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NOTE : IF TH IS M ICROF I LMED
DRAWING IS LESS CLEAR THAN
THIS NOTICE;-- IT IS DUE TO
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THF QUALITY OF THF ORIGINAL
DRAWING, C 62 AZ 17 97. S2 02 E0 ?G I P 02 61 91 IL 1 91 sl t' I c 1 21 11 01 -6 9 1 9 s t, IF, e
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CITY OP may y N! 0788
BUILDING PERMIT APPLICATION TIGARD DATE 19
111E UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
' eay Less Urugs 98420 S.W. Tigard
(�WNLR —_ ADDRESS BUILDER PHONE
ts+ nor ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL _❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RREIS�IDENCE tCOMM ❑EDUCAT;ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
MOND OND 0MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE= BLDG.TYPE _FIRE ZONE.__ PLAN CHECK BY_ HC-
AT---construct 30' x i8l8" patut spray banth — -
according to *ppro ed plans --'--- --�--
WC. LOAD _FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 15'()00
1 BUILDING DEPARTMENT SET BACKS FRONT �- REAR LEFT SIDE �i RIGHT S-JE
Permit 72.00 — -- -THIS PERMIT IS ISSUED SURj'-CT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPI(CABLE CODES AND ORDINANCES, Al IO IT IS HEREBY AGREED THAT THE
-'–----- WORK WILL BE DONE IN ACC000ANCE WITH THE PLANS AND SPECIF CATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES ANV ORDINANCES. THE ISSUANCE O THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY BUSINESS
1%State 2 .16 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 74.1('
By rCe ___ _
— APPLIC:ANT OR AGENT -- ---- _-
Approved Receipt No. No I
ADDRESS HO
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
5fd� 00, Permit No.
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Fit al
[ DRIVEWAY
Final
Storm
(Rain Drain) Final
Sidewalk
Curb&Street Fina:
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final