7865 SW HUNZIKER ROAD 7865 SW HU ZIKER STREET
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BUILDING PERMIT APPLICATION TIGARD DATE-- .? 14-`-'—
THE UNDERSIGNED HERE 13Y APPLIES FOR 0 PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEx4 Ste)�L.
OR AS SHOWN AND APPROVED IN THE aCrOfAPANYING PLANS D SPECIFICATIONS. OWNER PHONE
Orir'ER L JOB ADORE., , --
ARCM TEC."T
cNGINEL'R
BUILDER C_.�� `.. AODRESS DESIGNER
STRUCTURE NEW C3REMODEL (�AOOITION i] REPAIR Cj RENEWAL C3FIREDAMAGE _❑ DE►AOLITIOt
❑ RESIDENCE COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SL_ARE] FENCI
OCCUPANCY _— 'LANU USE ZONE BLDG.TYPE �_ FIRE ZONE_—PLAN CHECK BY �'�/�. HEAT �^_
SEINER PEPMI
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES Z ARE h C✓ NO.BEOROO S
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permil �1 , THIS PERMIT IS ISSUED SUBJECT TO THE REGUtAnONS CONTAINED IN THE BUILDING CODE ZOW-41
rbcc REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IY IS HEREBY AGREED THAT TSI
iI'1artCheck 0 WORK WILL BE DONE IN ACCORDAt10E WITH THE PLANS AND SPECIFICATIONS AND IN COIAPUtiNC'
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIv'
rSilsfoftal f �~ 6 �� RESTRICTIVE COVENANTS.CONTRACTCR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFS:
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMRING AND HEATING.
State Tax �
SDCTotal —
` _ POGO APPLICANT OR AGENT
By •
Receipt No. ^ODRESS PRONE -`
Approv �.
S 0 C --
POC - _
SEWER CONNECTION S
5EWER INSPECTION $
SEWER SURCHARGE_ S
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