10520 SW MCDONALD STREET kit3
H
III 'j En N O
5Vy'�17 X71
H
o Lr
C.9
f� Li
4� U
y l
cl
IO �
I 7
t
w k ry
'TJ h7 Ut UI Li
1-3
r�
�yy
1 fD
V
r
IW
w.
JOSHIS 4'IVNOQOW MS OZSOT
C'TYOF T' .AR BUILDING PERMI I
�WYOVTMRD
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . , . ao
13126 SW 14WI 8tvd. P.O.Bov.23397,r4ovd,Oregon 97223(CM)6304176 a DOTE ISSUED: 1717/13r/''
.iun'-- ADDRESS— . t0520 SW MC DONALD ST PORCEL.-
SUBDIVISION— - - ZONING% R-12
ALOCK. . . . . LOT.. . . . . . . . . . . . . t
RE'.1 113SUE t FLOOR ARr7n*.nS------ -----___ F}TFKRIOR 14ALL.
C'LPSS OF WORK. :DFM FIRST. . . . e s N S: E: W
I Y'PE OP USE. . . :GF SECOND. . . : Sf PRo'rECT
IYPE- OF CONST. :7-N THIRD. . . . ., S Ni S1 E:
OCCUPANCY GRP. t R'i TOTAL..__.._ 0 s ROOF CONST: FIr-17 P1-7--
UCCUPIANCY LUAU: BASEMENT. - Sf ARER SE.P. RATEU-
STOR. -2 HT. : f t GARAG�E. . . - s OCCU SEP. RATED-
BSM*I ? -. MLZZ9: REOD CFTBACKS--------- REQUI
FLOOR LOAD_ . - LEFT t ft FIGHT ft F,I R S P 1-(1- '3MOK DEJ.
DWELLING UNITS: FRNT: ft REAR: ft F'I P ALRMt HNDICP FICC:
SEDRMS.- IMP 133URFACE, PRO CORR: PARKING:
VAI..UE. $
F49 marks Demo 1 1.Sh fxiSiti,ig SFrj as, reqkAired bynitar-y
sewer 5h, i
be caPped- and inpectad by the city. Cr-edit for sewer eosin transferred to
!3 W 114 5 t h (SWR92-0094
Owner: FEES
FMMER"T TNTERNAriONAL type '=Amol.tflt by date 1 orw(?t.
11811 ESE HWY 212 PRMT $ 25. 00 13CR 07/13/92
-
5P CT $ J . 8CR
C.I.-ACKAMPS OR, 97fZlFj
Pflone #.-
Contractor:
EMMERT 1NTFPNACi mir4k.,
tiall BE HWY FIE,
�,LH(;KAMAS OR 9"7015
4 : 655-711*�1
0080"'.1
INSPEG41ONS
This vervit is issued subject io the regulations contained in the Cap sewer I jlye
Tigard Municipal Code, State of C,re, Specialty lodes and ah n14r
applicable laws. All work, will be done in accordance with
approved p)-inf. This peroil will expire if work is not started
within 186 days of issuance., ar if work is susotnded for acre
than 18e cavi.
i-,formittee
Tse"'�ed Sys
Cal J f0t, inspection 639-.-417c5
r
i
City of Tigard
INSPECTION REQUEST
for
INSPECTkJN TIME: PERMIT NO. : -
DA-rE: _ /--25-77 DATE ISSUED :
OW14ERS NAME :ADDRESS:
-- -.
Cc;ri-rRAr,TOR
i EST : 4c 'er❑ , V...uni ' , 1_aboratory Cj
i
RESULY ' n, rovedx, �i.;upproed G 1�endioq C]
S KETCN:
Ax"','
-----------------------
INSPECTOR DATE
NOTE : Attach suppiemental test data hereto
1/,► y t
Addres})520 S.W. McDonald
-----._ Permit No. 1846 j
Permit ebaarge
Owner J.ie e
--may-�€- Connection fee
Paid ty
Type of building
_ Date connected
Service rate -- 3.CxQ r,Pr m n ..��_
tb ________� Inspection. fee
Contractor F"d,'erre} Paid by
Date
Size of connection 41F
•---..--�. Assessment Paid
UNIFIED SEWERAGE AGENCY NO, 4846
WASHINGTON COUNTY DATE 5-21-71
CITY OF Ti gsrd
APPLICATION FOR SEWER CONNEc-PION PERMIT
OWNER:
OWNER'S ADDRESS: 10520 S.W. HaDonsid
Ti rd STREET
CITYSTATE —-------- __regon 0 97'23
ZIP
BUILDING SITE: LOT 390--_ BLOCK ADDITION
TAX LOT NO, JC?0-?@l-l0A_ TYPE OF OCCUPANCY Residence
ADDPESS
DWELLING UNITS FixTuRE
UNITS _
SURCHARGE IF
PERMIT FEEW INSPECTION FEE TOTAL DEPOSITED — 325
(EXISTING) 1 BUILDING SEWER SYSTEM
The ApIflicant aqrf-es to comply with all rules and regulations of the Unified Sewerage Agency,
APPLICANT.-A,
A
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE SIZE 4" INSTALLER Ferrel
RECEIVED BY
I A G F,146 Y 0 W 4S�AG F T NI�
COMMENT'S: ..
61
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur,