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PERMIT No. SITE
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BUILDING PERMIT APPLICATION TIGARD
DATE /� i� 19 '3
THE UNDEHSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
� LOT NO.
Or1rIEF1 � j e 5 g& 1C JOB ADDRESS l� / 3S `.'Lo A o idoO
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STRUCTURE ❑ NEW 01 -IREMODEL� ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DFMOLITION
IGS RESIDENCE
�y❑�C,O�MMIN ❑ EDUCATIONAL C3GOV'T ❑ RELIGIOUS ❑ PA TIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLASO FENCE
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SEWER PERMIT 0 _',�2 �iJ
OCC.LOAD FLOOR LOAD HEIGHT -NO.STORIES f AREA �� NO.BEDROOMS ni- �
BUILDING DEPARTMENT SET•R!CKS FRONT REAR LEFTSIDE RIGHT SIDE
Nrmlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONtN„
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plart Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
F-^ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
UCEN SE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax `� `
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POCO A PUCANT OR A
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BUILDING PERMIT APPLICATION TIGARD DATE._ __- 19 '''�_ 4467
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 044-4728
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE fi34U9
OWNER 1. jessanik — JOB ADDRESS )935 SW A-trdoCk LOT NO. _
ARCFI- ECT- -
BUILDER Energy SourceADDRESS 14270 .^rW Science Park DQSI GNER NEER R T 'd 11Pr
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STRUCTURE ❑ NEW REMODEL 17 ADDITION_ [ REPAIR
— 11 RENEWAL 17 FIRE DAMAGE Cl DEMOLITION
LIE RESIDENCE F] COMM ElEDUCATIONAL Cl GOVT LlRELIGIOUS ❑ PATIO_ ❑ CARPORT F] GARAGE L. :T7J :?
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SEWER PERMIT N
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BUILDING DEPARTMENT — �- —� �---
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-- BET BACKS FROIJT REAR IEFTSIDE RIGHT SIDEIh,00 --= _THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALI_ APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE
16004) W;TH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 70 HAVE CURRENT CITY BUSINESS
•(?4 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANP HEATING.
I$•tjSDC-
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14270 N.W. Science Park Dr.
Portland, Oregon 97229
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