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BUILDING PERMIT APPLICATION TIGARD DATr_ t;___- . 4 1 `3
THE UNDERSIGNED 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 j
LOT�IO...,1'1!
OWNER 1C'.�F3}t� F3 111 VE Sta JOB ADDRESS 1dAC}t2t C:t. '�'�" �
-- - rj.(.). - .ox 25571 ARCHITECT ENGINEER Df-jva yUrton
BUILDER _ ADCgESS F't1. I_} Uri "3�;�2F) DESIGNER .turbo 5
STRUCTURE CYNEW ❑ REMODEL ❑ i\DDITION ❑ REPAIR ❑ RENEWAL ❑ FIRF DAMAGE ❑ DEMOLITION
0 RESIDENCE I ' ":OMM ' EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _-LAND USE ZONE BLDG.TYPE --FIRE ZONE-...-PLAN CHECK BY __ HEAT
-- ConstructSinq,le File d y owotlimi w!attaahed (larnr7e --- ---
---------Rr, tr;sun of Permit 0 4211 (3400 b.W. t,vlanrh Ct. 3 I?ert>G'C>t, .
2 Baths
SEWER PERMITS ''12 --) ( "Irn F� 410
OCC.LOAD FLOOR LOAD 40 '(EIGHT } NO.STORIES 1 AREA 11" NO.BEDROOMS 3 VALUE " '
BUILDING DEPARTMEN f 1. I r
_ _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit T_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE D"'NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUAI;f:E OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTUES TO HAVE CURRENT CITY BUSINESS
I-(CENSE.SEPARATE PERMITS REQUIRED FOR SEWER,P;.UMBING AND HEATING.
State Tax I•� • �'
— -
SD,J—
Total -- • 3 — PDC# rY 1000f' APPLICANT OR AOENT ---. —s.
By --
rt Receipt No.
Approved � ADDREss HON
DATE INSP. TYPE INSPECTION REMAWCS PLUMPING -DATE
Contractor
PormtNo.
9K, Rouga-in
Fixture
//Nuv Filial
HEATING
j— Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
FinalI z
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL
_jE_t,�p_oRjjR_iCERTIFICATE OCCUPANCY
C CRTIFICATE OCCUPANCY Final ......
Landscoping
Zoning Final
DATE_���• 7-
THE
( 19 •� p
BUILDING PERMIT APPLICATION TIGA? f� a
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROV-D IN THF ACCOf�IPANYING PLANS AND SPECIFICATIONS. OWNER,PH F
s 1 I 1 /+y LOT NO. 0
e, '17 �JBAD_DREss �W Lo-IA4, clic. QT• L c
ARCHITECT
ENGINEER
BUILDER
YM) ADDRESDESIGNER 94Up 5 ✓
_STRUCTURE NEW C3 REMODEL _ !]_ADDITION T�AIR ❑ RENEWAL C3 :FIR( DAMAGE C1 DEMOLITION
KJR[SIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB C1 FENCE
OG_: .L` FL
uPANCY 11'✓LAND USE ZONE _ _ BLDG.TYPE s N-FIRE ZONE__—_PLAN CHECK BYE HEAT_S9_2_
- - �1�.
4
SF�IER PERMIT N ��� ,,
OCC.LOAD FLOOR LOAD HEIGHT �/Z NO.STOmE-s AREA O NO.BEQRUOMS VA.LU QO
BIJILDIrr;DEPARTMENT _ SET BACKS FRONT �� REARLEFT SIDE 'J3 RIGHT SIDE
_ _ 9/ _22 _� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COVE.ZON14G
Permit � /S.�v�� � E
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
(Plan Check S0,05Ip WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
nQ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1 Su notal J �-�'0, RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSIKESS
f LICENSE SCPARATE PERM,,S Rc:1UIRED FOR SEWER,PLUMBING AND HEATING.
;StatA TaxTotal
SUC—
RDCN APPILICANT OR AGENT
By
--- Receipt No.
Approved ADDRESS PHONE —�—
D C - 400
'EWER CONNECTION 5
EWER INSPECTION $ _ 3� /-` • �"r' P�� •
EWER SURCHARGE' S _ ?sAt
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