15940 SW OAK MEADOW LANE 15940 SW OAK MEADOW LANE
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PERMIT NO. �-74L/4
ADDRESS
_
PERMIT CHARGE none
0WNER COraNEC LION FEE .
PA Ill BY
TYPE- OF BUILDING _ _______ DATE CONNECTED
SERVICE RATE l�' __ _ INSPECTION tFE
PAID BY DATE
CONTRACTOR _______ --
SIZE OF CO ,!.,CTION ASSESSMENT _ PAID
lD SES � I„q �1��
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BUILDING PEF MIT APPLICATION, c"Y TIGARD GATE ?OF
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED B(J LF.'�R PHONE` 3�"`"���1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS, OWNER PAONIE
OWNER L)C-' r.t t l;. Lan* U.T NO._
JODA --
)� DDRESS �zf�h � ! �;6. ri"
—_ HOME ADDRESS
ARCHITECT -
F JILDER ADDRESS ENGINEER
DESIGNER
STRUCTURE ,ANEW ❑REMODEL UADDITION LIRE?AIH��--11 ❑RENEWAL OFiRE DAMAGE QDEAAOL!`i'ION
RESInF^!_E QCQMM ❑EDUCATIONAL ❑GQV'T ❑RELIGIOUSQPATIO L.JCAR PORT QGARAGE _❑STORAGEQSLAB tJFEM1''E
LBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW
` ---- ❑-_CO_UNCILAPPROVED SIGNS
CCUPANCY LAND ZONE_. ~ ' BLDG.TYPE ^>�
FIRE 7.QNE___ P'_AN CHECK 13Y `' _ HEAT4A_j
Lane.
F"1rIBr� r ci4rw"Ing w/la+-tet=hed garej�al. kJOIJI'I:Jum — 1 ;cath.
"�AaWer ['tGr frit 1 741r, .• 2:;.t' v —�`
AR,: J 3oti
BUILDING DEPARTMENT 7I ---� �� 4M�
— SET BACKS FRONT REAR 1 I LEFT SIDE rr
Permit f' RIGHT SIDE
PI Check THIS r'ERMIT IS ',SSUED SUBJECT TO THE REGULATICNS CONTAIk .O IN '4E BUILDING CODE, ZONING
io,nl` RLOULATIONS AND ALL APPLICABLE CODFS AND ORDINANCES, AND II IS HEREIN AGREED THAT THE
Subtotal ��•�a WORK WII_I.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN rOMP,_IANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE 11,SUANCE OF THIS PERMIT LICENSE SEPARATEjq+ DUES NO'f WAIVE
State T�
RESTRICTIVE RATrt,!!!uTS. CONTRACTOR AND SUB CON*RACTORS TO HAVE CURRENT CITY BUSINESS
s1 �. �gR11TS REQUIRED FCR SEWER, PLUi:ABING AND HEATING.
Total v♦ r UL a+1� lr'1U
1 By p Z
4ppfoved 763 'PPI IjANI OR ACENT
L '. .;'cid t'�i Receipt No. ----
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DATE INSP. TYPE INSPECTION REMARKS
-- _ PLUMBING DATE
O,' - Contractor (( ' ---
_� Permit No.
F -- Hough in
Fixture
Final — —
12-4
HEATING
_ Contractor
Pnrmit No
-- Gas or Oil
-- — — --- -- Rnughan -
-- -- Final
SEWER —
--_-----� —__-- __ Final �---y—Z
�IL__
- _ DRIVEWAY —
Final_---
- —— --.. StrAlh Drainage z-
- Blain Drain)Fina' —
_` —.-
-- —_---- -- -- Curb&Street Final --
—BLDG DEPT.L—AL ' Approach —i—
TC'MPOFIARY CERTIPIICATE occupANCY —"
CERTIFICATE OCCLIPANrY Final
Landaalping
-- — Zc.iing Final
.45
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