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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tiqa 1,Oregon 97223
ion 630 4171
Type of Inspection
Date Requested Ti a-- A.M. P.M.
n 630 1
Inspection
E_�15_ Permit
Address
Owner— Lot
#-----
Builder
The following Building ;ode deficiencies are required to be corrected:
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Presented to d94 /Approved
Inspector Disapproved
Date
CALL FO�RE�INSPECTION
El YES /NO
aUIE_r1NG PERMIT APPLICATION TIGAPE) ')ATE_ .1�tnr. �<���._,19_''4 4$'9�'
1 H' UNDEOSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WOR'%HEREIN INDICATED BUILDER PHONE 69;-3t)15
OH AS SHOWN AND APPROVED IN THE ACCOMPANYING P-ANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 4
OWNER JaTllur _ JOB ADDRESS __ 134`� Sir 1is�
_.
—ARCHITECT
BUILDER _ same ADDRESS 11 .1). iIOX ?,Z29_� ENGINEERDESIGNER
STRUCTURE_ 55 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE L. DEMOLITION
El RESID�*NCE U COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
C.I000PANCY __._&_�LAND USE ZONE BLDG.TYPE _ _FIRE ZONE_ PLO N CHECK BY kClt HEAT--.r#;as_
Construct .iris;la fondly dwelling; w/atttached iaraLo.
Ke:lssue of. Per-pit 0 4747
SEWER PERMIT# 27911
OCC.LOAC_ FLOOR LOAD 41, vHEIGHT 23NO.STORIES AREA 1..521 NO.BEDROOMS 3 VALUE 60,799.
BUILDING DEPARTMENT SET BACKS FRONT REAR _ LEFT SIDE_ RIGHT SIDE 1_
Permit 316.E1t/ THIS 1DERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 REG;.'LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40400YORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Wl i H AL1 APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 356.00 _ 1 t%ZSTPIC--IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS-NESS
12.64 Llt:ENS'.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax _ $500.00
Total
3614 5C.:--
PDCji 130.00 -APhLIr`.",?!T—OR AGENT
By r.N I 'c; 25o.
- -_— — Receipt Nb.
Approved d(K �� .0.8.88 — nHONF
UATIE INSP. TYPE INSPECTION RCM..RKS � PLUMBING InAT9
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