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8840 SW AVON COURT
ADORESS�-- E�-4-6 .t,t L PERMIT N0.- S5'
PERMIT CHARGE none
C�JNERLta�_.t.t<,� CONNECTION FEE
V PAID BY
TYPE OF BUILDING DATE DATE CONIN CTED _
st_RVICE RATE INSPECTION FEE
CONTRACTOR .� PAID BY
DATE
SI '_E OF CONNECTION ASSESSMENT
PAID
i
SEWER PERMIT N —64!f°s'
Uf nfied Sewerage agency Tigard 5-9-178of Washington Cr unty CITY OF g DATE
[OWNER : Cornet -- Haning PHONE :
OWNER 'S ADDRESS: _
TYPE OF INSTALLATION:
)U*UILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
fj <NFW O6IN:J!-E FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS i _
ADDRESS OF STRUCTURE : 8840 5W Avon Ct.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER T9 THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _ B. Greene
ISSUED BY
OTHER
T ITAL. $ 625.
PPLICANT DATE
SEWER PERMIT N° 15897
ADDRESS OF STRUCTURE 8840 SW Avoii Ct.
TAX MAP _ TAX LOT _ SYSTEM faniio creek
LOT 45 BLOCK OF
E. Walden 777_—�
APPROV[D BY DATF ISSUED BY",,, DATE
D. U. 'S 1 REMARKS bldg # 2003
.�.-•.+ '.•`�'1+�'6f�+^ .....«,...._.. ,,, ...... M ....'a.r .r. �..uw,nq�,,.. ,W .�...w,.,A.�.. , � � .--.._,...,►.,•---- .w�,n...w.,w,y..,,,�,�^,....�.
2083
BUILDING PERMIT APPLICATION 1O1F TiGARD IIA LE_'~�wF;
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FORTH I WORK HEREIN INDICATED SUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PF,DNE
Lt
LOT NO.--.,.,,..__,_.,._
OWNER JOB ADDRESS Of.3QO SLI Avon (A. HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER A06RESS DESIGNER
STRUCTURE ❑NSW_ ❑RE'MODFL` _ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE — ❑DEMOLITION
D RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB OFENCE
HBOND TOMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNC'L APPROVED ❑SIGNS
OCCUPANCY _LAND USE ZGNE'. _BLDG.TYPE—_ FIRE ZONE_— PLAN CHECK BY_ ""t L.I HEAT__
,:;usiat. syiylrw t'.Itn4ly % 411rlr, w/mt,tcchsd garage 3 U00r:.L-0 ? t-18th
rsiueus Iir
sower permit
QC&�Q_ FLQQB LOAD _AC? HEIGHT 21) iNQ_;_TQRIE.$ l AREA 1 10 NO_KQF_QQM,SJ_ VALU.L 41.a O.
BUILDING DEPARTMENT _ SET BACKS FRONT 20 REAR .36 LEFT SIDE p RIGHT SIDE .33
Permit 16C•
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 141.00 REGULATIONS AND ALL APPLICABLE CODES AND Oh^)INANCES, AND IT IS HEREBY AGREED THAT THE
N/ORK Will L BE DONE IN ACCORDANCE WITH THE PIANS AkU SPECIFICATIONS AND IN COMPLIANCE Wil H
Sub-total 17t).Of) ALL APPLICABLE CODES AND ORDINANCES. THE ISSJANCE OF THIS PERMIT DOES NOT WAIVF
-- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTFACTORS TO HAVE CURRENT CITY BUSINESS
State Tax G.AU 4C*NSf. SEP"Af f PERMITS RLiQUIRED FOR SEWER, PL:;MBING AND HEATING.
.W* .• IJ
Total 1715.413 �. 2 II(It?.
By --
APPL.ICAN1 OR AGENT
Approved ��� Receipt No. `�,�
DATE IIISP, TYPE INSPECTION REMARKS PLU ING ['LATE
S-(2-2P _ Contractor —v
l J --- Permit No. � J(o•'t( 1r�_1
/j _79
`'' � �'• --
Rough-in - _--
/ — Fixture -
/�,_ - -- Pinel
HEATING
Contractor
— - — -- - Permit No. 3 a (11914
Gas or Oil
— -- - Rough-In A •
---�-- Final
SEWER
Final
- DRIVEWAY
-- ----_-�- �
Final
Storni Drainage
-` �-----.-_-' V--- (Plain Drain)Final.
— -- ------- ----- Sidewalk
- Curb&Street Phial
Approach
11
BLDf's.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
-- ---
7 -7!a CERTIFICATE OCCUPANCY __ ---
%/ -/ / Landscaping
Zonin l Final
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