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16566 SW 92ND AVENUE • s 0 r. � 16566 SW 92ND AVENUE , r' V Y r , r r 1. 1 n a , • __ _. � .. _. - r I, Vit• � I BUILDINGXV PERMIT AI`PLICATION 11OF TY TIGARD DATF ..- .� t9_ THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SDECiPICAJIONS, OWNERPHONF OWNEk LOT a JOEL ADDF�ES5 1+ �6+i {�! `l el _tjgf1IE ADDRESS ARCHITECT BUILDER { Oscade FiAc uytiL_U ADDRESS ,La. : :.. w ENGINEER _ LiE�t:,NEft STRUCTURE CJNSW ❑RE'Mot)EL ❑ADDITIbN G�7EPAIFi ❑RENEWAL OFIR--_E DAMAGE _[.JDEMOLITION ❑ RESIDENCE �JCOMM ❑EDUC�TIONAL ❑GOV_T ❑REUGIOUSC]PATIO nCAR PORT ❑GARAGE LJ STORAGE❑SLAB ❑FENCE ❑BOND CJMOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS OCCUPANCY LAND USE ZONE--__BLD.;.TYPE-. _ FIRE ZONE:-. PIAN CHECK BY_ HEAT _ idd thre of f l"as Q," pp" i2lows ows Ff4 azoregt3 Over Cit fican ti 2c-_ti.QAP _.ELg2R_L_QA_D._ N4�?tS2B+Ek_t)O—AU A4JU0 BUILDING DEPAHTMEN'F ---- SF `ACK! FRONTgEAR LEFT SIDE RIGHT SIDE Fermitt3e(117 ____.`__ _ _ •••• �-- TH1• PERMIT I5 ISSUED SUbJFrT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Pian Check 146 or) PEGULATIONS AND ALL APPLICABLE UODF-S AND ORDINANCES AND IT IS HEREBY l,GREED THAT THE " )WORK WILL Of- DONE IN ACCORDANCE W1 TH T�,E PLANS AND SPECIFICATIONS AND!N COMPLIANCE WITH Subtotal 4e<"sly ALL APPLICABLE CODES AND ORDINAn1;ES THE ISSUANCE OF THIS PERMIT IJOFS NOT ,'lAIVE Sfrte Tax RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY F'USINESS A,12 LICENSE. SEPARATE PERMITS REQUIRED °Oti 4FWER. PLUMBING AND HEATING, Total 4 By ._ A PP l I C A N t O R A r f N i__.__.______.... - - _ Approved Receipt No ^ �~ 1+