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CITY OF
BUILDING Pl RMIT APPLICATION TIGARD DATE N2 0104
THS” UNDEHSIGNED HEREBY APPLIES FOR APERMIT FOR THE b�'ORK HEREIN INDICATED
OR A-- SHOWN AND APPROVED IN THE ACCOMPi 'VYING PLANS AND SPECIFICATIONS, OWNER PHONE _
OWNER ITdf+Htl1 r'riht�dl .� ADDRESS
- -- -- ---- BUILDER PHONE
E_NC,INEER
BUILDER ARCHITECT DESIGNER _
STRUCTURE []NEW ❑_REMODEL_ [:]ADDITION ❑REPAIR. ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM nEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CA'l PORT ❑GARAGE [--]STORAGE❑SLAB ❑FENCE
_❑BOND ❑MOVING- ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANf_Y= LAND USE ZONE--BLDG.TYPE FIRE ZONE= PLAN CHECK BY HEAT
20 frovetandilig Carport
OCC•LOAD_ FLOOR LOAD__ v _ _ HEIGHT NO.STORIES AREA VALUE
UI
BLDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
ermit
--"-�' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE F�ILDING CODE, ZONING
Plan Check REGULATIONS AND AI.L APPLICABLE CODES AND ORDINANCES, AND IT IS HFREBY 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 COVFNANTS. CONTRACTOR AND SUB CONTRArTORS TO HAVE CURRENT CITY BXINESS
1%
State - --- LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
BY
APt'I it nNi_06-AGENT --------."-..-----..-..'- .
Appinved `^`. ---- Receipt No.
ADDnE$ -
DATE INSP. TYPE INSPECTION REMARKS i PLUMBING DATE
, Contractor
Permit No.
Rough-in
-Fixture
_F-inal
HEATING
-Contractor
Permit No.
Gas of Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
SStorm Drainage
Rain Drain) Final
Sidewalk
Curb&Street Final
Rain
_ A poach
Final BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERI,IFICAI E OCCUPANCY Final
Landsraping
Zoning Final
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