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Owner:......sob...Smi.th......... .................. . .........Permit No. 1461
r y Building Address.....11.17.5...S.W...SQ..+wood...Gt ..... ........ '
Certificate is hereby given this......�l4t.h.day of... !V.pu.e.r7bsr_......, ,• . . ��,
r; • �, to ..�.z...
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard Cite Council. ; y
f
} $uilding Inipector
.a_
Permit c I i, r:i r �=-
(] n n rn it r,t,i a n
Paid b y
i yll: W, I,ui .lrl?.riti ___ __._..... Date
5orv.i.r.r: 1-11.0
f:n n t.r a c t,o z ..... Paid b y . _ ri i t.e .._..._._
�i.7c3 of cormuct.ion Assessment Paid
_ 5 �� 0X,
BUILDING PERMi r APPLICATION 1OF
1T TIGARD DATE S"&7�-7?
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNERPHONE M
t LOT NO. —
OWNER f JOb ADDRESS 111 ' �JAU dOxidood (t.HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER �;a{il';« ADDRESS DESIGNER
STRUCTURE_ 'LMEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL 01F-IRE DAMAGE ❑DE.MOL.ITION
OFIESIDENCE ❑COMM ❑EDUCATIONAL GGOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_nBOND ❑M041NG ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
CCUPAN(, LAND USE;.ONE I_�81.DG.TYPE _FIRE ZONE__� PLAN CHECK BY 13tw HEAT---,�inc,�a� fr+rtlAly dwsllin(a LJ/uttschad gNregf.-i 4 bsd"am 3 bath
9CQ.LCIAU--_ F_L.9QLLQAP_—_. ___1i_ 1_St�L.,__—_`�L`14.$S4HlE� _.__AREACT3 NO.BED_. ROQM��i VALUE QLD C)LlL�♦
HU!LDING DEPARTMENT SET BACKS FRONT `(j REAR LEFTSIDE Q RIGHT SIDE
Permit 160000 ;�-------___--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILGING CODE, TONING
Plan Check 10100 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 COI'PLIANCE WITH
SLIb•total AI.L APPLICABLE CODES AND ORDINANCES- THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
state'rax :).LD LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 175,1 ! 'iystem Uovoiapment 01rap® *30UoU0
By _ APPLLCANT OR AGENT
App cv td Receipt No. I '% l....•1
_�. A 0**fts-
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DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. L^�c' '.f �,0.
Fixture
2 Ll PIL f 181 Al( _ Final _
HEATING
0-0 t3 , �,� - -
Contractor n
Permit No, 05s4/3 22�
—_.— Gas or Oil
Rou h in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Rain Drain) Final
Sidewalk
rroach
et Final
-- _ _BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY
I
SEWER PERMIT
Nu 121'70
0i
Unified Sewerage Agency
of Washington County CITY OF_Tigard DATE -__ 5-17-77
OWNER : Bob Smith SHONE : 644-8955
OWNER 'S ADDRESS: _ .
TYPE OF INSTALLATION:
❑X BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY,
X❑NEW ❑ 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 REGI.,LATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR
INSPECIION, PLEASE REFER .TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE S 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION 17�AW
ISSUED AY
OTHER
TOTAL s 600. _
APP
,I I CANT DATE
SEWER PERMIT N:' 12170
ADDRESS OF STRUCTURE_1 1175 SW B-axWood
TAX MAN TA' LOT.__ r SYSTEM Fenno Creek
LOT BLOCK OF
APPROVED BY DATE issupd BY DATE
REMAPK;-, Bldp_ 1461