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13285 SW ASH DRIVE
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—__ _ _,
BUILDING PE6�MCITY TIGARD DATE 19
1 t APPLICATION OF
THE UNDERSIGNEE HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BIJILDErt rHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO.
OWNER iir T1i:lLf JOBADDRESS i,j2ia ) Sw Mph DriUC HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW0RUMODEL_ DADDITION [:1 REPAIR ❑RENEINAL CJFIRE DAMAGE []DEMOLITIONRESIDENCE []COMM ❑EDUCATIONAL DGOV'T DRELIGIOUSDPATIO [„!CARPORT DGARAGi DSTOHAGEOSLA13 ❑FENCE
❑$OND ❑MOVING DCONDITIONAL USE ODESIGN REVIEVI_ DCO.:NCIL APPROVED ❑SIGNS �—
OCCUPANCY ",.!LAND USE ZONE r BLOC.TYPE_ -��FIRE ZONE_ PLAN CHECK BYIjJrf� HEAL______ _
Culliatrur.'C. addj . n u QAj(IIt�m. dwr, liflj ." �a ydro,jrn.
QCC.LOA(2I�44FI�S?AD 4� �E1IiL_ d4�t^I�la' __.�_.L>8.�__ I_ _-N4__@YI?EIQQM�_�--YALUE ��GCJ�J�LII� `
BUILDING DEPARTMENT SET BACKS FRONT .6 REAR 4-5 _LEFT SIDE ji RIGHT SIDE Z Z _
Perrmt 14U_,AJQ ---� -�^
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE., ZONING
Plan Check 20 ou REGULATIONS AND ALL APPLICABLE CODES ANO ORDINANCES, AND IT IS HEREBY AGREFD THAT THE
WORK WIL: BE DONE IN ACCORDANCE WITH THL PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total di p ALL APPLICAPILE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
1 otal ,
By I�� -- —. ----- _.---
__ APPLICANT 0 AoFNT
Approved t " �! .dor) Receipt No.
1
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 - — Contractor —
'�� Permit No. _
y 9-. r �_�r
8 1 - �d (1tSu1/11-01V — Rough-In - -
'r"' Fixtu
64- Final
H 4NG
Contractor
-- --Y— --'--.--_--
Permit No. �
Cos or oil
Rough in -
- -- _— ------ Final �—
_
SEWER
� -------- v Final -
�� DRIVEWAY
Final
Storm Dralnagu
(Rain Drain)Final
Sidewalk
Curb&Street Final --
Approach
BLDG. DEPT. FINAL TEMPORARY -�- CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
( Landscaping
2oning Final
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