11735 SW KATHERINE STREET 11735 SW KATHERINE STREET
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B!_IILDING PERMIT APPLICATION 1 Y TIG,ARD E 6-14—,L 19�r
C 1513
9-A64
THE UNDERSIGNED HEF�EBY APPLIES FOR APERMI"r FOR THE WORK HEREIN INDICATED BUILDER PHONE_,_.��
OR AS SHOWN AND . 'PROVED IN THE ACCOMPANYING PLANS AND SPErIFICATI^NS. OWNER PHONE
LOT NO.__
OWN`R' A. �i_`i't JOEi_ADDRESS 11735 SW Ksthierine HOMEAFIDRESS
`CHITECT --"
NEER
BUILDER in ' ADDRESS(( _ DE.
STRULJ
CTURE NEW 0 REMODEL —�L. ODITION LJREPAIR CRF.NEWH,_ ❑FIRE DAMAGE ❑DEMOLITION
Q'NESIDENCE ❑COMM 0EDJCATIONAL 0GOV'T CRELIGIOUSCOPATIO ❑CAR PORT CICiARAGE 0;TORACF CS,AB�OFENCE
CBONU ElMOVING 000NDITIONAL USE ❑DESIGN REVI'cW ❑COUNCIL APPROVED �CSIGNS
QC UPPNCY. LAND USE ZONE BLDG.TYrE_._— FIRE ZONE._. PLAN CHECK BY— HEAT
const. one n,44bm &,, pool lfb°x34 ' ,", Uf�bt;� dln, ,_r_Lty codes
---E-LQQP tHEI HT NO.STQ( $_------_f�f3 ._AI� ?L49M VA-LUE 39 00•
_ BUILDING DEPARTMENT SET BACKS FRONT REAR _ LEFT SIDE _ — RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULAFILINS CONTAINED IN 1HE BUILDING CODE, ZONING
Plan Check AFGUTATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WGRK WILL BE DONE IN ACCORI"ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb•!otal ALL APPLICABLE CODES AN; ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �I LICEN,:E. SEPARATE PF-RMiTS REOUIH:D FOR SEWER, PLUMBING AND HEATING.
Total
Hy _
PPPI,.I CAN1 t)N JIGFNT
Approved �c� Aviceill No
r•r � wr rwr ar +� #r � sr +as ws
REMARKS
PLUMBING DP.TE
DATE INSP. TYPE INSPECTION — FPeermit
A tr No. —--
(J Rough-in
Fixture —
Final
HEATING
Contractor _—
Permit Nc
Gas or' Oil
n__
---__ — ^---- — Final --
-- - — --- SEWER
-- — -- -- — — — ----- i F anal _ -
- —�'— DRIVEWAY
-------- ------------------..._ — Final _
storm Drainage --
-__ J (Rain Drain) Final
Sidewalk
Curb&Street Final _ _^
BLDG DEPT.FINAL TR r CERTIFICAT
EMPORAE OCCUPANCY Final --
CER?IF ICATE OCCUPANCY I --
� arn�i•aping
Zoning Final `—
1
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PERMIT TO CONNECT
Tigard. Sanitary District
PERMIT N9 !.O 9 DATE
PERMIT IS GIVEN TO
e.,
OF —TO CONNECT
TO THE SYSTEM OF TIGARD SANITARY DISTRICT ! �
AT ----
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID S....................................TIGARD SANITARY DISTRICT
B9
CONNECTION INSPECTED AND APPROVED
---
DAte
-- ----._.____�_----_-_ Superintendent
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Address_ �:y �� � �' _ Permit No.� `
p Permit charge 's
ownertc��� Q C�a'�vl�. _ Connection fee, t` `
Paid b c � ,. .... =�:�aa•� �o_:.,�---�„�
Type of Building„ Date connected
Service Rate Inspection fee---LQ°s''
C ntractor �� ,� t Paid by &6,J Date
Q- , �v
Size of connection AssesWent .)aid
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