15670 SW GREENLEAF COURT 1
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15670 SW GREENLEAF COURT
ADDRESS / C 7C c� � s' PERMIT NO.
/ PEPnlTT EHAgGl none
OWNER CONNECTION FEF _
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PAID BY
/
TYPE OF BUILDING DATE CONNECTED���1� �_ _
SERVICE RATE _ INSPECTION FEE
CONTRACTOR PAID BY _ DATE
SI7E OF CONNECTION ASSFSEMENT PAID __�
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10fIY E. ftElifl,9RQ1 PI,!`�UiliG, Iitb,BUILDIIJ(� DEPARTM1EN1, TIGARD NO
P n• Uny 1'19 PLUMBING PERMIT
irii9°i.f G"E%:Q;I 0113? holder of a �alld plunlbi ig contractors license is hereby
authorized to cause plumbing work as herein noted to be instalied in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigord Business License required
for all contractors and suq-contractors ]
i ,J fid.
Own ! ' '�_ � Address Z:5 1,21ZZ) _�� � �Uate����1�_
NUMBER OF i 7 TAL PERMIT NO.'S
TYPE OF PERMIT 11 EMS FEE ON EACH AMOUNT _ (Offir_a Use Oily)
_LUT IAL ___S
Single Fomily-1 bath-each ✓� 25.00 ���j• (�G�
Duplex-Each 'i bath unit 25.00 �1
Additlo^al be'chroorns-each _! _ 10,00
Mobile_Hr,;ne Spoce oech 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 buildinr -each - 0,00
_51 to 100 Fixtures in 1 building-each _ 2.50
k _101-to 200 Fixtures in 1 buildirr -eerh 2,00
201 or more Fixtures in 1 building-each _ 1,50
MISCELLANEOUS
Building Sewer--1st 50 ft. _ _ _^ 10.00
Sewer_each additional 100 ft. _10.00
Water Service to buildingr 5.00 _
Private Water S sy tems—each 100 ft. __ 10.00
Other S "Ify : _
PERMIT j ClO Fcr Plumbing ,4vction Phone 6394f9l
-A% State Plumbing Contractor By
TOTAL�T !' RECEIPT NO. Issued 1;y
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I��R'
'Ali � � CITY
BUILDING PERMIT APPLICATION OF TI�GARD QATE_
THE UNDERSIGNED HEREBY APPI-i"S =0R APERMIT FOR THE WORK HEREIN INDICATED BUILDF_RPHONF+�§
OR AS SHOWN AND APPROVED IN f HF. ACCOMPANYING PIANS AND SPECIFICATIONS. OWNF-..'HONK
LO'; NO._
I w:'rl�• J.aG7i:6 :aim L,Tde:i�J,rJE� f (. to
OWNER _ JOB ADDRESS HOME.ADDRESS _ --_
ARCHITECT
38MC: ENGINEER
BUILDER liIADDRESS_ DESIGNER
E
STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FINE DAMAGE ❑DEMOLITION
Q- RESIDENCE ❑COMM ❑t.DUC-ATIONC L CGOV'1 ❑RELIGIOUS❑PATIC7 ❑CAR PORT ❑GAI`AGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL. APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE .BLDG 1 YPE —FIRE ZONE PLAN CHECK BY __ HEAT_.___._ .�
,U) Unit J if Bldg, Us Tbio is a Z Uedruom 2 bath ainglo atocy unit
Aif 1441 sq.f t. of livinW apeco wit:: double garail a
AREA NO.BEDROOMS 2 YALUE 30 9 IJCiq,
.
BUII.DING DEPARTMENT
— SET BACKS FRONT 13 REAR 25+ LEFT SIDE CQlR�taJi'�d1r,Ht SIDE
llCpIR�4►T'
Permit l3 .OfJ ---------- —_
THIS PFAt IT If ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'THE
WORK WILL BE DONE IN ACCORDANCE WITH)HE PLAN,AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub•fital ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HL.lE CURRENT CITY OUSINESS
State Tax 4.2(' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total —144.701
Sewer Inspo da.3l;
By
APP) ICAN1 OR AGENT
>pproved Ti,i Rece pt No.
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PHONE
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�H I-7-7
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