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PERMIT N7. 1 aUB704
7CITYOFTIFARLccRiytbo�F`TWARD
rpnAMUNITY DEVELOPMENT DEPARTMENT
01 DATE ISSUED, 12/ 9-187
1312-S S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.15031639-4175 PP I M.PMT.NO. 8702"77
.JOB ADDPESSt 97,15 SW MAPLELEAF G,T
TAX MAP/LUT SUE:ts L_Ts
LAND USE$ CF
LOT SIZEa `1ALUATIONi SETBACKS
FRONT t PEAR t
WOW: CLASSi DEMOLITION DWELL.UNITSe LEFTe RIGHTe
USE TYPEi SINGLE FAMILY NO. BEDROOMSi EXT.WAL.L CONST$
CONST.TYPEt VN NO. BATHSs Ne St E Wi
OCCUP.Opp. i PROT.OPE NINGS i
OCCUP.L.OAD Ni Ss Et Wt
TOTAL AREAe
NO.STOPIESt 1STt ROOF CONSTe FIFE RET"
HEIGHT: NDi AREA SEPAR`? PATEDs
BASEMENT-. 3RDe OCCUP.SEPAR7 PATEDs
MEZZANINE~ BASEM'T
FLOOR L CIAD t f�ARAL3E t FIRE SPRh;LR�' ALARM?
FLOW "GPM) DETECT?
HEAT TYPE t HVCF'.ACCESS', C R ' —
PLAN CHECK BY
PEMAPI!St
gBwpr• I ine to capped off land inspected REISSUE: OF LAST FE I��SLIE
by c i t;vIIk r _—
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PHONESTA "E TAX
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DEVELOPMENT CHARGES$
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RECEIPT NO.
This permit is Issued subject to the regulations contained In Title 14 ----- •------------"---
of the TMC. State of Oregon Specialty Codes. toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby OTHEP*
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does riot waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work Is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days F,ny time after work has
commenced It shall be the responsibilltc of tho permittee to assure
all required inspections are requested a,1d opproved
Permittee Signature .yw?we+r G IAI
Issued By , _ _ r-IT'T - __., -4 1 --
SEPARATES PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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