15705 SW QUEEN VICTORIA PL CITY OF
BUILDING PERMIT APPLICATION "TIGARD DATE 402/0„, c 1972 N2
. _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP CIFICATIONS. OWNER PHONE
OWNER dvaieti‘',../
ADDRESS /126c ,cBUILDER PHONE
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ENGINEER
nl:J! FR (27)'-471/ eir:` ARCHITECT DESIGNER
STRUCTURE -'NEW 7 REMOD, OADDITION REPAIR ❑RENEWAL OFIRE DAMAGE ODEMOLITION
V-IRESIDENCE r..2COMM OEDUCATIONAL OGOV'T ORELIGIOUSOPATIO CD CAR PORT EGARAGE O STORAGE OSLAB OFENCE
❑BOND O MOVING ECONDITIONAL USE O DESIGN REVIEW ❑COUNCIL APPROVED ESIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT .
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..... Al 71' .... 1 .0.- ° /".14t4 -"6.
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OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE/ 71(,
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
i - - -
Permit Q -
i THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording i ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
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RESTRICTIVE COVENANTS. CONTRACTOR Ar, .JR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State , 7 9-- LICENSE. SEPARATE PERMITS REQUIRED FOR rvER, PLUMBING AND HEATING.
Total 'l /9 t /
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By i t _ 1' - ' .14 - 'agCs
----' tt I APPLICAN UH AGfi`#.
Approved I Receipt No. /, I 1 _ e 041-eiril .t d 37 7f 'ADD ESS PHONE