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i City of Tigard
INSPECTION REQU E -l'
for
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INSPECTION TIME : i � -)PERMI'; NO. �__..._._...
DATE: %/ / '6 DATE I SUED:.
i OWNERS NAME
ADDRESS :
CONTRACTOR :. _-
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ITEST. Air G, Water p , Visual [1 , Laboratory
RESULT. Approved 0 Disapproved 0 , Pet►ditiv
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City of 71ga d
INSPECINON REQ,.,
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lNaPECT'JN TIME: --.---,.. PEi?M►IT NO. ._._..
DATE : _4_Z_.L.13. , DATE ISSUED _-__l
OWNERS NikME : .. . ...
ADDRESS : .L/..ZS�'.
C G N'T R A OT D R ' .G��.C✓--L�.�- !�_P�Z. � _..
! F. ST : Aii [j. Water* Vteual
`•M IDET' App ;ved>Id , Disapproved C in d U
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CITY OP
BUILDING PERMIT APPLICATION TIGARD "`'ri'' xa 711 N'2 0`r'2
DATE_—.—_.., , 19
THE UND7RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP1QQjtI' 4IQ(AU j8tY F j?HQNE_
I` ov ,,,.4rl�am Homals ',�!,I, Ironwood Loop
OWNER --- ADDRESS la gR PHONE
owner ENGINEER
=LDER --_ ARCHITECT DESIGNER
In
ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
LJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T 09ELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE.❑aLAB ❑FENCE
❑BOND ❑MOVIT G ❑CONDITIONAL USE ❑DESI,.N REVIEW OCOUNCIL APPROVED ❑SIGNS
OCCUPANCY— LAND USE ZONE ___-BLDG.TYPE FIRE ZGNE_ PLAN CHECK BY �_ HEAT_,—._
,:, ans ruc •2 l� R4. 17., frame dwelillig 611U) ra .mac. )tiltya—T raraw&4:
veuss� W rnrlaa Loop - -- ---------
—f5e
droome
Q(-C, LOAD *1 FLOOR LOAD 40 3'U HFIGHT _ NO.STORIES _ AREA 1.268 VALUE"l It"Or'
ART 1 f f
BUILDING DEPARTMENT A
AT J__ T SET BACKS_ FRONT 201 REAR _-ie -iLEFT SIDE �.I RIGHT SIDE—
Permit ^�
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEn IN THE BUILDING CODE, ZONING
Plan Check — REGULATIONS AND ALL APPLICABLE (,,.)nES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTNACTOR AND SU9 CONTRI,CTORS TO HAVE CURRENT CITY BUSINESS
State J y LICENSE. SEPARATE PERMITS REGOIRED FOR SEWER, PLUMOING AND HEATING.
Total 5144. ZU
By r /
--- -- .— Ar" ICANT OR AGENT _--
Approved Receipt No.
— ADDRESS ON ----
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DATE INSP. TYPE INSPECTION -- REMARKS — PLUMBING — h DATE rt
Contractor
HA AS 14- Permit No.
Fixtur'-- —
'7//
Final
n — — — HEATING e
Contractor
----- ---_— _ Permit No. ijf .2- JV111 7
Gas or Oil
-- —._— --- — Final-- -
- SEWERG�//�/l7
Final
— -- — -- Final -
-_-_ -- — Storm Drainagee—_-4
(Rain Drain) Final
-- --- ---------- Sidewalk
— — — _ Curb&_Street Final
Approach
Cl-PG.DEPT.FINAL TEMPORARY CEFITIFICATE OCCUPANCY i
CERTIFICATE OCCUPANCv Final +
. Landscaping
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Zoning Final
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ADDRESS J � e `�' v9. PCHMIT
PERMIT CHARGE __ none__._._.�.._--�
OWtJER __.. CONNECTION FEE
..^ PAID BY
DATE 3NNECTED
TYPE OF' B U I L O I N G
SERVICE RATE _.. --.-------
INSPECTION FEE
PAID BY DATE
CONTRACTOR
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SIZE OF CONNECTION
ASSESSMENT ___ PAID r
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