Permit ohIT _# . SW c•_..3 -7• t4S1
COMMUNITY DEVELOPMENT'DEPARTMENT DATE I SUEL) : �
13125 SW,HBII Blvd. Tiga 97223.8199 (503)839- 4171' -
r n rn r� ' 13727 (-�� , , TAM AWAY -r �- r r �
SL > > ? S IUhd. r!I'LI_ Shlr ZON INC e R -! PD', ,
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- • TENANT •NP1YIE... : „ -
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USA NO.. -• .... _ . ” • I:XTURE , Ui4 f, . •
' CLASS OF WlORK.. !NEW' ' DWELL1NS CNIT'S' . 2 1 - - •
T pE.. OF USE.. . = R SF , . NO. Or• DSU I LD I NOS a I.
INSTALL TYPE... ... o UJSLVJR - IMP'ERU SiJPF- CE.., . o,s f '•
r a.lr al- k s . Pf T f-1' ' •
• ,Own : __- _--_._ , - -_. - __..__ _ _. - -- -. ___.__ . ' .._.__.__- .__ -.._._ �f = S _.�_.. __....... -. _. _ __. _. -.
' ORP,N1ITE I -TOMES N W, INC . , wyNe •''« 'fa 0I_iilt by' data - r-e.z -pt. -,
' 10 ' N. W. s. 1TN €-VE -, . ' ?RI a • 2200. 00 ,BL T '1071.3/93 . '' '
SUITE v01 I NSP.' ; 35. 1, ?0 ALT 10/1.3/93
PORTLAND OP 79c'Z19 - . , ,
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` T,.._ Applicant agrees _s, LJW with all .i6: 'iL_ES and Y:�,L.ict_9Tis SBlne?i•" I rl- sG7_Ct l op _.- •, . -
I - of the Unified 'Sewsn'e i nicy. The r °?'L,it epires i &J days froo _ - — '
,:he date issued:, he total a:,v"unt :aid will be forfeited if the - . • • •
pert_ t expires. '1 The Agency does not gua^ant ee the c�oouraz -of the ' " --
,- a sewer' E- if i } _t the e
5_�_, _eo-�_, lateral's. _e uif� sewer, 17 ,not lC�C3 !:� e_ the - _ ,
given, the installer shall p 3 feet in all directions frau , -_ , ....___....,__________,...
•. ' the' distancE given. if nrt s{ located, the installer- shall purcha e• - . - — __._.
.a "Tap a Z Side.Se er°' - Pereit- arid the Agency' will install ,,= lateral. • - -- -
' PE1' III i . tee , Si. gnat ur "e' �_ _ _��
•Ca e=or .nspectior X39 -x417 - :
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