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10910 SW MIRA COURT
10910 3W MIRA COURT 04 I U (�' � i! E i frx W '075 �-,�7 ✓+ 4� , r Ic4 r� 1 rlJ J N, s. 40 Iv 1., 0� i Fmk U � ; 7 cn rn 19 TK Address 10910 S.W. Mira Ct. Permit L-787 Pemit cbArge Owner Chet HarriW.on Connection fee 425 Paid by _Chet Harrington Type of building Residence Date connected Service rate _ 3.00 per month Inspection fee . 25 ._...w� .�..._._.,. Contractor P%ld by Date Size of connection _ 4" Assessment _ Paid I Lop, City of Tigard INSPECTION REQUEST for INSPECTION TIME: /'c, PERMIT NG. . DATE: 2 , DATE ISSUED :–/ � OWNERS NAME : ...— � ADDRESS: CTOR : C 0N T R A - ----- E V:suaw4.�, I-a boratorY RESULT : Avroued,0 , ;7:juppro�ed G I endioa O SKETCH.* hNSPECTOR DATE NOTE: Attach �upp1emeoal test (111,10 hors f°, I i, I wj Vi City cif Tigard INSPECTION REQUEST for INSPECTION TIME '. FERMI i NO. : DATE: 3 0/ DATF. ISSUED OWNERS NAMEADDRESS' CONTRACTOR : TEST '. Air EJ, Water El Visual Ef, Laboratory ❑ RESULT'. Approved V , Disapproved G Pending ❑ SKETCH: I 9 i t INSPEC'i OR DATE LptE Attrich supplementat test iota hereto 1 t 4 i� City of Tigard INSPECTION BEQUEST for INSPECTION TIME : PERMIT NO. : _7_Z_-_D7 DATE: e A/*!MZDATE ISSUED:- J—/kV OWNERS NAME . AD D R E SS CONTRACTOR TEST. Air C.] , Water ❑ , Visual boratory ❑ RESULT: Approved Com, Disapproved ❑ , Pending ❑ SKETCH' /57 <<~ Y//2— INSPECTOR DATE COTE : Attach supplemental test data hereto I y t. { I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : 73-/</-/ I DATE: 7 DATE I SSIJED OWNERS NAME :_.. ADDRESS: ZOLc CONTRACTOR '. TEST '. Air p, Water D}; s-��I FT, Laboratory [j RESULT: Approved [i�' Luisa roved FJ Pending SKETCH. I I I 1 I INSPECTOR DATE FNOTC Attach supp,emental test data hereto? 717 SOMERSET P161�htl�i � & HEATING 17005 N. W. CORNELL RD. BEAVERTON, OREGON PLllMuNcs awn, APPLICATION Jur.isdic`ion of Permit Fees Na. Type of Ftxture Feel Permit No. - .l.� ��.F',-„_.._...... Permit fee waca.i' f'1r�sets Tl +l.e•') x°rait 7e sued }� Rat.ft Turn _ ,A,ppmied by lavatory Wash Flart'ln�~ Building Permit 7 _o- Shatirer fAceipt; [dc's. ..�.g Sinker Dishwashing. .,_..�._., ........_..<...�. sinky s,ordinar r�.. .,.,.._. Sigks, Aar si-I&S _ Automati r Dishwasher. eW.<._....�...__...__,.__ ._�.._.. ._.r.. .....�.. �.......�.,Diss.l Laundry;rayr ..._..._....�._ ..__ .,.........� Name �..lr__ri�.w.__i-a - ••w..•u.✓+W.:..Mwr...�..s<4sai •-. .Rt. a r. y . ..., Dretins Fl^car Drn i ItisSArea a�rwrr�.�-�............rr-. ....- ..........�.�...+r....-.,.�..,...,....... ..n.a.......,�.....,...r,.+ww.......... . _.�...�.�k...•..•..,s....w._........,r.r�, Dranst. Netrig.rnt°�r .__w._._.,_ .._..�. .. .. . ��._...�......» Alain Drain” ,_..... .._. .� I Autum_atir W»,s:hfNr ~ Y..,.�., ._..a�.. N Ac'.'_x'�►a.a cit ltrtltls3 _ .. ._ Fountains Nod Water U11nAl[3 _ AU,ldinw {(`,f o! *k' 091sr. . �eutir ot`;`�lrnatalI A sawn )ri nkler, :"tem _ �..�.�.w...a.r. ev i.,r.w+Y..wsrwtir_+aaiw.�i- .Ie..e• .. ...•r.._._..W..a.W4+-• _.... •., •�.-....-..rY_.w .i....4...a..w.wua.�w_wr..lY.�.w...�.,w. SwimtAi.r yl�_ Other SprinklerSvstpm ......._ �,�..... .,.,<.... .., _.......�..�. «..... _ ..aA._u._ ....... Trio jwrmit be.;.ames n::11. and void it w.= tr c ''awtr, tion 0Ac.thctt IVF01 ks not .-Owwnced within 60 days, or if +c n t.rwA1un oi' W:rx is sunpendeli or t' x �.e ltd of 120 d,nYs et. any time as ter voi•k 1s cx.)""tnced. Ali plumbins firms mrt, be .1i i by + VJ r;f Tia.%rd ::r,3 i'' a $1 CY> bcnd. Y hereby tert,i.fy 'J;,. ' ;`x c vt , ,m:.nr..i this %pp.11,t , , �• v e*,aw W, ha true and correct. Alai. pi c ti.i i.(,:u; c.f , :, o rd i narwv s Fx v.'.r, )r, t r k will be �mplled wtttt v1,w,t,hf' ;•;.e : t.t ted i. r t,r,t_ tjntl gr&nt trig; , rm, t d,- procume to {'1�►8 ^11t' j.t.y to ''v i. 1 ' F' Cr1.1,..'! t ' _ t :�itCan't �y}` ftr,J i oc:P4l w r,gal.ating constr'uc r th- r:onstr4ictitin. I.•. 'Or yam. Ilw rr W UNIFIED SEWERAGE AGENCY NO. 44'87 WASHINGTON COUNTY DATc _ 1-17-73 � i CITY APPLICATION FOR SEWER CONNECTION PERMIT OWN E R: --_ Chet on OWNER'S ADDRESS: _ 13605 N•$. Braaee Ct. STREET Portland 0"Gon CITY STATE z1P f.� BUILDiNG SITE: LOT__ u_____ BLOCK ____, ADDITION _ 1�t�rl. Park_ I TAX LOl N0. _ -_._ TYPE OF OCCUPANCY Atsideaoe_ _ _� ADDRESS _10910 S.W. Wra Ct. DWELLING UNITS _ _ 1 _. ._ FIXTURE UNITS SURCHARGE IF APPLICABLE .__ '� to Derry Dell PERMIT FEE 425 _______ _. INSPECTION FEE __-25-__ TOTAL DEPOSITED LWY) (EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and re qul ions of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE -- 41' INSTALLER Somerset P1LS. HtS. RECEIVED BY _ _ _tc0 0�aIG (Al �Yl S +� COMMENTS- This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF T•IGARD "M AMI. 146fa sh"a "a"Q. oaela« ffm APPLICATION FUR BUILDING PLP141T New Construction ® Demolish ❑ Addition ❑ Reswdel ❑ Move❑ ZONING M'Z __ DATE ISSUED_ i"u'Y] BUILDING PERMIT DATE PECP I VED 1'&73 Il U I LD I NG FEE :�. 114.00 No '07 By PLAN CHEC.x $ S7•oo OTHER f VALUATION $ TOTAI, Y1'n.pp RECEIPT No.__zV/(0 •- - x../7.23 TWO SETS OF PLANS AND PLC`T PLANS MUST oF; FURNISHED WITH APPLICATION LOT 1 11 MAP 1 aal 3D CENSUS TRACT _aq JOB 1 Architect or Engineer E• - _� �„ �� Address Phone Owner Address Phone Builder agars Address --Phone BUILDING; USE Sinqle Res. a Multi Res. ❑ Comm. ❑ Industrial OCCUPANCY GROUP IIto. of stories lir Total Height 19 Area of Lot?=_ Type of Construction V Floor Arpa 9_7dB_ 1 MIO _ 2��` fp Sot Narks: Front aD Back 15 L.Side 7 R.Sidw_u_ F Private Sewer Pipe Site ►• Sewerq,#.&,._nMWdSeptic Tank ❑ Water Service Pipe 5ise �•_ Storrs Sewer © Ditch ❑ urywell ❑ 4 Street and Curb Requirements Driveway Width �, _ No. of Parkinq Spaces a R SLPAPATE PERMITS REQUIRED FOP SEWER AND PLUMBING SPECIAL INFr)RMATInN i ADDRESS ASSIGNED ••E• �� �' FIELD CHECK BY ■ DA'!//E�rt"T� PERMIT APPROVED BYE! It is understood that all work will conform with applicable codes and ordinane.as of the State of Oreoon and the City of Tigard Oregon, anft that the buildinq will not be occupied until a Certificate of nccwp cy haN been issued by the City of Tiqard Huildinq Inspector. ' Ature a ppifcant,