11740 SW NORTH DAKOTA STREET 11740 SW NORTH U^.KOTA STREW
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ZIP
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CITY OF
BUILDING PERMIT APPLICATION TIG ARD DATE-�"��' 19—__N° 035
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. oWNERPHONE__ _.,._--,-- �I
gWNFR ChorlIBs balllltae ALORESSI1"(1 •3-*W. NafGU3t40t1i -IJILDERPHONE �-____----
ENGINEER
BUILDER _----� ri®n`t� nc• 1'ECT _._..�`y_ DESIGNER -
STRUCTURE _ ❑NEW U REMODEL —�QADDITION DREPAIR --_t_1RENEWAL DFIRE DAMAGE ❑_DEMOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL ❑r;OV'T GRELIGIGUS OPATIO OCAR PORT ❑GARAGE[]STORAGE OSLAB ❑FENCE
_OBOND ❑MOVING GCONDITIONAL USE _ ❑DESIGN REVIF_W OCOUNC:IL APPROVED _ ❑SIGNS
OCCUPANCY � LAND USE ZONE It"' E BLDG.TYPE FIRE ZONE- PLAN CHECK dY---I!4 __- — HL-AT— ,----
&I, .,vf,= apprux. 1.319" teaving partition replace with 6 x
istriese grade 1707 balltn sil construct deck on rxx* a�erallInQ
accor"d�,nrg to approved plan �
QC�C LOAD FLOOR LOAD HEIGHT NO`STORIES —_ AREA VALUE4500
41 !L.OING DEPARTMENT SET BACKS FRONTRFAFI LEFT SIDE RIGHT SIDE
Permit "" •
00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTArNED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
`�-- WORK WILL BE DONE IN ACCORDANC'F WITH THE PLANS AND!;PECIFICA'rIONS AND IN COPIPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
�.a"" RESTRICTIVE COVENANTS. CONTRACTOR AND SUFI CONTR,,%CT0RS TO HAVE CURRENT CITY BUSINESS
1% w Me � A LICENSE. SEPARATE PERMIT'S REOUI14ED FOR SEWER, PI.UMBINC AND HEATING.
Total )g,3Z
By
- "—` l y /',N I t>17 A G E N T
Approved
Receipt Ni.
DATE INSP TYPE INSPECTION REMARKS
PLUMBING OATf
)4
Contractor
Permit No.
41 Rough-in
Fixture
---—-- Final
HEATING
Contractor
Permit No.
Gas of Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drain
(Rain Drain) Final
Sidewalk
Curt)&Street Final
LA eroach
13 CAG.DEPT,FINAI TEMPORARY CERTIFICATEOCCUPANCYCERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
Address 11740 S.W. Dakota St. Permit No. 1.422
Permit charge,__,.
Owner Connection fee 375.00
Paid by r,� Q c•;�, ,s�t...._....�
Type of building_ ' • Date connected _ No record
Service rate ..._ Inspection fee_ >•J0
Contractor____ de C t. • Paid by_ Date
Size of connection `` Assessment___--__ Paid
PERMIT TO CONNECT �q c'
Tigard Sanitary District
PERMIT Nc) 1422 DATE
PFRMIT IS GIVEN TO 1
OF
TO CONNECT A ,
TO THE SYS'T'EM OF TIGARD SANITARY DISTRICT
AT
THIS PER311T MUST BE POSTED ON THE T)F';CRIBED PREMISES VNT1L CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID s...�}..7. .. ......._..TIGARD SANITARY DISTRICT
By
!•I►r
CONNECTION INSPECTED AND APPROVED
i
Date Superintendent