11770 SW LYNN STREET I
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11770 SSV LYNN STRMIT
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PERMIT NO.
ADDRESS
PERMIT CHARGE none
OWNER - CONNECTION FEE
PAID BY
TYPE OF BUILDING �CC�?;+;i DATE CONNECTED
SEF?LICE RATE INSPECTION FEE
CONTRACTOR �i �d-n�"� PAID BY _ �y� D4 (E
`iIZE OF CONNECTION ASSESSMENT PAID
•
As
r _ _
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE----. 19 ` H-° 0'`9
THE IJNDERS.GNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
f.*L* ti nudson 11770 S,U, t �l�r
OWNER — ADDRESS _— BUILDER PHONE
owner ENGINEER
BUILDER ARCHITECT,— DESIGNER �1 _
STRUCTURE _ ❑NEW ❑REMODELADDITION_ ❑REPAIR ❑_RENEW_AL ❑FIREnAMAGE �IDEMOLITION
u RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POR r ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING '_!CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPRCIVED —_❑SIGNS _
OCCUPANCY _LAND USE ZONE—BLDG.TYPE _ .__FIRE ZONE--..-DLAN CN Y___- t .j HEAT_ _
i,n�itrucl', �Ipproxi.mately—.�� x �l �dc�� Clcrr� .�r, u`' dwallinii ---
for grsenhouse and future bath according to approved plans
OCC. LOAD _— FI-OOR LOAD HEIGHT NO.STORIES AREA VALUE _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit J6. 110 --�— — --- ------- -- --�
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABI.E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE INITH
Recording ALL APPLICABLE CODES AND ORDINANCEr. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AAD SUB CONTRACTORS TO HAVE ('.URRFNT CITY BUSINESS
1`f6 State 1•uU LICENSE. SEPARATE PERMITS REQUIRED F JFI SEWER. PLUMBING AND HEATING.
Total 57.66
By ----------- _ _._ ------
A''Pl WANT OR AGENT
App.oved r f` Hecellu No
---- ADDRESS — — --- PHONE ---
I
I,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
_ Fixture —
Final
- ~ � — --V ---- HEATING
i:ontractor
Permit No.
Gas oi Oil
_
Final__ _
SEWER i�•'�6� j,', CX<.
_ Final
DRIVEWAY
Final
-- ------- -- — - Storm -
(Rain Drain) Final _
Sidewalk
Curb&Street Final
A broach �.
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
1 Zoning Final