 13300 S,W, 110th DWELLING UNITS l FIXTURE UNITS 14 SURCHARGE IF APPLICABLE _ _.. _ Derry Dell In Lieu $50,00 PERMIT FEC 425900 INSPECTION FEE 25,00 TOTAL DEPOSITED 500400-- (NEW) 00.00-(NEW) (EXISTING) BUILDING SEWER SYSTEM Ti®ard . The Applicant m.ve.,s to comply with all rules and regulations of the U1,10r.-d Sewerage Agency. . I APPL ICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO "EHE SEVER SYSTEM. LINE SIZE INSTALLER 24 Tboames RECEIVED BYct. ,, IXENCV OR ITS AGENT) 1 COMMFN 1 This AI)Illication mid Kermit expires in ninety (90) days The anuoilnt p,Ilrl will he lorluitec! rhould expiration occur. f I l i BUILDER ✓' ' , n�cmcc�' VALUE �t�,5/�`�' FEE /���-" DATE 5- </7z LOCATION OWNER J�,�c 1 > .t ALI 10.8 , , .P cSL erk I TYPE ais,771177 PL � 'f- ,c-4?rncCtc PERMIT 7.z /�G P E 3C- 93' SEWER PERMIT ��2 EE N TCHAN CAL IjFRMIT EAmE BY DATE PF Y Tly EXCAVATION FILL AIR CONDITIONING r. FOOTINGS FOUNDATION(1.13.7, VENTILATION FORMS SPRINKLED. SYSTEM SLABS MASONRY FLUES REINFORCING STEEL FIRE DOORS/EXITS STRUCTURAL STEEL GARAGE FLOORi_ PLUMBING R. I , _ DRIVEWAY w .� ROOF/FLASHING _ SEWER FRAME iij -- TORM DRAIN --------- _._ __ LATH WALLBCARD PARKING HEATING FENCE SCREEN _ WATER HEATER -- I FINAL �dw-4f CITY OF TIGARD 12420 a. W. Ari ki Shv* 11GARD, oRNOON trt� APPLICATION FOR BUILDING PERMIT New Construction © Demolish u Addition ❑ Remodel ❑ i4ove❑ ZONING R-7 DATE ISSUED BUILDING PERMIT DATE RECEIVED 8-8-72 HUILDiivv FEE $-_�` 00 No.�ti,��� BY - PLAN CHECK $ te _ --- - -` - OTHER S - VALUATION S--- , TOTAL $-1°k•5O RECEIPT No. i TWO SETS OF PLANS AND PLOT PLANS MUST HE FURNISHED WITH APPLICATION LOT N 2 B1 1 MAP N 2881 321 - CENSUS TRACT - W-19 _ JOa t J Architect or Engineer prp.+•+••+•� BCM■ - - _- w - Aodr ass 1123 8.ZPhone 254-9856 Owt.e' t-f '' -------- -- kddress -- I •,food- Ttu ) A[� -P hone Builder-- Address - Phone BUILDING USE Single Res. [-,-] Multi Res. ❑ Comm. u Industrial!_I OCCUPANCY GROUP__- No. of Stories_ 14 Total 11e.-jhc`_jW_, Area of Lot_ _! Type of Construction V Floor Area B_IIQ_ 1 2 - Set Backs: Front SDD Bac:, 1.5_ L.Side-_5_ R.Side� 20 Private Sewer Pipe S.ze— 4" ___ Sew,er ?iLard U.B"ptic Tank ❑ Water Service Pipe 3i..e_3/4" Storm Sewer 1� Ditch ❑ DryweII�� Street and Curb Driveway Width - -_No. of Parking Spaces SEPAPATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGVED __.- -- B-W- FIELD CHECK BY- -__^-- -.-_-.---DATE 8-1'4-72�- _ PERMIT APPROVED BY , It is understood that all work will conform with applicable codes and ordinances of the state of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has "n issued ty the City of Tiqard Building Inspector. gna re of App ant