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81.11!C!NG PERMIT APPLICATION T!'GAF�:)
TF•t ONDERSIGNED HEREF3Y APPLIES FOR A PER-MIT FORT HEWORK HEREIN INDICATED BUILDER PHONE,
OR AS SHOWN AND APPROVED IN THE ACCONIPANYING LANS Ne1UECIFS4TIONS. 'O1r1NER PHONE
Lear r:o.__. '
JOB ADDRESS
ARCHITECT
ENGINEER
31''LDER (' f` ADDRESS s r, ;' ` rDESIGNER
STRUCTURE NEtiV ❑ REMODEL_ _ C AOOI-!ON — C REPAIR C3 RENEPIAL ❑ FIRE DAMAGE ❑ DEPX0,ITI0N
RESIDENCE IC" CON.IM C EnUCATICNNALLj] GOVT C RELIGiOUS C PATIO E; CAR?i.iRT C GARAGE C S C_ A f: ❑ . EC FENCE
'- LAND USEZO�_ — SLOG. PEN �FIRE ZONE----PLAN CHECK BY
EWER PERMIT N �— —_ (-^�� //Old
jr,(;.LOA(] FLOOR LOAD HEIGHT �,2, NO.STORIES l AREA_/.39?0 N0.BEDROOMS 3 VAL UESS'000
BUILDING T
CcPARThtEN�r r
N SET3ACKS'FRON�D REAR 3v LEFTSICE ZZ • RIGHTSIDE� ZO
Permit 'O� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EU;LO11 GOc, 7GP:;`4 ,
REGULATIONS AND ALL APPLICABLE CODES AND CRCI`.ANCFS, AND IT IS HERE3 ;:
Y AGEED TFA,T i}•iE
n1znCheck i
040 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO';;PL1ANC_
Q ..�]V WITH ALL APPLICABLE COUES AND OFOINANCES. THE ISSUANCE~ OF THIS F5R`.11T DOES No TI WAIV
Sub-tcta1 / T. 3RESTRICTIVE cOiJTRACTOR AND SUB CONTRACTORS TO HAVE CIJRPE= iT Cii f EL'S1NUSS �
�, UCENSI`SEPARA I'E P1;R`AITS RcOUIRED FOR SEWEFI,PLUP,l31NG AND HEATING.
:itata Tax •
SOC— _D �
Total (� v C/ inC'b4`
PUClt APDL:' NNT R A.CN_!";
By 9 - &
- �— Receipt No_ -- ——_ -- ,�
Approved ADDRESS PRONE
OL
E=WER CONNECTION S �•2S
EWER INSPECTION S 1
EVER SURCHARGE _ s
1
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— - 1
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BUILDING, PERMIT APPLICATION TIGARD DATE6f3/ 397 ?"
THE UNDERSIGNED F EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PH E
OR S SHOWNAND APPBQVED�ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
R� � z(fY_I/ roTNO._43-501QL
OWNE _ n9' ikxi<+:lIOBADQRE55 88 20 SW RQillnQ Street Estates
OOrd ARCHITEGT
ENGINEER
BUILDER Cur_",ept C,-ingtructionADDRESS 3053 NE 7th, I reshaM DESIGNER
STRUCTURE NEW _ `❑ REMODEL ❑ ADDITION Ll REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O DEMOLITION
1.1 RESIDENCE, Cl COMM L1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CI GARAGE ❑ STORAGE CJ SLAB❑ FENCE
OCCUPANCY --., —LAND USE ZONE E'"7 BLDG.TYPE _?I"�FIRE ZONE PLAN CHECK BY __dwh HEAT_ tj
Cunstruct single family_duelliriu w/attached garage. 3 Bedrucims — 2
SFF "IRRCCTION SHF.; ,' ATTACHE D.
SEWERPERMIT#
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO,STOPIES I AREA aUq NO.BEDROOMS x VALUE
BUILDING DEPARTMENT SET BACKS FRONT 2(i REAR 'i0 _LEFT SIDE % RIGHT SIDE
Permit $197.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREB`' AGREED THAT THE
Plan Qheck _ 98, Al WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Slib total 295, bo RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURHFNT CITY BUSINESS
Stetel-ax 7,88LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
Tr,tal 303. 38 SDC— 400
Py
PDC# I I �' APPLICANT OR AGENT
_ !a�f i
c;wh Receipt No.
Approved
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ,
��— - -- -- - — Permit No. (1 I ,�y 1
Hough-in
Fixture
' Final i
HEATING /�-��If
Contractor 8�-4 d_
Permit No. ^3 Z y
Gas or Oh
Rough-in i
Final
�S$rWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final.
tow] 1 Sidewalk
h FrsA /}
al . 4 ov."1127r� e7S� Curb&Street Final
LA.ro►J*.j0It'.�W` A "ZIa'1 _ Approach _^
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUP y[iCY Final
CERTIFICATE OCCUPANCY ) _
ly � l �� ' •
Landscaping
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Z� Zoning Final
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