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11270 SW VIEWMOUNT LANE i 11270 SW VIEWivDUNT LANE ii 4 ,7r A W , J C ' LppCG_ � W n rn (0 W 3� rq Pli I a M-. 1 J � P rn ,.. rn w c� �7 v -i r 4ky"g-, +73 IA, Vr' II WEDAUG ,j 1S" d c C17Y OF ,TIGARL) o, I � PRT Ip i I U ^0 4 V I q ! 2)AUcp 4. JCNI6NT i � 11270 S.W. V`veru►noun L r � Tr9AeD, �RfhO� r CITY OF TIGARD I" S. w µ.:rl $9,00 TiGAaD, cRMW nm APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Adrll.tion ® Remodel ❑ Move DATE ISSUED_�.i.� BUILDING PERMIT DATE RECEIVED 8-3.73 BUILDING FEE $ _ No. . ,1';0, PLAN CHECK $_ _ -- __.. OTHER $ VALUATION TOTAL $ RECEIPT TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 MAP A CENSUS TRACT ��— JOB I Architect or Engineer-,___ Address �_ _ __. .__. ___ _ ___-- •--- --___..�__Phona` ::nrnr.r_ David L`-Knlsbt Address_`_jaa g,}(�-�y�yet, Op�trt-- ----- -�--.. __ _ Phone --- nuilder Address _ _ _ ----,-P ho ne BUILDING USE Single Res. © Multi RSB. ❑ Corton. ❑ Industrie' ❑ (Y-'CUPANCY GROUP— N. of Stories—. Total Height__----.-- Area of Lot Type of "onstruction I` I III IV V F1 or Area B,-`_ 1 _ — _ 2� Set Backs:` Front_ Ba _ L.Side _ R.Side Pri, a Sewer Pipe Size__ Sewer`__ en•ic Tank l-J water Service Pe Size orm Sewer ❑ Di h ❑ Drywell❑ Street ,and Curb equirements ariveway Width No. of Parki .Spaces--.--.— SEPARATE SpacesSEPARATE. PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS 1MC DATE. 8-3"73 FIELD CNf.CK BY `' PERMIT APi'POVFD BY .� .GCC �_.. It is u:-erstood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Or,gon, and that the building Miil not be occupied until a Certificate of ency as )✓sau d by the City of Tigard Building Inspector. ynature pp c n