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.��Z- SEWER PERMIT Nil
13943
Unified Sewerage Agency CITY OF Tigard DATE 3-1-7E3
of Washington County --
OWNER : Paul Bunynn H me-,, PHONE :
OWNER ' S AOURESS:
TYPE OF INSTALLATION:
h❑'BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XDPdEW XDXS I NGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MUL_T. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND RE(3ULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAI._LING FOR
INSPECTION, PLEASE REFER TO Tlll: PERrIlT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $_ 2L).
CONNECTION CHARGE .__ 600.
SIDE SEWER INSTALLATION
ISSUED F3Y
OTHER _
TOTAL 62.5.
APPLICANT DATE
;; �--�f1��s ►!i' I its
i
,dLL BkSIN FOR X14 SEWER PERMIT' .�93
ADDRESS OF- STRUCTURE 89/40 SIJ tlarn.l cit
TAX MAF' TAX LOT— SYSTEM_ PannO crock
LOT S/l, BLOCK OF
APPROVED BY DATE ISSUED BY DATE
REMARKS bldr_i. }1924
BUILDING PERMIT APPLICATION 1 FY TIC ARD DATE 3--a _ i9 '�r'74 74
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_
LOT NO
G'.NNER PUL11 0"'IYOn HQ1;6400 ADDRESS d9l', U i HOME ADDRESS
ARCHI _
TECT
BUILDER lurk ENGINEER I
_ _ADDRESS DESIGNCR
SIRUCTUREAQPJgW_ ❑R,MC IEL ❑ADDITI_JNQREPAIR ❑RENEWAL [:]FIRE DAMAGE �7_❑_DEMOLITION
�ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DREL.IGIOUS❑PATIO ❑CAR PORT ❑GARAGE [-]STORAGE DSLAB [-]FENCE
❑BOND ❑MOVING ❑CONDITIONA-USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_IT_.-LAND USE ZONE BLDG.TYPE �N
FIRE ZONE__PLAN CHECK HY_0t HEAT__._;`
U13t 1
garage u�:(J
IM01 0Mit i,lD, 43 fewfi- ' Corm+ sbou, ouwiox i0 p._._
U_U.LOAD FLQQEi-L49p Ait HUQh-T`.20 NO.STORIES 2 AREA lE3 "NQ,-0EQROOMS 3 _VALUE 3' 900p
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 1`y LEFT SIDE i' RIGHT SIDE S
Permit 157.00
THIS PERMIT IS ISSUED SUBJECT TO THE RFrULATIONS CONTAINED IN THE F'11LDING CODE, ZONING
Plan Check '7(30:)0 RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH 1 HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 2 35o JO ALL APPt ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LfG N E. SEPAPftT PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
By
- -- AVP .G ANT Oq A6ENt -- - --
Approved ( Receipt No \
LM
DATE INS/. TYP INSPECTION REMARKS PLUMBING DATE
Contractor
-7
]Pefmit No. 13 215- 3-3/-W
may_'
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
-� SEWER
Final
DRIVEWAY
Final
FAh
in
in) Final
reet Final
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY ngnal