10820 SW 130TH AVENUE a♦
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10820 SW 13(Yl.'H AVENUE
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BUILDING PERMIT APPLICATION TIGARD DATE July 1B -_,19 84 492 ►
THE JNDERSIGNED PEREBY APPLIES FOP A PERMIT FOR T,iE WORK HEREIN INDICATED BUILD. A PHONE X46-0350`._
ON AS SHGWN AND APPHCVED IN THE ACCOMPANYING PL".NS AND SPECIFICATIONS. OWNER PHONE_27lu0,
LOTNO. ISI-33M
OWNER Robert Fitzgerald JOBADDRESS I 2() SW 130�h - ARCHITECT
ENGINEER
Same ADURESS DESIGNER
BUILDER -- - ---- -
STRUCTURE_ ❑ NEW ❑ REMCr!F1- ❑ ADDITION ❑ REPAIR ❑ RENEWAL _ IJ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE G SLAB❑ FENCE
OCCUPANCY _ ---LAND USE ZONE R7Rn BLDG.TYPE _ FIRE ZONE PLAN CHECK BY i HEAT--
Deposit opprox.imately 2,000 cu. yde. of fill.
Owner to keep streets cloan of dirt and excessive dust.. __ P
SEWER PERMIT N
OCC.LOAD FLOOR LOAD _HE:,HT NO.STORIES AREA NO.BEDROOMS VALUE
— BUILDING DEPARTMENT SET BACKS FRONY REAR -LEFT_SIDE_i - _ RIGHT SIDE
Permit 6A.00 THIS PERMIT IS ISSUED SUBJr.:T TO THE REGULATIONS CONTAINED IN THE F,UILDING CODE, ZONING.
_ REGULATIONS AND ALL ArrLICABL c" rJDES AND ORDINANCES, AND IT IF HE.RE6Y AGREED THAT THE
Plan Check -- WORK WILL BE DONE IN ACCORDAmCE WITH T'iF PLANS AND SPECIFICI+TIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TIIIS PERMIT DOES NOT WAIVE
Sub•totel --_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 3.3h
SDC
Total
— PDC# APPLICAN T OR ADEN T
ey 'c'li_ _
--- I0e,eipt Tlo ADDRESS -- —
Approved
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BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FON THE WORK HEREIN INDICATED BUILDER
ECIFICATIONS. PHONE
OR AS SHOWN AND APP'1OVED IN THE,,CCOWIPANYING PLANS AND SPLOT NO. a
OBCn
Ar-SS
OWNER�prjF.c'T I"-�T �/ � ARCHITECT
ENGINEER
DESIGNER
BUILDER ''i�rtx _ ADDRESS
STRUCTURE ❑ NEW ❑ REMODEL _ ❑ AODITION ❑ REPAIR ❑ REN
STRUCTURE
FIREDA.MAGE ❑ AB'❑ FENCE
T 0 SAGE
RESIDENCE ❑ COMMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PA'al0 ❑-CAR?ORT ❑ GARAGE G STORAGE ❑ /J�
❑ -i'` FIREZONE- —olnu(:HECKBY _HEATS==
OCLUPANCY - �l _LAND USE ZONE 4_ - BLDG.TYPE —
T) -
SEINER PERMIT M -
NO.STORIESAREA NO.BEDROOMS VALUEOCC.LOAD FLOOR I n�'•� HEIGHT
LEFTSCE RIGHT SIDE
BUILDING DEPARTMENT SET[JACKS FRONT
REAR _ —
P•yrrnit 8 I/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZO ;N;
REGuLA''IONS AND ALL APPLICABLE CODES AND ORDINANCES, A`ID IT IS HEREBY AGREED THAT TN`
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC'ANCES. THE MUANCE OF THIS .
--- RWITH ALL APPLICABLE CODEF AND ORDIN ESTRICTIVE COVENANTS.CO TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT�C n gU WAtV
�Sukteta' UCENS'E SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�6
—! SIC—
Total _ �p PDQ APPUCANT ORAGENT
BY - Receipt No.
3�� ADDRESS
Approved —�..�.-- —._..._...- ---
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SSDG --- $
S 0 C--=--- - _�---
P O C - -- --
SEWER CONNECTION S
SEWER INSPECTION S - -
SEWER SURCHARGE S --
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