14435 SW 92ND AVENUE-1 14435 SW 92ND AVENUE —
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CITY OR 1-2 74N2 0155
BUILDING PERMIT APPLICAT',ON TIGARD DATE-_ _
THE UNDERSIGNED HEREBY APPLIES FOI APERMIT" FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE A,.cUO"!!ANYING PLANS AND SPECIFICATIONS. OWNER PHONE-
OWNER George Li®Ua11en ADD9ESS 14435 3,w. 92nd BUILDER PHONE
Marvin Pontus® ENGINEER
EIUILDER ARCHITECT _,- _ DESIGNER -
cS-�jRUCTURE JNEW 1:1 REMODEL OADDITION ❑REPAIR EIPENEWAL ❑FIRFDAMAGE ❑DE-MOI_ITION
L_JRESIDENCE 3COMM COEDUCATIONAL ❑GOV'T ❑RELIGIOUS(:]PATIO OCARPORT ❑GARAGE ❑STORAGE❑SLAB ❑"ENCS
GHOND ❑MOVlnlr, ❑CONDITIONAL USE CODEE•IGN REVIEW ❑COUNCIL APPROVED LJSIGNS
CCUPANCY _.LAN_ D USE ZONE--.__._BLDG.TYPE _ _—FIRE ZONE-- PLAN CHECK BY----. HEAT,__
+a�mad�al l,z�aemtant it+ sl�sld�f•Ir.ra �-- -
OCC.LOAD- ` FLOOR LOAD HEIGHT�- NO.STORIES AREA VALUE i2aa
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFTS Dc RIGHT SIDE
Permit l 2.ala – -- —__ -------------— ---
THIS
—THIS PERMIT IS ISSUED SJRJECT TO THE REGLILATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cherk REISULATIONS AND ALL F,PPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THS
WORK WILL BE DONE IN 1CCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE COti''i AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RES',RICTIVE COVENANIIS CON'fr+ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State .11 12 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total —12,12
By n 4
-- APPLICANT OR AGENT
Approved Receipt No.
A7rORESS —i --- -- HO —
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
9
Contractor --_
Permr No.
Rou h-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
--- - — - — -- Rough in -
Final
--- — --- - ------ SEWER
Final
—.__— _-- - --------- DRIVEWAY
Final
Storm Drainage T
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach _
BLDG.DEr17.FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final Landscaping
Zoning
Zoning Final
Address s'5w 5aZn4Q. Perm+.t
Peri.-,-t charge
Owner �c,r .,_ �"_ � ���iil��-� _ Connection fee
Paid by�
Type of building ��, Date connected
Service rate Inspection
Contractor Paid
Size of connection �� Assessmentu_ Paid _
�7
PERMIT TO CONNECT "�✓n
Tigard Sanitary District
PERMIT N? 1308 DATE q-
PFRMIT IS GIVEN 10 (..L . 4 { ��L�L4
OF
TO CONNECT A ---------_-.--
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT/ 4 ,4 3.
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAfD ;.. ''",',; TWARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
— Date _� --- Supwtntendent..--