9610 SW BRENTWOOD PLACE'R
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9610 SW BRENTWCOD PLACE
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1506 } .
. T 0.C. __ .Permit No.-
Owner: ---
9610 5L1 Brentwood Ct. Lot #518
j Building Address -_
17 March _.._ 1Q 78_
s� 4�q � Cert,if cote is )tcrt'hy given tl)i9 .___._._ _W.._ dcty of _... _.__ _...___
that said 1111,1dizig ,arty 1i1.. occupied .tad that
>� it complies with all requirements of the
Building Codt for the City of Tigard, as �?
approved by the Tigard City Council. � P
i J Nuiid;ng Ynspector
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i rte:. C7 "'� L• J �Yw
11 0 A.
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Pi i.d by
Ty1): ;� !i'I.i '►.(! .� � „__... '�� Ilorc (:onnE,rta)d
ContrnrLor _ _..._._.��. I)oid by
.Ze of nonrrr:ti nn _. _. Aas(3a,►iPr;.t
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, .. SEWER PERMIT N� 13403
Unified Sewerage Agency Ti _ arc. F 6-8-77
of Washington County CITY OF DAT_ —
OWNER : _
T.D.C. PHONE : 639-3101
OWNER 'S ADDRESSt _ — ----
TYPE OF INSTALLATION:
)[�'JBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
FaNEW SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITSDWELLING UNITS 1
PERMIT CONDITIONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECT'iON, PLEASE REFER TO THE PERM? T NI)MBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PF_RMIT FEE $� ��-
CONNECTION CHARGE _ IS75
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $_ 600.
APPLI(-,ANT DATE
SEINER PERMIT V' 13403
ADDRESS OF STRUCTURE __ __ _ 9610 SW Brentunad P.1.
TAX MAP TAX LOT — SYSTEM
L 0 T �$ BLOCK ^ OF
APPROVED BY DATE ISSUED BY DATE
REMARKS__ bldg- z 1506
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