15715 SW ALDERBROOK CIRCLE I
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15715 SW ALDERBRUWK CIRCLE
Ad�r ` Per�it No.
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SEINER PERMIT
W -'`I • 13947 f
Unified Sewerage Agency T i 3 r d
of Washington County CITY OF -�_ __ �' DP FE 3-7-78
pr,
OWNER : T_n_� _ V PI10NE :� _
OWNER ' S AC+DRESS:
TYPE OF INSTALLATION:
F .. '[!? IJILDING SEWER C; JUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
C yy Xt'TXSINGLE 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 RUL .---S
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAIL) WII_l_
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNEC,.T, I;-1N CHARGE 600.
SIDE SEWER INSTALLATION
OTHER
I!:;SUED BY
TOTAL $ 625. /
APP
LICANT 6ATF
1!'til�c: 6� Nys rF Tyt
1„ [E, -,-W fl SERVICE
a ;
.,;LL F:,: i;i FOR THIS SEWER PERMIT N? 1 :3947
ADDRESS OF STRUCTURE ]-5715 SU Aldort�roo!< Cir
TAX MAP TAX LOT SYSTEM EmQQ,, o .
LOT 474 _ BLOCK OF
APPROVED BY DATE 'w ISSOED BY DATE
REMARKS bldy. 1933
V,IBUILDING PERMIT APPLICATION COF TIGAR® DATc _ _ 19___
♦r
THE UNDERSIGNLD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNL:RPHONE—
r•f,?•' LOT NO._
51x1 rdC"1. L.ivk _
OWNER _-- JOB ADDRESS HOME ADDRESS _—
ARCHITECT
ENGINEER
BUILDER _ ��--yy ADDRESS DESIGNER
STRUCTURE L_lNEW ElREMOVEL ❑ ^TADDITION `JREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DE.MOLITION
❑AE ADENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑REL1310US❑PATIO ❑CAR PORT ❑GAR,,,GE ❑STORAGE❑51-AR LJFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE LJDESIGN REVIEW []COUNCIL APPHOVED [:]SIGNS
OCCUPANCY—LAND USE ZONE BLD .TYPE _ FIRE ZONE PLAN CHICK BY HEAT
t..lJ(, /o� ): 1 t3 k U£� :7 J ' :J I.} 1 U t G GI f1• " - -
frame dualling w/rattached gararje 2 bedroom 7 bath
9
QCT,LOAD __ FLOOp LOAD — HEIGHT No,STORILSAREA NO,0-WjE[9QM5--Y-AL-VE -
BUILDING DEPARTMENT _ SET BACKS FRONT 10 REAR 27 LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUILDING CODE, ZONING
Plan Check » 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 COMPLIANCE WITH
SUb•total ALL APPLICARLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY RUSINES.i
State Tar LICENS4. SVAAATE:.,PE.RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total --- ---- N♦U♦1.♦ f..'2 j1UU.
BV
AP' 'ANT OR AGENT
Approved Receipt No
I
i
DATE _ INSP. TYPE INSPECTION --_ REMARK PLUMBING ��- DATE
Contractor
Permit No. / zl ?`�C� -2'4'
Rough-in
Fixture
Final _
HEA i ING —_
Contractor_
Permit No., /1
Gas or Oil
-- —___ _—_—_-- — I Rough-in _
Final - - -
__ SEWER -
--- -- v --- _ ---- — Final -- -
-- -�- --- — -- - -- — ------. — -- DRIVEWAY
-- --� ___-- Final
---_ - ----__-, _. Storm Drainage -
---_— —�__ —..---__- -- -_ -- -- (Rain Drain) Final
Sidewalk
Curb&Street Final _
__ _ Approach
BLD:, DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANC
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final