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7915 STa L ANNO CREEK DRIVE
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BUILDING PE=RMIT APPLIGATIUI.1I TIGARD DATE ;�. t- '" 19 - � 3882
FHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED f3UII_1)ER PHONE ;�45-1731
OR AS SHOWN AND APPROVED IN THE ACC MPANYING PLANS AND SPECIFICATIONS OWNER PHONE
OWNFR ;'be Robt. Randall SIBADDRESS'r..fs antro Creek Drive Lot rJO. 56UQ,2`;1-12,DA __
Samed'ttirt l.ti CHITECT 'n au
_ 95U0 ':u Barbar BIdd, INEER
6111
BUILDER 09[ .4110 ;Taller r,i5_3�72i _
— ADDRESS
STRUCTURE _ IZ NEW O REMODEL -_ ❑ ADDITION ❑_REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ID DEMOLITION
0KRESIDENCf_ O COMM ❑_EDUCATIONAL Cl GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ S_LAB❑ FENCE
OCCUPANCY 4T'��-_LAND USE ZONE A-1 'BLDG.TYPE W_FIRE ZONE=_—_PLAN CHECK BY U11 HEAT - -
",nnstnict G unit apart!.-Iont all 4)nr ptrins nn;l ca,rle 111.ds*. #15 —
SEWER PERMIT#
OCC.LOAD FLOOR LOADHEIGHT STORIES 1#716
�Q 2...i NO. �- AREA N0.BEDROOMS 1? _VALUE
BUILDING DEPARTMENT SETBACKS FkJNT-;pp " t't+'TREAR LEFT SIDE — RIGHT SIDE -
Permit 3(,3.5:) THIS PERFAIT IS ISSUED SUP I'_-CT TO THE REGULATICNS CONTAINED IN THE BUILDING CODE, ZONING
REGULA7!ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1431.35 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
� i �z5 WITH ALL APPLICABLE CODES AND ORDINANCE,,. rw' ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS rO HAVF CURRENT CITY BUSINESS
'14*54 LICENSE.SEPARATE PERMITS RECJISF9 FOR SEWER,PLUMBING AND HEATING.
State Tax
Total SS'."s.t � SDC-
PDC# APAN4R-AGENT
By _
Receipt No. '
Approved ADDRE98 - -
- ------ _ PHONE - --
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DATE INSP. TYPE INSPECTION REMARKS PLUMBINri 61ATE:
Contractor �,Q
Rough-in --
I — -- —— Fixture _..._._. —.
Final ---.—
/ HEATING _ -
Contractor
Permit No.
Ga or Oil
Rough
_ SEWER
— ------_._ �- ----- Final i o-.Z 3� ; 2 ----
DRIVEWAY
------ T--� Final
Storm Drainage
(Rain Drain)Final
-- —---- - _ SidevAlk - —
Curb&Street Final
_ __ Approach
F&DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPA 1 Final
CERTIFICATE OCCUPANCY �+
Landscaping
Zoning Final
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