9870 SW JOHNSON STREET 9870 SW JOHNSON STREET
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BUILDING PERMIT APPLICATION TIGARU DATE. . �[ l7 ,q tea 3143
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THv hORK HEREIN INDICATED BUILDEI-4 PHONE
C i.�f;SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 639-4
OWNERSt.• AnthonyOT NO.._.___._�- _
Y_Cf1UTChJ08ADDRE83 yf370 SW „lph.,li��i, _
ARCHITECT
ENGINEER
BUILDER — ADDRESS _ _ _ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ O FIRE_DAMAGE IM DEMOLITION
3 RESIDENCE ❑ COMM ❑ EDUCATIONAI ❑ GOVIT ❑ RELIGIOUS—❑ P1 TIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑TFENCE
OCCUPANCY _ —LAND USE ZONE ` _._BLDG.TYPE FIRE ZONE _.PLAN CHECK BY HEAT
Demolish and-remove all debris from sits• Locate. +alcor connection
ut; property line and rap in an 8pproved manner,
SEWER PERMIT K
OCC.LOAD FLOOR LOAD HEIGHTNO.STORIESA,',Z _ NO BEDROOMS y VALUE +_
BUILDING DEP_RTMENT SETBACKS FRONT —� REAR LEFTSIDE RIGHT SIDE'
Permit `$10.00 THIS PEPMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK. WILL BE NONE IN ACCORDANCE WITH rHE PLANS AND SPEC''(CATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
Sub-total RF.STRICT:JE COVENANTS. CONIRACTOR AND SIIB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax •40 ,
Total 10 40 SDC-
PGI;# P.PPLICANT OR:3t;N7
Approved ETU RNceipt No. 5bl►. .._ IL
—— ADD --�— HONE—
'
i
DATE INSP. TYPE INSPECTION K! MARKS II PLUMBING I DATE
r,Lnt,actor
Permit No.
L_ez:�!71 oaLZ
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
—
Sidewalk
Curb&Street Final
Approach
---Ik:DG. DEPT.FINAL TEMPORARY =T CER7IFIClTE OCCUPANCY
1(.'ERTIFICATE OCCU*?ANCY Firm
Landscaping
reining Final
Tax ,ot 2 ST '.1 1313 1600 23-10 North Tigardville Addn
Assessment 1214. 33
Lateral
1287 .18
11-1-61 64. 36
A SA the,rr. after
� cI
Address-;/- �il�v �� •��y Permit No.�___�
Name of Occupant )
P �.���� Permitcharg_.
Connection fee_- 2- O
-- ----- - --- -- — _ Paid b
-- - ----- --- -- - Date connected.
r
Type cf Building, _ —
Inspection fee
Service Rate Paid by l�/w _ _!1Ate1
Contractor_ A.sseesment Paid
Flat of connection__ L _