9902 SW TIGARD STREET 9902 SW TIGARD STREET
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATF_ 1-29-75 , 19__N2 0170
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED
OR AS SHOU'N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER_r)•!i• Gray ADDRESS 9902 3&W. Ti jlard Avg.
------------ BUILDER PHONE
ENGINEER_
BUILDER — ARCHITECT DESIGNER
STRUCTURE --[:]NEW ---]REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [--]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PAT, ) ❑CAR PORT ❑GARAGE []STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY___LAND USE ZONE_ BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
a t.emi 4070 ;3 huur rat+ad door win-, Unser in 4 hour Fire well --
between 9900 and 9902 S*W* Tigard — andu+atrial (park — Bldg, 2
LOAD FLOOR LOAD HEIGHT NO,STORIES AREA '.UE
BUILDING DEPARTMENT SET BACKS FRONT REAR — LEFT SIDE RIGHT SIDE
Permit --- -- ----- _
—' —' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 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 ACCORDANCE WITH THE PLAN: AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AN[ ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFrjr' CITY BUSINESS
1%State 40' LICENSE. SEPARATE. PERMITS REQUIRED FOR SEWER, PLUMBING AND HFPTINr,,
Total ra 05
By
APPLICANT OR A(,FN7
Approved -- -- - Hccelpt No.
ADDRESS
r
DATE INSP. T'.'PF. INSPECTION REMARKS PLUMBING I DATE
Contractor
Permit No.
Rough-in
Fixture—
Final
h–"7ATING
Contractor
Permit No
Gm or Oil
Rmigh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT,FINALTEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
o2 Lands:aping
Zoning Final
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