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City of Tigard INSPECTION REQUES T )for R INSPECTiON TIME: _ PERMIT NO. : i DATE : ._._ DATE ISSUED ._ I Z_ OWNERS NAME : C� ADDRESS: CONTRACTOR : TE 3 : Air p, Water 0 , Visual J , Laboratory E; RESULT: Approved CL1iDisappioved I , Ponding [� SKETCH: lleAd 00, i DATE 1 r C� CITY 0/ BUILDING PERMIT APPLICATION TIGARD DATE 6/4 ' 1976 N! 0864 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER I OE,(" ;iW iitl a same ADEFIESS_— BUILDER PHONE slim" ENGhNEER BUILDER — ARCHITECT DESIG JER STI.UCTURE— ONEW ❑REMODEL. 11 ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIREUAMAGE ❑DEMOLITION ----11 _ ❑ RESIDENCE ❑COMM ❑EDUCATIONAL LJGOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCE OBOND 1:1 MOVING 3 ❑CONDITSdIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS ,', }fir 1' OCCUPANCY LAND USE ZONC_ BLDG.TYPE FIF E ZONE_ PLAN CHECK BY_—_ HEATran S JubIF 223 2070 total esti. rt,. from& dwrrlling w, attachad AersQ* no hlaswamunt 3 tmwiroama 291 11 Cf: .dot i 17200 UCC. LOAD _ FLOOR LOAD__,_— HEIGHT_ ___ NO.STORIES ARE, _VALUEA� r _� BUILDING DEPARTMENT -- SET BALKS FREAR LEFT SIDE RIGNT SIDE Permit I 41J,41J00.Q — FRONT --_ --- _. u 00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. Tt4E ISSUANCE OF THIS PERMIT DOGS NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1'%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 167—.7-4 !a►�wF#Y �r�tsp. ae:Lu.i,f: By , AP' ',ANT On AGENT —"— Approved Receipt No. r I °'y alt Ii ADDR SSHONF — -- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ` Contractor Y�'� 7G Permit No. Rough-in Fixture 12Ysst�s A;VT Final _ HEATING Contractor Permit No. y`�d L' 5h /Ir (� _ QL Gas or Oil Rough-in Final SEWER G�3 Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATF OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping j ( Zoning Final s I i i i City of Tigard C INSPECTION REQUEST for INSPECTION TIME: ��' °°�"" PERMIT NO. : DATE: . S_. /04 DATE ISSUED :__L.L -1�- OWNERS NAME : �®C ' ADDRESS: CONTRACTOR : TE ST ONTRACTOR :TEST : Air o, Water , Visual , Laboratory p I RESULT: Approved , Disapproved O , Pending p I I i S KETCH- I INSPECTOR DATE 5!0TE ter' data hereto? I W $,� $ 8SSg88�8 _r LL C48 MNMMInNM Z «' J H f- ti U. U. r LL C5 � 0 CL § a', Luo ij o o800 ❑ ` D m E C 8 J Z �.. 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