13410 SW CRESMER DRIVE-1 C
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BUILDING PERMIT APPLICATION OF TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED Run c,EP PHONE
18-9 71 7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICC.TIONS OWNURPHONE-
LOT NO.._ _—
OWNER I+�r• ��rkle Ii Ji31':' JQ13 ADDRESS 13410 SIJ Creamer HOMEADDRESS --'
y.. _ ARCHITECT
BUILDER McDougles ENGINEER
ADDRESS ��-11 _ DESIGNERS�---tt _
STRUCTURE ❑NEW REMODEL ❑AUDITION LJ REPAIR DRENEWAL DF IRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL I.3GOV'T I_JRELIGIOUSQPAT'IO ULARPORT ❑GARRGE ❑STORAGE C13LAB [:]FENCE
OBONr, _— ❑MOV ING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—J_LAND USE ZONE t_7 BLDG.TYPE 5 -FIRE ZONES PLAN CHECK BY EY« HEAT
+Idd a second Story 24x33 to existing dwelling# rienrorce exiatir-ig fouting and
foundation supparts fuer bearing walls. All work to be ;lar Tigard BuiAding Code
4CC. WAD �_ FLOOR I,� � t��nnQ
ARE_A__-_ . __N0_8 E
VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE MIGHT SIDE
Permit W.00 -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chick 40*00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
'-- WORK WILL BE DONE IN ACCORD,%NCF WITH THE PLANS ANDSPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEP%AIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4, 1/1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEALING.
Total 142914
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---- APs" is ANT OR AGENT - - —_.---
Approved j*,! Receipt No
ADDRESS - PHONE-Y
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Address 13410 S.W. Cresmer Dr. Permit No. 1460
Permit charge_
Owner Connectjon fee 375.00
Paid by
Type of building Ree• Date connected
Service rate Inspection fee 25.00
Contractor C.B. Shirley _ Paid by _Date
Size of connection 4" Assessment Paid
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PERMIT TO CONNECT ;,,
Tigard Sanitiy District
PERMIT N? 1460 DATE
PI_RMIT IS GIVEN TO
OF
TO CONNECT
TO THE SYS,M4 OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE P69TED f_'.• THE DESCRIBED PPFM]SES I 'Jit,CON-
NECTION IS MADE AND INSPECTION OF' CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID b..... ..........................TIGARD SANITARY DISTRICT
By / '°
Co NNE(TION INSPECTED AND APPROVED
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Late Superintendent
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