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9280 SW ELECTRIC STREET 1 N m I I IO rz1 y Q t f j � CMj O ' ►I H q t I Ul uuy c y tri ,, ►-{ ,,� � � n cil rt m U !^ c* 1, tij I 1 /C ra hi11 �, a rn- r Y 1� O v � 11 I I ti 1 � m (D Q fTl 7 t+ m 'J N 4 T 9280 SW ELECTRIC STREET T.�;�NLS ;,TNL0.�7S MS 09M aJ c. n. N ED c W a) a) cr 11 I ?-r CD c� t .% 0 r awc � w to w cam, M r� lli - +1 C) \ U [d U _ O N r U � � � � • � 1-1 H E to m cn w f� Q c m � CITY OF TIGARD 11410 S. W. Mehl>i1AN TIGARD, ORtOON "t APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ® Addition ❑ Remodel ❑ Mow❑ ZONING r_1 DATE ISSUED a_7_2,1 BUILDING PERMIT DATE RECEIVED 9-7-73 BUILDING FEE $ 5j0 No. BY - PLAN CHECK $ .50 one percent 7■3■'Zil _—� OTHER $ *x VALUATION $ 500 TOTAL $ 5.50 RECEIPT NO. Itk 7VI TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 MAP t r CENSUS TRACT JOB A Architect or Engineer _ Address Phone Owner Goodall Address Phone Builder p,,, ttA r o__.. r Address Bay; S r c.s..k Phone BUILDING USE Single Res. © Multi Res. ❑ Comm. lJ Industrial❑ OC ANCY GROUP No. of Stories Total Height _ Aja+-vtot Type o onstruction I II III IV V Floor Area B Set Backs: ont Back L.Side R.Side Private Sewer Pip ize r Septic Tank ❑ eater Service Pipe Size Storm Sewer ❑ Ditch ❑ Drywall❑ Street and Curb Re rements Driveway w No. of Parkinq Spaces SEPARATE PERMITS REQUIRED R SEWER AND PLUMBING SPECIAL INFORMA N xcx■■■lrtt XX�___ ._ n��nlieh nn■ hnuio _ ADDRESS hSSIGHED 9280 S.W. Electric 3treat FIELD CHECK BY EWC i___^DATE_ 9..7_.7-1 PERMIT APPROVED BYLg f It is understood that all work will. conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building wil not be occupied until a Certificate of occupancy has beer slued by the City of Tigard Building Inspector. qn ure o cant Address a � � Permit No. Name of OccupanCJ� _ Permit charge_ Paid by---------- -- - _ Date connected "Type of Building C_,_— Inspection fee__.__ Service Rate------ ,, 0 U _ Paid by Date Contractor Assessment Paid Size of connection I