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BUILDING PERMIT APPLICATION TIGARD DATE-_. iwt• __i.-, 19 -�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK -IL-REIN INDICATED BUILDER PHONE 642-303
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P1 ANS AND SPECIFICATIONS OWNER PHONE_
1 LOT NO._:_,_�_VlQ X rropk 1,11
OWNER Yitun Pro c. JOB ADDRESS 14 05 `jtJ ? anno Creek low"; I� ,A_
ARCHITECT -
same 2U94.7 :i , Y'V llwy.Aloha ENGINEER
GNER
BUILDER _ ADDRESS _ - -_ _
STRUCTURE_ ®(79EW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL. ❑ FIREDAMAGE ❑ DEMOLITION
EAESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAP PORT I I GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ._. _LAND USE ZONE - _DLDG.TYPE 5N--FIRE ZONE_-..PLAN CHECK BY 13 ) HEAT_��►_--
_ Construct sin ;le family dwe'll,Dg. I tlichell g4rAutrs --�-----
Re i s sue of 048404
SEWER PERMIT 0 28597 - _ _ garage arca 315- 2 bath
OCC.LOAD FLOOR LOAD 4U HEIGHT 13 NO.STORIES 1` AREA 1061 NO.BEDROOMS 3 VALUL4 7►UU0
_ BUILDING DEPARTMENT SET BACKS FROK_I REAR LEFT SIDE RIGHT SIDE
2tiy.SU� --- -
' Permit THIS PERMIT IS !SSIJED SUBJECT TO THE REGI.LATIONS CONTAINED IN THE BUILDING CODE, ZONING
4U.UUt REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
°rU9.5G WITH ALL APP,ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOA 4ND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINE.SS
LICENSE.�EPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 10476 250.Ui.,
SD",- SUU.Ul� ;j
Total ",#A 1•U 260.28 I ( 150*UO UU AP LICANT R Aa
DCM T
P
By
ApprovedReceipt No. ADDRESS — PHONE
I
F
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DA E
_ -- - - __ _ 01 j !g' �S
f'.ontrector 7
7-
-� y Permit No. --
Ro igh-in
I y Fixture----- -- --
r42 _ 1J tr2Lr• — final -- ---- -
{� HEATING - ---—
�� A1.4 i/- Contractor
Permit No. -
�r -.CLfA- .11"' , �o-Lti ,� Gas or Oil -
_4 ,{�_ Rotgh-in
8EWER -- --- —
- -
Final
'� / �,� r - DRIVEWAY /
Final
--- - -- __-_--/---------------_„-- Storm Drainage
(Rain Drain)Final
_ Sidewalk V-
--- Final -
_-__ Aporoaeh
BLDG.DEPT.FINAL YEMPORARY - C T 1'ICAT 'OCCUPANCY `"-
CERTIFICATE OCCUPANCY ���l Final ----.-_-_-'---.- -_---
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Zoning Final
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