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15880 SW A[,DERBROOK CIRCLE
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'; CITY OF 'TIGARD JVC�
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Ovrner:....1' .D.C.......................................................... _Permit No...1516......
1589....SW..Alderbr.00k Circle Lot.,#45,9.._,.
Building Acldres� .. ............. .. .
Certificate is hereby given this......14i;h-clay of... .......... 19...?.?...
that said building may be occupied and
that it complies with ail requirements of I#
the Building Code :or the City of Tigard,
i
I as approved by the Tigard City Council.
G% Building inspector i.
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Pnid by
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SEWER PERMIT M 13410
Unified Sewerage Agency 6-14-77
of Washington County CITY OF Tigard _ DATE
OWNER: _ Tigard _ PHONE : 639-3101
OWNER ' S ADDRESSt _
TYFE OF INSTALLATION:
UILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY :
)ENEW SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PERMit CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UtIIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ! '_ 20 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE y 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTAI.LATION
I SP;UED,r Y
OTHER
TOTAL 600.
APPLI -ANT DATE
SEWER PERMIT M 13410
ADDRESS OF STRUCTURE_..._ 15080 SU 5w igl,0_ Circle
TAX MAP^_ TAX LOT _ SYSTEMfanno creek
LOT 459 __ BI- OCK _ OF_,-
APPROVED BY DATE ISSUFt BY DATE
REMARKS bldg. =;1516
BUILDING PERMIT APPLICATION "OF
TIGARD DATE_ -i -'�r _, 19 1516
THE UNDERJIGNE9 HEREF,Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDiCATED BUILDER PHONE_e3
CR AS SHO,'v NND ^..""PROVED IN THE ACCOMPANYINNGf PLANS AND
AND SPE.�,I✓FICAT,IONS. OWNERPHONE _
C�f/�ti/A2tJGi CC LOT NO.
OWNER ` , : y_ JOB ADDRESS i.Li lo:�l� aW MlNF I -hW 1-6�C><bwoESS
AR--.HITECT
ENGINEER
3UILVER j4 i'If,. ADDRESS - DESIGNER -
STRUCTURE— IJNEW ❑REMODEL _ _ . ❑ADDITION ❑REPAIR ❑RENEWAL _❑_FIRE DAMAGE ❑DEMOLITION
{E3RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO OCARPORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCE
❑BOND IJ MOVING ❑CONDITIONAL USE ❑DESIGN REVI -W ❑COUNCIL APPROVED ❑SIGNS
f Ji-7 � ---- t�t t.1 kill
OCCUPANCY—__-LAND USE ZONE BLDG.TYPk_ FIRE ZONE_ LAN CHI=CK.BY__ HEAT-�_
Loi; X459 MK 22A re-issus same 'ar - -
fraula dual l YnqW/e - -a ttpd garac,a 2 b.,;ri.fjua m 2 h11ttL
1 EiA_172Q.-BE12A 2MS � VALQE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit Zl�•�� --------- ----------- -- --- - _—
— - THIS PGRMIT IS ISSUED SUBJECT. TO THE REGULATIONS CONTAINED IN THE BUILDING 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
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'- --' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.1.1,3394 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 4K - Iy6t6M Usveluplm6nt Lharge *3U(J*!1D
By
-- APPLICANT OR AGENT -- —�� --- --- -
Approved— - Receipt No.
--�
ADDRESS --------TPZONE
�1 MNufYu:r._..wu..r....w�.-wu.+:r4uua..�rw..ultfr�lv:. ..•• ._.A._.e.......wAM.i�iYd9YNV.+AMYYN..iM1lYin.MW:Ya.•• ,•..".�W:'.ai.wAavL.w-.,........«..w '-•"`:—•... •- •-'-••r:W.'ipii.YNb.u.ays�wA.wJSnc:,
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DATE INSP. TYPE INSPECTION 1 REMARKS PLUMBING DATE
6 10 (11 FO UN D4r1( N E I-�oT i is Contractor
6 2y �1 SILW£2 — _ Permit Noor/U
Rough-in
-22.11 �r'. GASoe teic,/ s�o u�. — Fixture ----
$_�t-71 rL
Final _
w,.'fi, R¢sta, ,a HEATING
- 10-�l 3-9 g Contractor
9 _ Perm t No. F3 2— 7/-/21
SD, ,d Zt.e-� �Yi s+�t Gas or Oil _
_ DLa Rough-in _ —
11i 4— -- — Final
SEWER
Final
— — —��-- DRIVEWAY
Final
Storm Drainage__
IFinal
ain Drain, f nal
dewalk
rb&Street Final
_ u roach
BLDG DEPT, FINAL TEMPORARY CF"IIFICATE OCCUPAN
CERTIFICATE OCCUPANCY — --�
ndscap ng
oning final