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9460 SW BRENI'VMD PLACE
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0,Aner . ...... ........ .......................... .Permit No.....128. .......... ay fig.
.. ..............................
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Building Address.........9460. .SW..B.rentwo_od P1. Lot...#497..................
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Certificate is hereby given this ......24....day of...A..o9.ust............... 19.?..7....
that said building may be occupied and t,.
that it complies with all requirement: of
t: the Building Code for the City of Tigard, ,
t`. I as approved by the Tigard City Council.
........................... '.
Building lnspertur
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ADDRESS _�7 (CCJ ,�,�,.�.�..�r1,�,1� PERMIT NO. /LV/
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY C
TYPE OF BUILDING _. DATE CONNECTED
SERVICE RATE s/tr INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
BUILDING PERMIT CITY TIGARD DATE M
E MfT APPLICATION OF - t9
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
t.U.[;. 946n SUIfirelntwood P. . LOT NO.-
OWNER J08 ApDRESS HOME ADDRESS
ADDRESS
.i a f111, ARCHITECT
GUILDER ENGINEER
DESIGNER _
STRUCTURE ❑tt NEW ❑REMODEL QADDITION ❑REPAIR ❑RENEWAL _❑F-IRE DAMAGE ❑DEMJLITION
❑ RESIDENCE LJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE _❑STORAGE❑SLAB ❑FENCE
QBOND ❑MOVING i []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE o w BLDG.TYPE— FIRE ZONE— PLAN CHECK BY _ HFAT'�V
7 Manrhue L w r ,uissua ssj..� raaa 1(12a`J !;l,1 Greaan1wair Terre Attached dwal.iinl.l
t shceci
garage 4, bsdroum 2 both
oc 2 1974 2
�,LOAQ �__�J,QQR LOgpQ1� (VST RIES__ AREA NO BEDRQOMS
BUIi.DING I)EP T E SET BACKS FRONT ' REAR )-4• !�.I LEFT SIDE l.I RIGHT SIDE I
---
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS .AMD ALL APPLICABLi CODES AND ORDINANCES, AND IT 1S HERERY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCi 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, CONTRACTOk AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax •01 LICENSE. SEPARATE PERMITS REQUIRED AOR SEWER, PLUMBING AND HE JINU.
Total ' 72.
By
Approved I Rviceiht Nu
AMY
UATE INSP, TYPE INSPECTION REMARKS PLUMBING
4L� — - i.ATE
t. r_
_ --- -- Contractor
/ Permit No. C r J 2� S/• ii '
Fixture
En
HEATING
Contractor
` Permit No.
«E(,.lu vc ri. il. tJ ip .0 ip-rr" ,J' v —
F,te1 'i k(_y I 1 Gas nr Gil w----
rt
Rou h in
- Final _
—" --- — SEWER —
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drains Final
Sidewalk
-- Curb&Street Final -
BLDG DEPT FINAL TEMPORARY A roar _—
CERTIFICATE OCCUPANCY
CERTIFICATF.OCCUPANCY Final
Landscaping
Z6"ing Final
UUMMM01A
4y" -/,;7
UNIFIF- D SEWERAGE AGENCY NO. _ 11641 WASHINGTON COUNTY DATE 2-8-77
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: ---- - -----QLD.-C.
OWNER'S ADDRESS:
STREET
CITU--- - - -- - --- - ,�_STATE --------____ _-----
ZIP
BUILDING SITE: LOT -4137 BLOCK .-. . . __ ADDI TION .
(
TAX LOT NO. TYPE OF OCCUPANC'r' _residence
ADDRESS .9460 SW Brentwood P1 .
DWELLING UNITS-_.-___1 _ FIXTURE UNITS _
SURCHARGE IF APPI ICABI_-F
PERMIT FEE _ 5?5• INSPECTION FEE .25• _ TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
C'
APPI-I CANT��I +e _- _ _i',h _✓_
SEWER PERMIT
THIS PERMIT AU'IHORIZFS CONNECTION TO THE SEWER SYSTEM.
I7E INSTAI_I LRPF('FIVED BY
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(AGENCY oq 9 AGENT)
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COMMENTS: .-_.__Bldg #1286
This Application and permit expires in one hundred and twenty (120) (lays. I
The amount paid will be forfeited should expiration occur.
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