13990 SW HALL BLVD-1 J
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13990 5W HALL BOULEVARD
BUILDING PERMIT APPLICATION cow TIGARD DATE b-2t�-77 ts_ ��►
THE UNDERSIGNED HERE"aY APPLIES FJR APE RMIT FOR 'THE WORK HEREIN INDICATED BUILDERP14ONC�. .,
OR AS SHOWN AND APPROVED IN THE ACCOV"ANYING PLANS AND SPECIFICATIONS. OWNF.RPHONE_ '
LOT NO.-
OWNER
O.OWNER _ JOB. ;DRESS.L91. _Q JU »@� HOME ADDRrss
-- - ARCHITECT
ENGINEER
BUILDER ��11 ADDRESS r __ DESIGNER t-�
STRUCTURE L.JNEW ❑REMODEL ADDITION DREPAIR _ []RENEWAL
FIRE DAMAGE _ UDEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T OhELIG10US OPATIO ❑CAR PORT OGARAGE�[j STORAGE 0SLAI3 UFENCF
_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED DSIGNS _
OCCUPANCY LAND USE ZONE 11__? BLDG.TYPE ` FIRE ZONE�� PLAN CHECK BY—k' 4,1__ HEAT
'1^onbt# patina ptr plat pion approx tab® aq. Pt.
BUILDING DEPARTMENT SET BACKS FRONT REAR 1-EFT SIDE RIGHT SIDE
Permit .17.00
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTCINFI') IN THE BUILDING CODE. ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANVP I i IS NF REBY AGREED T`•IAT THE
----- -— - WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN: IND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State lax fCt LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBY 12�
APPI„ir ANT ORAi±F N1
Approved { GI Receipt No --
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