16525 SW KING CHARLES AVE - “_. ....... ._
CITY OF p � .
• BUILDING PERMIT APPLICATION TIGARD DATE , 19 N
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED .
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ,
OWNER 0,•- ■ I. O` I _ ADDRESS / L A 4 - 1 . a z:9ILDER PHONE
/ ENGINEER
9L'ILOER C /O A °lin? � St'd , ARCHITECT DESIGNER •
STRUCTURE ONEW O REMODEL - ❑ADDITION REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM DEDUCATIONAL OGOV'T O RELIGIOUS OPATIO OCAR PORT. ❑GARAGE O STORAGE OSLAB ❑FENCE
DBOND 0 MOVING OCONDITIONAL USE 0 DESIGN REVIEW OCOUNCIL APPROVED OSIGNS
OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE_ PLAN CHECK BY HEAT .
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/ rOW *DU10 / / ny AyQ C.0 del i -1 .opd S t' n7 toy
OCC, LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE 9JC7 -
i BUILDING DEPARTMENT 1
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
I Permit /6 r
•
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check I 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 WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_ RESTRICTIVE COVENANTS. CONTRACTOR A. )13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
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%State 1/0 LICENSE. SEPARATE PERMITS REQUIRED FOR .vER. PLUMBING AND HEATING.
Total I O
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I By eft' "
f I� =' •PLI ANT um AGENt.
Approved I I Receipt No. ‘87— 8/— /Q 7
ADDRESS PHONE
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