Permit SITE WORK
PERMIT ^~
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CITYOF TIRD PERMIT #.......: SIT90-0010
COMMUNITY DEVELOPMENT DEPARTMENT
--_~~ PRIM. PERMIT #.: SIT90-0010
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639-4171 -- ~' DATE ISSUED: 05/17/90
SITE ADDRESS...: 14975 SW 74TH AV PARCEL: 2S112AC-01600
SUBDIVISION....: FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK..........: LOT.............:17
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TYPE OF WORK:NEW PAVING?.........:N RESO. NO.:
EXC V VOLUME.: cy GRADING?........:N VALUE...$: 0
FILL VOLUME.:1000 cy LANDSCAPING?...:N
ENG FILL?......:N SITE PREP?......:N
SOILS RPT REQD?:Y STORM DRAINS?...:N
IMPERV SURFACE..: sf
Remarks: deposit 1000 cu yds +/- onto easterly portion of property, above flood
plain elevation. no fill to be placed in the flood plain.
Owner: ---------------------------------- ---------------- FEES �-------------
FIBER PULL CONSTR. INC. type amount by date recpt
17010 SW WEIR RD PRMT $ 117.00 / /
5PCT $ 5.85 / /
BEAVERTON OR 97005 PAYM $ 122.85 JLH 05/15/90
Phone ON 206-892-8280
Contractor: -----------------------------
OWNER/CONTRACTOR
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Phone #: $ 122.85 TOTAL
Reg #..: OWNER
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Fill Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
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Permittee Signature:
Issued By:
Call for inspection - 639-4175 •
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