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BUILDING PERMIT APPLICATION TIGARD DATE.-.—__ ' � ,19 i 3894
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE ti
OR.AS SHOW,. AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO. 17
owNFra �.- jai x Jos3Ar�o �;REss ►7Ft0 � C:or)y Court _
�— I,Ci• �.herttic�vtl ARCHITECT
ENGINEER
BUILDER a ADDRESS ?3 a a^ FW Crain n t�e ESIGNER Xni riot ;
i STRUCTURE NEW ❑ REMODEL ❑ ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION_
Cl RESIDENCE O COMM ❑ EDUCATIONAL 0 GOV'T ❑ RELIGIOUS_ ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY "" LAND USE ZONE P PI)BLDG.TYPE �'_._ _ FIRE ZONE �~ PLAN CHECK BY tt HEAT
Cbn!�t-rurt r Ingle fwi-41 •_(twc1liny /rli t41c1»c1 crarocre. 3 Podrexm;:;
CORRI'r-TIC `VM"; A11"1AC;7:r).
SEWERPERMITN : `:;': : _ lt�•00 -- gr: ge 450 £tf•ft. ---
OCC.LOAD _ FLOOR LOAD 4 O HEIGHT �iNO.STORIES I. AREA 12 65 NO.BEDROOMS -1 VALUE 14_ I
BUILDING DEPARTMENT SET BACKS FRONT 2C, REAR I'/ LEFT SIDE `
. � RIGHT SIDE
Permit I THIS PERMIT IS IS:,UED SUBJECT TO THE REGULATIO14S CONTAINED IN 'THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBI AGREED THAT THE
Plan Check •50 WORK WILL BE DONE IN ACCORDANCE WITH THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE
1.95•��(! WITH ALL APPLICABLE CODES AND ORDINANCES. 1'HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTIACT07 AND SUB CUKrRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REO)UIRED FOR SEWER,PLUMBING A NO HEATING.
State tax � r•
_ SDC—fZ1 � �
Total 1-30.' « �
PDCN APPLIC-ANT CR AGENT
By t'1
Approved tT+}, Receipt No. r�y ADDRESS --- -- —^-- — PHONE
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DATE (NSP. TYPE INSPECTION REMARKS PLUMBING DATE
i'/ J� T Contractor
Permit No.
Rough in
7
-s'-✓'i't v // Fixture
Final --
'lrSit H TING
Contrar�tor o
Permit NL
Get a Oil
Rough•'n - _— -
-- Final --
-- - SEWER
--- Final�—J—
DRIVEWAY
Final r
P I
Storm Draina{I►
(Rein Drain)Final
Sidewalk
Curb&Street Final
tFinal
oach
—Bl DG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CiiRTIFICATE OCCUPANCY
—- I0 Landscaping
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