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City of 'Figard
NSPET,"TION REQUE.ST
f o r
,N':`�PECTIoN rimE:"-�yI, PERMiT
DATE : DATE ISSUED --/
OWNERS NAME :
A D D R E S S: ZJ_Y�o
0 N r P A C T 0 R
TEST : Air 0, Water 0 Vlevol Lu o. Y
`RESULT: Approved
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SKETCH,
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INSPECTOR DATE
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City 0f Tigard
INSPECTION N REQUEST
for
INSPECTION TIME : PERMIT NO.: .—_
I DATE: POLL-- DATE ISSUED:._._.
OWNERS NAME . -,�� ,� � -- —
ADDRESS . 1
CONTRACTOR :_—hLL� -- I
I
TEST: Air C7, 'Nater ❑ , Visual ❑ , Laboratory G
RESIILT. Approve�Disapproved 0 , Funding ❑
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SKETCH:
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1 SP TOR DATE
IrNOYE : Attach supplemental last data hereto]
ADDRESS
pERj,jIT f'-iARGE none
CONNECTION FEE
OWNER
PAID BY
TYPE OF BUILDING
DATE CONNECTED _
INSPECTION FEE
.............
jjvICE RATE D A TE
CONTRACTOR J—do PAID BY
E5511ENT PAID
S T Z E OF r.0NNFCTION ASS
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CITY OP
BUILDING PERMIT APPLICATION TIGARD DATE March In ,s 76 N° 0704
THE UNDERSIGNED HEREBY APPLIES FOR ,A PERMIT FOR THE WORK HEREIN 1NDICATEU
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. QVYNER PHONE—_
ADDRESSBUILDER PHONE �—
�.. ENGINEER
$�JILDER —��-yy �_--r11_—BRCHITFFSeL —.---DESIGNER -------
yySTRUCTURE LJNEW ❑REMODELLADDI'�IC ❑ ❑ iA
N ❑REPAIR �73FlENEWAL FIRE DAMAGE ^^ _DE01.1'TION_
L,1 ;IESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑REL;'�IOUS❑PATIO OCAR 'OPT UGAII:.GE ❑STORAGEr3SLAB ❑FENCE
DBOND ❑MOVING ❑CONDITIONAL USE LDESIGN REVIEW 010ONCII_ APPROVED_ ❑SIGNS
OCCCCUPANCY—n.--__ LAND USE ZONE BLDG.TYPE____ Fii'.r z0NE.._ PLAN CHECK SY _ HEA'T._^_
' x'°r .t 14�5 sq, t, y �-ama :,��+�i,j garage.
--_�_ ---I 1iBf3x?msn . AccordIng to .spprov* •rle. -e aauc 0 —F4
sso, °o 02`-•0•.0 xOQOlO
C LOAD_ r'_ FLOOR LOAD_ A'0 lb _HEIGHT NO.STORIES Z AREA VALUE $34,if ul
BUILDING DEPARTMENT ,ET BACKS FRONT 20 1 REAR 32 r LEFT SIDE �, RIGHT SIDE 1
Permit :139000 -----------_--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE_ rOElES AND ORDINANCES, AND I'T IS HEREBY AGREED THAT THE
—'-- WORK%VILL BE DONE IN ACCORDANCE WITH Ti IF PLANS ANOSPECIFICA TIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AMD OHDINANr4S. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
447 RESTRICTIVE COVENANTS. COIJ1'RAC1'OR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tk State r LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING.
Total — 5 •
By
-- 4PPi_iCAN r OR AGENT -- -- - --.__—_—-
Approved r a --Y Receip! Nn
ADb!if.SS
DATE INSP. TYPE INSPECTION REMARKSPLUMBING DATE Contractor ���� �' t)
Permit No. 3`7 0 3 ,5
Hough-in
Fixture
Final _
HEATING
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b r r1Qd ��_ '� � �`' v D Contractor
_�s. Permit No.
. 4 _ Gas or Oil
Final_
- --- _—.�. -- - SEWER
- — --�^---_r —_ Final
DRIVEWAY
Final ---
- ---- �� - - Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach —� L G S-$-74
BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
'n Zoning Final
a �
MWOGRAM HOMES
JAY HARRIS
646-0188
12125 S. W. 2nd
BEAVERTON, OR 97005
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