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9645 SW BRENINMD PLACE
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OF
CUPNi
CITY OF "11GARD
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Owner:...T PtA .............. .. .............................................Permit No. .1.3s4.
'3uilding kidres,.... X§A5 ..Sly .2.Q....................
• • i ... ..4th .. . Q.vombex....... ly..Z.7._.. ,
; Certificate is hereby given this ........day of N ..,
I II �
that said building may be occupied and
that it complies with .all requirements of
the Building Code for the City of Tigard,
( A,f
� � �._ ► , as approved by rhe l Igard City Council.
.............. .... ...
1F I IlAiding Inspector I, `
r
not - ..:_- -, .. - - -- ---------- ? fit,ax .a i -_ a.3w-aw,-t
µ iPP. �^
44 R
LV
1 V4
a7101
Address .__.Z f�SL�-` ylr�� � Permit No.
Permit charge —� T)p z2 t:f- _
Owner 1� � Connection fee Via,
Paid by -- --
Type of building 2c-, Date connected
Service rate ' Inspection fete d S` nM
C a n t r a c t u r _ �! Paid by date
Size of connection Assessment _ Pa/id
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RUILDIN a PERMIT APPLICATION 1O;Y TIGARD DATE_ 4-7- 77 19 � •; �I
THE UNDERS C-i'iED HEREBY APPLIES FOR APFRM!T FON THE WORK HEREIN INDICATED BUILDER PHONE_..--_.—___
OR AS .`.SOWN iND APPROVED IN THE ACCOMPAN`,'!NG PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO..-----
OWNER
O.._— _—OWNER , .i.r. JOB A0rJRES$_'(,/1`' I' 9rQi)t�;1Y.-10ME ADDRES'
ARCHITECT
ENGINEER
BUILDER J z(ia�_— _ ADDRE<.a5 - _ DESIGNER
STx
RUcTURE ONEW :3 REMODEL CIADDITION rC,REr'AIR [:]RENEWAL ❑FIRREDAMAGE COcMOLITILIN
O RESIDENCE OCOMN ❑EDUCATIONAL ❑GOVT ❑RELIrin11S L.-1PATIn ❑CAR PORT ❑GARAGE O STORAGE OSLAB FIFENC;E
LJBOND OMOVING ❑CONDITIONAL USE UOESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS '
OCCUPANCY r'_ LAND USE ZONE--_-BLDG,TYPE_ _FIRE ZONE—.3 PLAN CHECK BY HEAT_._._:ir}:: a
i :)(11t'vir.. t;}'ims; 4,a 102.:t., :'ul fa.L'w'd1i eqf For;
I, ► ra1a�*� es�,►c1.19f�,� u/>al�i�.el»•►�rac! c�Irs><awc� Z^blr�druvm � ta+ttlt.h __A_._ ______..—..
RC��LO V -- _.-_ _F12Qq_A-Qt4,QN ! flEpg4�M�_._— -----
BUII_DINC_� DEPARTMENT � SET BA:;KS FRONT REAR LEFTSIDE _ RIGH1 SIDE
Permit 154100
-- THIS PERMIT IS ISSUED SU%JItCT TO THE REf 'I_A.TIONS CONTA!%D IN 1AF: BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND 7RDINANCES ANi 1; IF HFNEBY AGREED THAT THE
WORK WILE BE rtONE IN ACCOPOANCI:WITH THE PLANS AND SPECIF1C.r'.1IONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1VW PERMIT DOES NOT WAIV!"_
- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO GAVE CURRENT U;TY BUShVF;S
State Tax Q,1012 LICENSE. SEPARATE PERIW?13 REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 168.92
By ---- ------_ — —-
•— APnI.ICANi ORA.ENI
Approved / do Receipt No
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
17
Con,
.ractor
Poormit No.
Y3 Rp h-ir
e-r. LL
C-A Fixture
Final
HEATING
Contractor
No, 9,
Gas or 0.1
F,nal
SEWER
Final
DRIVEWAY
Filial
Storm Drainage
(Rain Drainl Final
Sidewalk
Curb&Street Final
A�proach
DEPT RLDG T FIN,�L TEMPORARY CERTIFICAI E OCCUPANCY F
CERTI"ICATE OCCUPANCY F inal
landscaping
7oning Final
9 12118
Unified Sewerage Agancy
of Washington Co��nty CITY OF—_ Ti and DATE 4-7-77
OWNER: T.D.C. PHONE :_ 639-3101
0 WN E R 'S A D D R ES 5:
TYPE OF INSiAI_LA i I ON:
�-IBUILDING SFWFR [BUILDING SEWER ANG .SIDE SEWER
TYPE OF OCCUPANCY:
NFW _j SINGLE FAMILY L COMMERCIAL
[-]EXIST . (PRIOR TO 7 - 1--70 ) 1:1 MULT . RES. Cl INDUSTRIAL_
FIXTURE UNITS _ DWELLING UNITS _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGU..�4T I ONS OF THE UNIFIED SEWERAGE >GENCY . WHFN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NC115L-'R. THIS APPLICATION
EXPIRES IN ONE-•HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE f 25.
CONNECTION CHARGE 575.
SIDE SEWER I NSTALI-AT I ON
OTHER ISSUED
TOTAL 3w� 600.
L 1 C A N T DATE �•��
c:n t)r i '�I�" N 12 18
ADDRESS OF
T A X M�.P , . �. TRX L O T `__,___.__ _—_— SYS 1 E M _ r a n n o Creek
L O T ._ E-20 R L 0 C K _ .. . O F
APPROVED BY L)A'i e ISSUED 4,f' DATE
REMARKS_.__-_F1dc,.__17' 4