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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: '¢� ' PERMIT NO. :--_._._____ I
DATE: P ;ATE ISSUED
OWNERS NAME :
ADDRESS:
0,0 N 1 R A C TO Ft
TEST : Air [3, Water 0 , Visual Laboratory (]
RESULT: Approved Disapproved 0 Pending p
SKETCH: 76 I
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IN PEC"�
S OR DATE I
LOTH: Attach xupaleme^tal +sst data hereto I
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City of Tigard
INSPECTION REQUEST
I f��.
iINSPECTION TIME : .!4 /1- � ". �F:RI'it1T NO.:
DATE: -L ✓%/ DATE iSSUED:--l_-
OWNERS NAME .
ADDRESS .
CONTRACTOR :._
TEST: Air L1, Water Ll , Visual � , Lauoratory ❑
RESULT. Approved , Disapproved 0 , Pending (_j-
SKETCH: /;Ss el ,,,
v '3- -7 C,
INSPECTOR DATE
CNOTE : Attach supplementcl toot data horet �
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City of Tigard
INSPECTION REQUEST
fog r
INSPECTION TIME: Lu, PERMIT NO. :_._._..._._—
DATE: DA"I'F 18SJED :._._LL..
OWN ERS NAME : — IF%e•
ADDRESS: --3 '
CONTRACTOR : .
TE ST : Air ❑, Wctar 0 , Vi 81jal.0 , L.a boratory 0
RESULT' Approved .0 Disapproved 0 Pending []
SKETCH, '
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IN�PI»t;` OR DAT
NOTE: Attoch supplemental test date her I
A�
CITY OF N2
BUILDING PERMIT APPLICATION TIGARD DAIS — 19 V 2 "
THE UNDUISIGNED HEREBY APPLIES FOR, APLRMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN$ AND SPECIFICATIONS, OWNER PHONE - - ---
ipment
(Mf EFS --�— -- _- ADDRESS
ENGINEER
QUILQEh�.— ���_-- ARCN•ITECT ��--11� _.�--__DESIGNER----
S_TPUCTURE ONEW 0REMODEL []ADDITION OREPAIR ORENEWAL _OFIREDAMAGE []DEMOLITIONO RESIDENCE ❑COMM-_CIEDUCATIONAL OGOV'T ORELIGIOUSOPATIC ❑CAR PORT ^OGARAGc L3 STORAGE OSLAB [:]FENCE
UBONU ❑MOVING L_.JCOiND17IONAL USE ❑DESIGN HEVIEW ❑COUNCIL APPRi VED OSIGNS_ r
OCCUPANCY . AND USE ZONA- BLDG.TYPE FIRE ZONE PLAN CHECM BY HEAT
T r. : ytla wq. ( to framo Mark V dwelling with st�arwhof
OCC,LO!)D__ FLOOR LOAD._________. HEIGHT _ NO.STORIES_ AREA
BUILDING DEPARTMENT SET BACKS FRONT ^- REAR LEFT SIDE -- RIGHT SIDE
Permit
—� THIS PERMIT IS ISSUED SUR.IECr TO TIIE AFGULATIONS C-3N7AINFD IN THE BUILDING CODE, [ONINC
Plan Check II REGULATIONS AND ALk APPLICABLE !.ODES ANG ORDIN, yrFS ANO IT' IS IIEREBY AGREED TWAT '.'HE
--- ---'-'-'_-1 WORK WILL BE DONE IN #ACCORDANCE WITH THE PIANS AND'aPF.CIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODE.; AND , iIDINANCES. THE ISSUANCE OF T'-IIS PERMIT DOES NOT WAIVE
----•---- RESTRICTIVE COVENANT4 CCINTRACTOR AND SUB CONTRACTORS TO HAVE CUII-ENT CITY BUSINESS
11%State LICENSE. SEPARATE PER�NI'S REQUIRED FOR SEWER, PLUMBING AND HEATING.
By
Aciproved Receipt No.
A,Ir'RU
eed eel lel earl A eer eel A
DATE INSP. T" INSPECT' REMARKS PLUMBING DATE
�a� -- — — �� .�a,� nu.t'=".H•. 1at4'ct .:..� Contractor sn *�
J /J. .:!/�6 PermitNo._D3�'i �S 1�y��c
Flou h•in — —
Fixture _ --
Final
/^30,76 — HEATING
_ Contractor
7 PetmitNo. 5
•� — — —
Gtis or Oil
76 Rau h-iin
Final _
;,�r —�.- --- — .-- ------- ------- SEWER- t7
Final -------
-- _— — -- ---- DRIVEWAY
Final — k
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m hninaoe
r—� —� ------ n Drain Final ._ .._
walk
b&Street Fi,ial
------- -- --- ----- roach
DLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCl €
I.ERTIFICAT�OCCUPANCY — _ - —
C ' dscaping
� C Zoning Final
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