15625 SW ALDERBROOK CIRCLE i
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—15625 SW ALDERBROOK CIRCLE ,
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SEWER PERMIT N:) i3�3 '':�
Unified Sewerage Agency T i -i:i r. r.1 �_Z_ l
of Washington County CITY JF , DATE
OWNER: T .U.C.
-- PiloNE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
)eE*UILDING SEINER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X[qNEW XB SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN UNE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE GOO.
SIDE SEWER INSTALLATION _
OTHERISSUED BY
TOTAL $ b1s.
T- APPLICANT DATE
o �wL > �l
SEINER PERMIT � 13946
ADDRESS OF STRUCTURE 15625 SU Alderbruok Cir.
TAX MAP TAX LOT SYSTEM farloo creek
LOT 477_ BLOCK OF
APPROVED BY DATE ISSUED BS' OATS
REMARKS bldg. ;;=1919
i
1
'O BUILDING PERMIT APPLICATION CITY TIGAR® DATE___
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNE'RPHONE:__-__ y
• » +.Sbij JW A1derbroL� 1r.
LOT L O.
PHONE—
OWNER JOB ADDRES; HOME ADDRESS _
ARCHITECT
BUILD ADDRESS ENGINEER
M,lqk _ DESIGNER
'TTRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
L_JRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV- ❑FIE LIGIOUS❑PATIO UCARPORT ❑GARAGE ❑STORAGELSLAB ❑FENCE
❑BOND ❑MOVING ❑COND11IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OC UPP.NCY�- LAND IdIjE Z.QNE_ BLDG.TYPE FIRt ZONE— PLAN CHECK BY- _ HEAT___
L t.. L, ,,r OL' f!1 Lank
It
- — J.�1T-----------
1313Wer permit 15946 sewer cuticle %6000 Bawer insp.
FL49R_L4�� 40 20 1 1.368
1�E9—__ ----NO.BEUfiQ 14,S_ Y91.1J�.___
- 7 29�9ifJ/
"
OCC.LOAg_—.— .. _/
BUILDING DEPARTMENT 1�� 2;)! I 'T
SET BACKS FRONT REAR LEFT SIDE ^` RIGHT SIDE
Permit . . -----. — -------
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check V REGULATIONS r,ND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
00—' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total a ALL APPLICABLE CODES AND ORDINANCES. YHE ISSUANCE OF THIS PERMIT TOES NOT WAIVE
' 5 UU_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 1'0 HAVE CURRENT CITY BI)FINESS
State Tax LIOW04.,S9PAF1A'rI1 PERMITS REGUIRED FOR SEWER, PLUMBING AND HE/, 'NG.
Total M*UtJ— ADOC.
A 'CANT OP AGENT --- --- -----. "Ott,------- ----.._
Approved ; Receipt No.
Y.r...w. Y. ....�.W,.,.. .«...,.. uwa ADDP SS
pY
1
DATE INSP TYPE. INSPECTION REMARKS PLUMBING LATE
Contractor
Permit No. (0 36 3 —ICY 7
Rough in _
Fixture--
_ Final _
�0-37 V HEATING
Contractor n
Permit No.
Gas or Oil
_ —�__ —. ---- ------ — ---- Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage _
(Rain Dain) Final
Sidewa,k
LA
rb&Stieet Final
proach
BLDG DEPT. FINAL _ TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final