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C'TY OF TIGARD 639.4171 DATE
8 IILDINO PERMIT
TAX MAP ___ LOT N0. _SUBDIVISION
OWNER—_— � "'U� � JOBAODRESS
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STRUCTURE` ❑ KEW ❑ RE.100EL __P !ADDITION ❑ RESAIR ❑ MOVE ❑ OTHER (A DEMOLITION
0 RESIDENCE ❑ C.,I...A Cl EDUCATION Cl IND CJ RELIGIOUS ❑ACCESSORY GI GARAGE ❑ OTHER U FENCE '
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SEWER PERMIT M —_ -------- ---
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.BfDAOOMS VALUE '
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PermU _ C4't� THIS PERMIT IS ISSUED SUBJECT TO THE C014TAINED IN THE UNLOING CODE, ZONING
'egULA•IONS AND ALL APPLICABLE CODES Ahl ORDIH-:!.:E$.AND IT IS Nt1 W AGREED THAT THE
Plan Check tI 1 `5 WORK Will BE DONE IN ACCORDANCE WIT"THE ►LANS AND SPECWICATIOW AND IN COMPLIANCE
WITII ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF T"18 PERM DOES NOT WAIVE
PI.CIL F" RESTRIC'M ubVENA YffL CbNTRA(n OR AND SUB CCNTRACTORS TO HAVE CURR"!:ATV BU-INFSs
TAX PERM1,79.SEPARATE PERMITS HEOUIRED FOR SEWER.PLUMBING AND"SAr::4•s.
State Tax
SDC— _PPL _
TnNI AICANT OR AGENT
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Prepd. _
Recelpl Na AOORI:SS
Rai.Due
Issued By
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SEWER CONNECTION
SEWEEI INSPECTION I
SEWER SURCHARGE 5
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