11795 SW 72ND AVENUE s
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CITYOFTIGrARD
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COMMUNITY PERMIT #. . . . . . . : 13UP92-01 11-i
COMMUNITY DEVELOPMENT DEPARTMENT soft
13125 SW HWI Blvd P.O.Bax 23397,T%pvid,OnVon 97223(603)839-4176
639-4171 DATE ISSUED: 04/30/92
',SITE ADDRESS. . . 11795 SW 72ND AV PARCEL: ' S13GDC02ji1`
I
�aUBD I V 14,31 ON. ZONING: C—G PD
13L OCR. . . . . . . . . . .. LOT. . . . . . . . . . . . . ..
--------------------
!2EISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
t,'LASS OF' WORK. :DEM FIRST. . . . s N: S: E: W.
"TYPE OF USE. . . :5F SECOND. . . ., 5f PROTECT OPENING S?
rYPE OF CONST. :SN THIRD. . . . i Sf N: 5: E. W,
JCCUPANCY GRP. :R? TOTAL—.- 0 s f ROOF C.'ONGT : FIRE RET?:
JC LUPANC) LOAD: BASEMENT. : 5f AREA SEP. RATED:
3TOR. . HT. s ft GARAGE. . . , Sf OCCU SEP. RATED.-
lisfyiJ "): MEZZ'?: REND SETBACKS-------- REQUI RED--------------------
LOOR LOAD, . . . : o sf LEFT: ft RGHT: f t FIR SF`KL 15110K DF'T. . -
;..AWELLING UNITS- FRNTi ft REAR: ft FIR ALRM: HNDICP ACCs
BEDRMS: BATHS 111P SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
�,�emai-ks : Demolist,i existing SFT). All debr-is to be removed. P+.tffirj and fill sep( j .--
tank, or- cAo ITISP. r-eq1.tii--ed for filled septic_ tank or c.ipped siewei,.
-wn e r: ---------------------------------------- I
--- FEES
,STANLEY GEORGE (W COAST GROCERS REP. ) type (_:kmo�.tnt by date vecplt
f0910 SW 79TH AVE PRMT $ 25, 00 JL.H 04/30/98 —
3PCT $ 1 9 JLH 04/,".30/98 —
Lui4RD OR
)fiorip #: 624-8901
:antractor: -------------------------------
:MHERT INTERNATIONOL
i1611 SE HWY 212
'LACKAMAS OR 97613 ---------------------------------- ----
'crone 41 : 655- 7191 26. 25 TOTAL
00805
------- REQUIRED INSPECTIONS
7hiS pertit is issued subiect to the regulations contained in the Final Inr-pection
Tigard Municipal Code. State of Ore. Specialty Codas and all other
applicable laws. All work will be done in accordance with
-aproved pians. This persit Hili expire if work is not started
within 160 days of issuance, or if work is suspended for eort
than 180 days.
t t e v S i q n a t Ll V"e
Aistted Bvi
For- in,,pection 6,359-4175