11280-11490 SW 72ND AVENUE -- 11280-300-380-400-470-490 SW 72SL
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BUILDING PERMIT APPLICATION TIGARD DATE, 7,uly 6 , 19 7r., N° 0908
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED b3V__ib!:1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER
(1regi n Edurottion AaI)}C1cint,� {� 11260300-7380-400-470-49RJ ADD�ESS ILDER PHONE
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ENGINEER
BUILDER �r--T7 ARCHITECT DESIGNER
StRUCTURE I_1NEW ❑REMODEL []ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ODEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGF❑SLAB (:]FENCE
❑BOND ❑A90VING— ❑CONDITIONAL USE ❑DESIGN REVIEW —❑COUNCIL APPROVED — ❑SIGNS
OCCUPANCY .—LAND USE ZONE_ --BLDG TYPE FIRE ZONE— PLAN CHECK BY HEAT_____.
112b0— Tax X Lot 1301 114W Tax LuL 1!4.1 1 —_ ----
--- 1.1300— Tax Lit 1400
1149n Tex 1.nt, 20n«
11380 Tux Lot 1500
11400 Tex Lot 1600 Tax Map 151-36U ------- --
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pelmit
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 PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State •�lU LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
Total 30090
By -- --- - —
--- AC :AN7 OR AGENT
Approved Receipt No.
ADDRESS NF
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