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C11YOFTIGARD A,��
BUILDING PERMIT
CRYOFTIGARp . :
COMMUNITY DEVELOPMENT DEPARTMENT «DPERM11 T it. . . . . .
oo« BUP9;=:--01 16
-
13126 SW Hrl Blvd. P.O.Box 23397,Tip W.Oregon 97223(603)639-4176 ,
DATE ISSUED: 04/30/9c:.
SITE HUDRE.SS. . . : 11685' SW 72ND AV PARCEL: IS136DC-00700
SUBDIVISION. . . . : ZONING: C-G
SLOCK. . . .. . . . . . . . LOT. . . . . . . . . . .
REISSUE: P'LOOK AF?FAS- --_ ------ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :DEM FIRST. . . . : sf N: S: E: W:
TYPE 01=- USE. . . :SF SECOND. . . : sf PROTECT OPENINGS )-------- - --
TYPE
PENINGS )------_ _ __TYPE. OF' CONST. :5N THIRD. . . . - sf N: S. E : W:
;7CCUPANCY GRP. :R?, TOTAL---..----: @ sf ROOF CONST: 1 I RE RET? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
:
TOR. : HT. : ft GARAGE. . . : s f OCCU SEP. RATED:
BSM T?: MEZZ?: REDD SETBACKS---------- RE.QUIRED-------- _- --
FLOOR L_OAD. . . . : ps f LEFT: ft RGHT: 1-t FIR SPKL: SMOK DET. .
DWELLING UNITS: FRNT: -Ft REAR: ft FIR ALRM: HNDICP ACC:
C+ED RMS: 0 A T F I G IMP SURFACE: PRO CORP. P A R K T N G
VALUE. $ : 0
Remarks: Demolish existing SFD. All debt-is to tie removed. Pi_�mp and fill septic
tank, or r_ap sews"*". Insp. r,egi.rirec for fil. l.ed septic tank ur Gapped Sewpr~.
Owner. ___ .__-___.____-----_ ._.______--_-._-- .___ _ __.__..___.______.___ FEES
STANLEY GEORGE (W COAST GROCERS REP. ) type amol.rnt by date recpt
10310 SW 79TH AVE PRMT $ 25. 00 JLH 04/30/92 -
5PCT $ 1. 25 JL-1-4 04/30/92
TTC::.iARD OR 9-7*PR3
Pkine #: 624-8301
Contractor: --------------------------
E.MMFRT I NTERNP,':IONAL..
11811 SE HWY `12
CLAC;KAMA 7 OR 97015 -----------------------_______-____-_-_
Ph one it: 655_.7191 $ 26. 25 TOTAL
Rett #. . : 00805
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained :n the P.Imp/Fill Septic
Tigard Municipal Code, Ctate of Ore. Specialty Codes and all other F• final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit wiil expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 190 days,
c- Permittee SignaturF? ''/J"�t
lssl_ted Vv :
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Call for inspection - 639--4175
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