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BUILDING PERMIT APPLICATION TIGARD OATS .19 3848
THE UNDERSIGNED HEREEY APPLIES FOR A PERMIT FOR THE WORK iEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPECIFICATIONS. OWNER PHONF
7916 LOT NO. 1-!�_-
OWNER lot, tzandal.l C:O,JOBRDDRESS Vnnnv ''rr#i}'
ARCHITECT 1' t?1 ?46 -936E
ENG61dfi@ 95010 51, t�ark)ur I ' ESIIGNER t0 1"al' r—
NEER
BUILDER ADDRESS GS � 39?l
STRUCTURE 0 NE%V ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE L] DEMOLITION
C 'RESIDENCE G COMM f=] EDUCATIONAL 0 GOVT O NELIGIOUS 0 PATIO O CARPORT 0 GARAGE ❑ STORAGE ❑ SL.AB` FENCE:
OCCUPANCY ,__ LAND USE ZONE ` BLDG.'YPE w FIRE ZONE -- PLAN CHECK SY Clio+'�)._HEAT--
)mit
EAT_)mit: all �)c%r pl€;qtr anri coele, 1416r,—�^
� --
1 3:)
...�_ '� ...--- !`r r r,l ci rz� l -- t;t1 t;s. z�e�n n a C
SEWERPERMITM
OCC.LOAD FLOOR LOAD HEIGHT ' NO.STORIES 2 AREA {`�' NO.BEDROOMS VALUE
BUILDING DEPARTMENT
SETBACKS FRONT REAR LEFT SIDE NIGHT`,IDE
Permit _ _ THIS PERMIT IS ISSUED SU3JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z014ING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1, HEREBY AGREED THAT THE
Plan Check . WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANC IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIVANCFS. T14E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PF',MITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax t .
SGC
Total I .. r l (•,. - r •(,,��(-{
PDC.p APP It r R AGENT By
Receipt No.
Approved ADDRESS --- — - PHONE --
DATE IINSP. TYPE INSPECTION REMARKS PsUMBINU 7 .71
Contractor
ParmitNo. .�,y�'{J"'
777TTT``` 7 ` Rough-in
FixtureFinal
• F'EATING
Con tray or
Permit No.
Gas or Oil
Final
— — -- - ---- -- __�.— --- SEWER —_.—
Final
DRIVEWAN
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
`— Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE TOANCY
CERTIFICATE 0CCUPA114CY r Fined v —
Landscaping
Zoning Final
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