9010 SW PINEBROOK STREET 9010 SW PINEBROOK STREET
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BUILDING PERMIT APPLICATION `oF TIGARD RAIL 6-20-77 19
?HF lJNDFWIIGNED HERE BY APPLIES FOR APEHMIT FOR 7HF WORK HEREIN INDICATED 91JILDERPHONE E154-3169
OR A5 SHOWN AND APPROVED IN 1HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO..__�
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ARCHITECT
ENGINEER
BUILDER Kygn Pt.rklUr ADDRESS _DESIGNER �• __
STRUCTURE ❑NEW _ 0REMODEL UADDITION ❑4EPA1R ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
C] RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR r JRT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
[]BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNrIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG,TYPE FIRE ZONE_ PLAN CHECK By____— HEAT.__ _
ci: os L. standesd brick fireplace all pear --ace requkrunaht" tind c7";wince
FL94B LOAD _..... HElSzIiT —�_.��SJQR��� AHEA ___NQ BEDRQ M5 .YBLQf.__.L*1fl"
BUILNG DEPARTMENT SET BACKS FRONT REAR _ _LcFT SIDERIGHT SIDE
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pPermit .12.QD
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COD[, ZONING
eck REGULATIONSAND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONL INACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
al ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS Tv HAVE CURRENT CITY bIJSINFSS
State Tax 31, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HEATING.
Total 12,3f,
By _ APPLICANT OR AGENT Y
Approved %tw Receipt No I —�
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OATE ..SP. TYPE INSPEC'fIOI4 REMARKS PLUMBING DATE
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Contractor
Permit No.
Rough in
Fixture
V Final
`—HEATING _ —
__r Contractor
Permit No. -
- Gas or Oil
Rough-in
Final
SEWER 4
-- --- -- ---_— -- Final-------- --
DRIVEWAY
Final
--— - - --- Storm Drainage_�...—
`—_� _ (Rain Drain) Final
Sidewalk
—_. C.irb&StrSet Final
__ A_proacli_ _
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY ,incl
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` ` Zoning Final Ow
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