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12300 SW 127TH AVENUE fig 12300 SW 12YTH AVENUE � c M r_ r- N .-1 in 0 U M N 1 'TXC jwffw i i BUILDING PERMIT APPLICATION 11T TIGARD GATE 4..13—?? -. 1394 OF THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_. LOT NO. — Ott Hughob JOB ADDRESS L : HOME ADDRESS _ OWNEk x '"— ARCHITECT ENGINEER BIJILUER �b1p3 x,011 1.• AUURESSS DESIGNER STRUCTURE "Llf�£W ❑REMODEL '40ADDITION El REPAIR ❑ RENEWA'L �IjFIREDAMAGE ❑DEMOLITION 0AESIDENCE ❑CUMM ❑EDUCATIONAL OGOV_ ORr.LIGIGU.%OPATI0 UCAR PORT CJ )AR AGE L,_J STORAGF 0SLAB 0 'VCE. ❑BOND F-1 MOVING OCONDITIONAL USE _ ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY I .—LAND USE ZONE S BLDG TYPE,__ JN FIRE ZONE PLAN CHECK BY__. OtlJ HEAT ____ :tifl�t__ nr1dj -tnf1 ne 'yFi�c?!1 y;�.a ,jGity}.-1L1J ..�.C3j —_-�, sii per drawing t code requirements, --- )[]VO•BEUROQMc 1 VALUE Q"_IJQAQ "FLQ9R LOAIZ—.___HEIGHT 20 BUILDING DEPARTMENT SET BACKS FRONT 21 REAR la LEFT SIDE 2* RIGHT SIDE Permit 64.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 32,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE %,YORK WILL BE DONE IN ACCORDANCE- WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANIS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 2861 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total 98.88 BY APPLICANT OR AGENT Approved Receipt No. - i i ' OATE INSP. TYPE INSPECTION REMARKS PLUMBING DOTE Ac -.4 .r.• Contractor _ Permit No. o� uZ , r / Fixture /yC lLdd�LLc c z ae- Final 14 91-Lzl� cep -.44 HEATING - Contractor Permit No. T � Gas or Oil Rough in Final -- -- — -.- SEWER Final DRIVEWAY Final Storm Drainage (Rain Dtoin) Final Sidewalk Curb&Street Final Approach _ BI DG OFPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE^CCUPANCY Landscaping © Zoning F tnal �ISS t t � t � ! ;� w i idp •!+Sp,i �>�;}�;�ieltl�li; � � �+�' '+ h ai I t },"c� IIIjj��LLpppgggYYY�. k i i U W I W N Z ui U ' z Z r >W C) z Z � 3Qz uj J w NaW ; �' V M O m z F w 0U) UW !/1U Cl Nom-, z a a z� ooz Cl oaz ° C �I w z w w = J - w z C7 O O Q ju° I F wN � QHa cQ Q O w ° tINza > w Z (n u O C iL > ? HHIzi � o o � n �� °¢ W w ° VLL ~ °y as > Q z d LL 0 2 a r v C) Q J QI W y YI W C7 FC a ri o C) zua2U4 ? n N o U4 a. r, I a C1 D I �I � az7 � � O Q w V 1 , w z z Q z a Z LL I W J O ¢ zz Uc 7 V 2 O aW ( Q0 _i37 cc JOa � LU Ul �, cr Q UI N a O 1^ C7 Q I ui Ir7 O = L7 V w_ W vl V ¢ w I V d0 Z LU �-1 > 2 . O w C) Z LL C cr G Q a O W ZOO l O N a H Z W ( Q ~ Ww '� U � U �: w a W oU" L i OLl is �� w u. ( Q P.- cu a w V U O Q p } � F..ir ? E.I �► w j U (Oj N 0. Q Q 0 LL } a 1 N d QyNjr � N w F z w ° _� Z L a - .�> a cr 7 I O Q W F. � awtOize _ a —e Cl 0 U t w > = F IA 0:2 u' H LU o O Z C ° y1 F 9 O N QpJO4 C7 Q U a W Q d ; Q n .� �` s w NN � �W 4 ^Vl F_ z 6. U. U1 C � V O cr N s0 ., J >N C L7 cn �- \\ Ll Q n -J X 4 n J 7 1 I d u Iw0 _iw � i CL CL a u� u o l N1 �,I � � 4 cc _I G- a o < a " �. m O u Q w O w Q u a `; a I [l r. 4 w d w L� u; cr � f l� z '� cr U 1 w > o 1 O CL Q � o a a C'1 m y z u � � a a) C) c► vi ct W `� 1 to Gu ul 7i O > ° W x _ C u' c a 1 y 11 GFI CiI m Q n C V v O Cf l ► C, td c u i I1 a II E - N $ M- E w t i PERMIT TO CONNECT ' o.7z Tigard Sanitary District PEIRMIT' No 1575 DATE _ PERMIT IS GIVEN TO OFTO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT ` AT / THIS PERMIT MUST BE POSTnD ON THE DE.9CRIBEI)PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID $.... ............................TIGARD SANITARY DISTRICT r -- ---AY .Mw�w�.v�rwww.ww^w,� CONNECTION INSPECTED AND APPROVED to � SuperinMndent i i i Wwkw-jum I M� ' I Address 12300 S.W. 12'(th Permit No. 1575 _ - _ --_— Permit charge Owner Mr. Mrs. BMW—=A. Whitmore Connection fee 400.00 Paid by Dale Const._- _-- Type of building__ Residence--- - Date connected___ No record Servicerate 3•(X) per month _"- -- Inspection fee— 25.00 Contractor Dale Const. Paid b Dale Const. Date ltl 2 Size of connection 4" Assessment Paid c) i