Permit / SITE WORK ���`NN NN l� NNN0 ��'�� � OF ���m�-�����
C0MyCWTIOMD P7
NITY DEVELOPMENT DEPARTMENT CORIMN PERM #.......: SI792—Q02
i Hall Blvd. P.O.Box 23397, Tigard, Oregon 97223 (603) 6394175
~- -.
� i LSbUED: 06/21/92
SITE ADDRESS...: 14905 SW 74TH PV PARCEL: 2S112AC-01300
SUBDIVISION.... : FAMNO CREEK ACRE TROCTS 7 UM?{`!G.
f�LOCK..........: L
TYPE OF WORK.gDD PAVING?.........:N RESO. ND.:
EXCV VOLUME.: cy • VALUE...
�ILL VULUME.:200 cy LANDSCAPING?....:M
ENG TiTE
SOILS RPT REQD?:Y ST8HM DHA1N8?...:N
lMPERV SUNFRCE..: st
Remarks: Deposit approx. 200 cu yds of fill material on SE portion of property.
No fill to placed in 100 Yr flood plain.
•
5wner: ----- --- ---- FEES ---------
E RIVAS type amor.nt by date recpt
16060 SW 76TH PRMT A 33.00 BCR O8/21/92 —
5PCT $ 1.65 BCR 08/21/92 —
1lGARD OR 97224 •
Phone 4 :
Contractor: —
OWWR
Phone lUTIAL
Rep 4..: 00000
— REQUIRED INSPECTIONS --
This peroit is issued subject to the regulations ccntaioed in the Fill Inspection
Tiqard Municipal Code, State of Ore. Specialty Codes and all other Grading 'insp
applicable laws. All xur4 will be done in accordance with Final inspect ion
approved plans. This peroit wi]l expire if or is not started _ _
within IN days of issuance, or if work is suspended for oore
than 180 days.
Permittee Sienature: ����^ __ ____________
Issued By:
Call tor inspection — 639-4175