15860 SW OAK MEADOW LANE 1586() SW OAK MEADOW 'LANE
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PERMIT NO. _— ��-6
ADDRE55__Z5 6
PERFlIT CHARGE none _
C,INNECTION FEE
PAID BY ��. �✓
TYPE OF BUILDING
DATE CONNECTED
�i INSPECTION FEE
SERVICE RATE
CONTRACTOR
PAID B Y �,— D ATE:
ASSESSCIENT _ PAID
SIZE OF CD'.'dE CT ION r .� �'—
A (a X?
BUILDING PERMIT APPLICATION "'y TIGARD C-ATE 4 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE--
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _-
LOT NO. _
OWNERI uatIlUtIll URV. rAP JOB ADDRESS ,'�v E:E rl.' r7 k 1�'DCDt�L? k.UOME ADDRESS
ARCHITECT
ENGINEFR
BUILDER ADDRESS DESIGNER
STRUCTURE KNEW ❑RE'MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑Flt�' CAMAGE rIDEMOLITION
❑ ER�EES-IDEN:E ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑REI-IGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAIJ JJFENCE
[N
OND OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY - . 3 LAND USE ZONE-- --BLDG.TYPE "tl _.FIRE ZONE__."'_ PLAN CHECK BY__ ° _ HEAT.
u—iyaUtz anis (c; ap: f .:'. _I T aum7dI'fJ cld Lan*. _
aiE�t 6'1416wi11o1 Inl/1!btCiiBC{l t2aL'P�t ,t _� Ui 1.51 t:' 11! +• 2 E}Cll�.tlr ---- �_
Sewno wermlt; , 1742t;
KC,:�4A4___-- FL QQR-QAQ-- __-_tiEI.CHT_ ----_ ---_�!4-SI�HL _ _�,g)Ra 1,d..tJJV4 ffMQQM;L. _._.YE3Ju_4 4;
BUILDING DEPARTMENT ;ET BACKS FRONT �� REAR ' LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS -SSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Checlt ! . REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT THE
WORK WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub tot-11 P , , ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT NAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State ?k LICENSE. SEP.4RgT�,PERMITS REQUIRED FOR SEWER, PLUMBING AND HEALING.
TotalZ.t*�a {'lJ1. t' d OU s C1 i;
BV p 1
APPLICANT Oa AGENT ---- T!- -
Approved Loi+jaJldvfi Receipt No. s 7+
i
REMARKS PLUMBING DAT[
DATE INSP. TYPE INSPECTIUN �^ -
Contractor
Permit No.l'J it _ 3�4i o � A
Rough-in
f` e� d - Fixture
�G -- Final
21
HEATING
Contractor �l
— -- Permit No.
Gas or Oil _L_—
Rough4n
Final
SEWER
-' Final
DRIVEWAY
_. Final ^
Stem Mainep
�~ (Rain Drain)Final
Sidewalk
Curb&Street Final __...e
Approach --
BLDG.DEPT.FINAL TOMPORARY CERTIFICATE OCCtA'ANCY sinal
CERTIFIC/TE OCCUPANCY
Landscaping
` 1.oninq Final
SS1'
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