13415 SW 72ND AVENUE 13415 SW 72ND AVENUE
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BUILDING PERMIT APPLICATION coy TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE--
OR
HONE -OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOB ADDRESS 1541b SF,,, 72nd Awet HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER t1--11 ADDRESS ��� DESIGNER
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STRUCTURE NEW ORFMQDEL QADDITION f FIEPAIR ❑RENEWAL — DFIFFDAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM LJEDUCAI ZONAL. ❑COV'T ❑REL IGIOUSOPATIO ❑CAR PORT CIGARAGE C3STORAGE QSLA(3 ❑FENCE
QBOND QMUVING []CONDITIONAL- USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_ _jANQ USE ZONE... ! _BLDG,TYPE.__. FIRE Z:)NcPLAN CHECK.BY HEAT
cir struet gaaruge addition t cxxr t. --jrayw bu.iia imj
_ AI pl'r w per Coope �Pwr Plans) 10a x 24' - -
_-FLQVB-LQAU - -HIIQh .-. 1. NQ—SSQRIES.__—�_ A— i.Q(,; NQ.BEDROOMS - VALLIEr.._
BUILDING LEPARTMENT
__. SET BACKS FRONT REAR A LEFT SIDE RI:IIT SIDE
Permit
l d.R� THIS PERMIT IS ISSUED SUB.IF.CI TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian 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
Subtotal r6; ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTO.7 AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax L• LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
��• �1
Total '
By
--=+{�- APPI CANT OR AGENT
Approved Receipt No.
PHONE
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DATE IN:v P. TYPE INSPECTION REMARKS PLUMBING DATE
_::77 `J f a o rarer T Contractor
Permit No. —
Rough-in
Fixture
G-?"gZ 7 1C — C► '-_— Friel
HEATING
Contractor
Permit No.
Gas or Oil
--_ Rough-in
Final
SEWER —
Final
�f W DRIVEWAY--
— —1� �I V� ------ Final —
Storm Drainage
_ _ (Rain Drnin)Final
—alb---
—_ WK� Side
— _— urb G Street Final
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_ Jf Approach
BLDG. DEPT.FI A ' V T RA CE IFI TE OCCUP F, --
C RXfIFIE E OC PAIVCY
L nndscaping
Toning Final