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11800 SW NORTH DAKOTA STREET 11800 64 NORTH DAKOTA STREET . t g n r rU 11. ri r P! H HaPC, N -71 E 4 � 44 J ,`C' R) � c;J � t F " F � � � `1 � 1, •J rA rn1-4 U `j 1' 004 ) '� E p� d m c� 0 , v i i CITY F BUILDING PERMIT APPLICATION TIGARD DATE a' � 1 , 19 N° 0054 THE UNDERSIGNED HF!;r_BY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING/PLANS AND SPECIFICATIONS. OWNER PHONE OWNER �d v dE JIG' r'. J fa . ADDRESS / /w7 �'r .. '. I�f r. c '19" BUILDER PHONE ENGINEEP B;�ILDER %t`0" r/ ARCHITE'-r ---_ DESIGNER STRUCTURE _ ❑NEW ❑REMODEL nADDITIL — ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _❑DEMOLITION O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CRE- -MOUS❑PATIO ❑CAN PORT ❑GAR.AGE ❑STORAGE❑SLAB []FENCE—OBOND _ ❑MOVING ❑CONDITIONAc-USE LJC-SIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_ LAND USE ZONE- BLDG. TYPE — _FIRE ZONE— PLAN CHECK BY HEAT _ ;, 1©X ^�I� A ;,t. u� f.��� /t �' c�li ,,� !:.- � c /�'• �p .%.. r .VC�'i-:f l. ( lr -�RX/r I��r a r a r � � �J^14 ✓J M;,•,, . /-�. , I"�, { ��a.f. ,,j�"�. OCC. LOAD_ _ 'BOOR LOAD HEIGHT — NO.STORIES AREA _ VALUE BUILDING DEP RTMENT— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit --------- ------- .-- ------- --� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII.DING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HF31EBY ArsnEED THAT THE ::JRK WML BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Reroldinq II ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMII DOES NOT WAIVE 9ESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICEPISE. SEPARATE PERMITS REOU,RED FOR SEWER, PLUMBING AND HEATING. Tot II By Approved Receipt Nr. ---- -------- ADDRESS PH<)Nr on 77- DATE INSP. TYPE INSPECTION F.EMARKS PLUMBING DATE Contractor r I Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drain 4e (Rain Drain) Final Sidewalk Curb &Street Final BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final J i cn%v,, cw, "nGARD Ncy iMMON Owner:..-Ds,Ls..�o�aks�weAj ............... ...................Permit No.....T�•.�,Q+�.. .. Binding Address_....... ..11 ..9.�#d.--�►...."k.etA.............. ................. .......... Certificate is hereby gi"n this-120.,-day of-,.. antAnbox...._... 19.12— " that said building' may be occupied and that A complies with all requirements of � ..,A��t.r "p the Building Code for the City of Tigard, as approved by the Tigard City Council. { k <� 14k�+RY r�•{. Hulldin pe Qr ........... ;;ity of Tigard INSPECTION REQUE'SY for N- --FGTMN riME . ,__. .- PEP,M T NC. . DATE : J2 _ DATE ISSUED . ;?WNERS NAME : ADDRESS: 1IF'ao i N r R A ,-'T R EST " v terp , V '_ab.►ctor -� RESUL ii)ved S KETCH 3PEC—TO R DATE 'NOTE : Attocn suppiementol test unto beret'] 4 mw amity of Tigard INSPECTION REQUEST r f 0 r NtiPECTION TIME . PERMIT NC. . DATE ' IYE77B DATE ISSUED . OWNERS NAME AODRESS-. CONrRAr,TOR ' rEST : ,,,, ... . .4,. ter El V:----ual 11 , 1-ab,�ratory 17j RESULT' roved .(jppt3,.a d 0 evidio SKETCH. 1,41&!�5 141146 8E T41EeC YZ4,, s E— 4-24- 70 e' 7t,D' INSPECTOR DATE 50TEAttach supplemental test uatc hert-t 2r I i es W m- w 'r City of Tigard INSPECTION REQUEST for INSPECTION TIME : . ",�0 _ PERMIT DATE : 1JDATE ISSUED OW N E RS NAME ADDRESS: --- CON'rRACTOR : _.. - - -- —_--- ---- _- E ST : visual 11 , -aboretory IJ RESULT . /kp.'rove d G Pendioq [] SKETCH.' NOTO : p6W Jr1L j(-VIL GCA)CH 09 Yx /V Ate 14 Gati ACa (0o To I-Air C 17 A<jVrr j � V V�9 INPECTOR DATE NOTE : Attach suppiementai test data hereta] �1 Addre6s N. Dakota Permit No. 4848 Permit urge CAnier Connection fee 425 Paid by Type of building Residence Date connected 7-18-73 service rete 3.00 p4�_month Inspection fee 25 Contractor Dale Const. ._._._. ._. ._.._.._.___.. ._. Paid by same- -__ Date Size of corm,", ir,n 411 Assessment F'aid C _�C>3 ' a4 ✓. �f�