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CITY OF TI �
I-*IEAMI*r NO. : BUR81027
RD W11- ISSUED: 5/31/88
CITYOFTWARD
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COMMUNITY DEVELOPMENT DEPARTMENT 01110 ON 141M. PMT .NO. (381027
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639A175
I I.—t;Cj 14-A.4c) Aill-:- .--
TAX MAP/1-01SUB: L.T : BK :
LAND
SIZE: VAI UATION: 100 SEI BA(:,K�i
Ff-WNT : 1:4E(-)l:,, :
WORK (�LAS5 : ALT EPATION DWELI— UNITS : LEFT : PIGHT .
USE TYPE : 5IN(.'-,LE FAMILY NO . BEDPOOMS : I XT . WALL (XINST :
CONST . TYPE : VN NO. BATHS : N: S : E W
OC.1(:.1kj'P.(.'.Ap. P13 PPOT .OPENINGS :
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TOTAL Awk:4):
140. 5TOPIES : 1. IST : F-InE
HF.-'T(311AT : 10 2NO: APEA SP'-;A9? WATE113:
15A0 PATE:D:
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AP-'MARKS :
iniqtulliny cine (143ar Mid luriclirig . WE ISSUE OF NO.
LAST MKISSUE
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P'r.:PMIT $10 . 00
0 PLAN PFKVJ:Eb $7 . 00
W
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E STATF-F TAX $ .85
R OTHEP
E V E.I C)I:)MF:.N'Y EMAPGA-i-S .
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C SAM.:
SOC(STPEET)
N 11.35855W WAL.NUT ST . PI)('
T ti g et r d 97 FIR 3
A PPEPAID
A 1411-IONF.' ( 503) 646-6726
C NO 3PAI
T TOTAL : M1 7 .85
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....... PE(",EIPT NO.
This permit is issued sobject to the regulafloni,contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes a J ordinances. and It is hereby
agreed that the work will be done in scoordrince with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit ooes not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits this permit will expire.and become null and
void if 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 pe-mittee to assure
all required Inspections,ire requested and approved
F11P INSI-4:XTION 639-11.75
Issued By
SEPARAT :- PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE