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` NOTE; IF THIS MICROFILMED1 2 4 J 6 7 r8 9 110 11 12
DRAWING IS LESS CLEAR THAN
THIS NOTICE,--IT IS DUE TO
THF QUALITY OF THE ORIGINAL
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MAY 7 1992
1065.1 SW HIGHLAND DRIVE
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :--- PIFRMI`� N
DATE: DATE ISSUED.-
C-4NERS NAME '.
ADDRESS .
CONTRACTOR :_
TEST. Air [), wnter o , Visual 0 , Lubowntor%
RESULT: Approve Disapproved 0 Peoidi n
SKETCH:
IF C TT 0 R DATE
7 NOTE Atlach sus)�,a,j,e ts; #eslula horo!;;
City of Tigard
INSPECTION REQUEST � };
for
f ;5
INSPECTION TIME: F; �d PERMIT NO. :
DATE: -T' Z / DATE ISSUED : I
OWNERS NAME : 742L ,
..
ADDRESS: TGA' SkMrr rr fit
CONTRACTOR —
TEST :
ONTRACTOR _TEST : Air p, Water[] , Visual)( Laboratory p
RESULT: Approved 9, DisapprovoJ 0 , Pending p
S KETCH:
>
INSPECTOR DATE
COTE: Attach •�ppinmontni tea! 0oln
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: � ' PERMIT NO. :
DATE: ,L1-J' 174 DATE ISSUED :_ I Z
OWNERS NAME ; Tz�
ADDRESS:
CONTRACTOR : �' •, �� /�� s TEST : Air ❑, Woterp , Vieual.,O , Laboratory ❑
RESULT: Approved �1 , Disapproved ❑ Pending ❑
—t SKETCH:
11j
)X§P E C 7 0 R DATE
INOTE : Attach supplemental tetit data here J
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CITY OP
BUILDING PERMIT APPLICATION TIGARD DATE ' ' 19-7 5N! 0610
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT F01 THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING GLANS AND SPECIFICATIONS. pNtOMERQNE
Q�NER 'Ualat'n 0"810"BIrt COADDRESS IC655 S.W, Highland Dr.Buj,4 .RPf1HJ�ONE
ENGINEER
BUIL DER Sam* ARCHIT991 - DESIGNER
STRUCTURE ANEW 0REMODEL ❑ADDITION ❑REPAIR ORENEWAL OFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T 0RELIGIOUS OPATIO ❑CARPORT ❑GARAGE OSTORAGEOSLA13 ❑FENCE
l [BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY LAND USE ZONE 0—L _ot.DG.TYPE FIRE ZONE_' PLAN CHECK BY 0"0 _ HEAT r� ►B
aanstruct 1120 sq. rt, r'ramv dwolling with st,.Ljr.i1vd garage
no ha>I meownt
bodroars
Qg(. D FLOOR LOAD HEIGHT _ NO.STORIES 1 AREA 1120_OAVALUE F
BUILDING DEPARTMENT SET BACKS FRONT i� REAR LEFT SIDE 1.2 RIGHT SIDE ry
Permit 00 _
—�— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i tI R LJr 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. THE ISSUANCE OF THIS PERMIT DOES 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 I 11.63d
Jl ,
RY -
APPL IC.ANI OR AGENT
Approved rf ' Receipt No.
ADDRESS PHONE
DATE INSP. TYPE I JSPECTION REMARKS PLUMBING DATE
aa, r��• n _ � � Fntr&Kctnra ,
No. D / 7
��/►' Rough-in
^z'-76 Fixture
Final
76 CO (/er" HEATING
Contractor K
Permit No. `K�96
-- Gas or Oil c�f.10/ /–
Rough-in
Rou h-in
_— Final _
SEWER
Final
DRIVEWAY,•/o 7(,
Final
Storm Drainage
(Rain Drain) Final
-- Sidewalk 3–.1/-7,�v
Curb_&Street Final
A roach G ,� "
BOG.DEPT. FINA. TEMPORARY CERTIFICATE OCCUPANCY
�� CERTIFICATE OCCUPANCY Final_
3 Landscaping
Zoning Final
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