14450 SW 86TH AVENUE-1 144:_0 SW 85TH AVENUE -
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Permit
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Cnnnro . ion Fee
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Dite minected
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Z"v Inipaction Frye
Paid by --------------- date
Assessment Paid
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SEWER PERMIT N9
1590
Unified Seweraju Agency
of Washington County C TTY OF I j- -i rri DATE
OWNER : __2l-p _nlln:L_ rn Y PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
xlxJ BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x � NEW SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS __ DWEI_LiNG UNITS_�� —
ADDRESS OF STRUCTURE : 14450 SW 86th Ave.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WIT'A ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. THEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 12o ) DAYS. THE AMOUNT PAID WILT. BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $_ 25-
CONNECTION CHARGE 600•
SIDE SEWER INSTALLATION F1_ ryragile
OTHER ISSUED BY
TOTAL $ 625.
APPLICANI`'`':— DATE
15900
' 'ADDRESS
N`.'
SEWER PERMIT
° '"ADDRESS Cr STRUCTURE_ 14450 SW 86th Ave.
'TAX MAC' TAX LOT _ SYSTEM
_-Earinn r�rQeic
LOT __ 31 ._.___BLOC,< — OF
E . Walden 5-12-78 / 7 c �-J✓C__- r,•
APPROVED BY DATE ISSUED DATE
D. U. ' S _ _ 1 REMARKS bldg. #2093
- .....F-F. -..._.�,,.,,,ggq�,a�g,�!mma.1.r{""-w+.-..-rr-as".�.._.'-.-..*"a^A - H7•w.,p�,(r,;�,.,..,.y.........+.r.,._,_...-. .r.-.,tr.r .....w..e..,+.,.�,,.:.r^V.'.w-.--,s.�..�,.....
BUILDING PERMIT APPLICATION 11TTIGARD DAI E _ � _T_,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERFM INDICATED BUILDER PHON-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPrCIFIC',A I IONS. OWNER PHONL ,
��yy
CC LOT NO_ '
OWNER D31C ('0138t• CO. JOSADORESSt"50 SIJ F36t 1 Ave HOME ADDRESS
AR'.HI TECT
J
13UILDER ;'#♦ fft ADDRESS �� . ENGINEER
'�-'36_l--��T lL�;��/ DESIGNER
STRUCTURE :JUVEW ❑1;FMr).1EL _❑_ADDIITION_ _ C3 REPAIR Y ❑RENEONAL ❑FIRE DAMAGE ❑DEMOLITION
0.3ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ORELIGInUS❑PATIC) ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ElDESIGk ,'EVIEW ❑COUNCIL APPROVED [- SIGNS
OCCUPANCY 'rte LAND USE ZONE!_ BLDG.TYPE__--FIRE ZONE PLAN CHECK BY lu t w HEAT4-1`:_�
c:jiist• e,LCitile fOMJJi, dbfslli(1G1 b;f-6 .t DC h�iCJ •dr 3' ;�4-- ��1 Lt'GE �)trp% f'ttT�.6"I
rraimauo of parmit 11ju3 at t. ;S
OCC. LOALI_ F OORLOAD NO.STORIES-;_AREA?1r_+7 IVQ.BE_QRQOMS4 Y ,.l 1.9 ('J
I BUILDING DEPARTMENT SET BACKS FRONT 24,4 REAR 31 LEFT SIDE xA RIGHT SIDE 4
" rmit 167,OQ
THIS PERMIT IS IRSUFD VUPJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COLE, ZONING
Plan Check iu,0r REGULATIONS AND ALI APPr.ICABLE CODES AND ORDINANCES, AND IT IS HFREBY AGREED THAT THE
— WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA 1,CNS AND IN COMPLIANCE WITH
Sub-total 1717 Cie, ALL APPLICARLT CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES 90T MlAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7,M' LICENA. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ?U. � •►.e �$()Q•
FA
PD.C. ; 2 SIOP.
—...__ APPLICANT OA AGENT
roved r1',1.' Receipt No
IV I/ w w
DATE INSP. TYPE INSPECTION REMARKS II PLUMBING DATE
.7 -6- K-4Af
_ -`— - Contractor— — -- —
- _ — Permit No.
Pough-in --
/01-9-7 �� �-��/ t� �� Fixture ---- -- _._
' Final
HEATING
Contractor Q n � _
t - Permit No. 42SE
/, v1rQ Ys� ✓fit LS:C/ -Ji. l:ia5 or Oil -
Rough-in
- 7 Final
------------ ------ SEWER
- —� __-- — Final ----
DRIVEWAY
Storm Drainage
(Hain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CEFrrIFICATE OCUl'ANCY Fin»I
C'
Landscaping
Zoning Final
A,IpqlF 15
1`1Emill
BUILDING PERMIT AI`PLICATION CITY I IC SAD DATE__`_ _. 1B 7_ N2 r2 O
OF
HF LINDERSIGNEG E'EPEBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDLHPHONE
H7WN AND APPROVED IN TiiE ACCOMPANYIIVG Pl.!►NS AND 5PECIFICA'TIONS. OWNER PHONE, —_-
S CL LOT NO.
F+ �.�%rV JG3 4DDF7ES5 0�./Y'n _ 14A ," HOME ADDRESS -
ARCHITECT
ENGINEER
ADDRESS DESIGNER
❑REMODEL ❑ADDITION ❑HLPAIR �(3RENEWALFIR-1E DAMAGE ❑DEMOLITION
IIMM ❑EDUCATIONAL OGOV'T_DRFLIc;IOUSDPATIO OCARPORT- OGARAGE ❑STORAGEOSLAS ❑FENCE
�F19ND DMOVING ❑CONDITIONAL USEODESIGN REVIEW DCOUNCIL APPROV4D ❑SIGNS
USE ZONE__o BLDG.TYPEFIRF, LONE. PLAN CHECKS�_._ _ HEAT_ _
ilAl
C. ;J9Q.___..____F_I 4?9.R I,S1AL� ---_ H�1Ci!iT__ __NS2.. RIEiS_ AR go21��K•O.BED 4SlN1,�_--IALUE
_E1UILpING UEPARTMENtSET BACKS_FRONT �� REAR LEFT SIDE Jt,� RIGH7 SIDE J
THIS PERMIT IS ISE )ED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian L,heck / REGULATIONS AND A.LL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- { WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
'uh lotal _ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RLSTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CIIRFIENI CITY BUSINESS
!,tate Tax y X
Hy07 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
07 Ll
------ — -- - — --—
.._.__. _.. _ __ APPI rCANT OR AGENT
-plyrrvpCl RP.CEIpi No,
AfJUNESS
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