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ADDRESS ,1.3�4rr ���dL �• - 1�1� PER191T NO.
PERMIT CHARGE none
OWNEH
CONNECTION FEE '
PAID BY moi ' 2
TYPE OF BUILDING _ � .ciu� DATE CONN[ TED
SERVICE RATE �� _ _ INSPECTION FEE
CONTRACTOR PAID BY _ DATE _
SIZE OF CONNECTION �� �� __, __ _, ASSESSMENT PA I D
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE May b ,19,76 N° 0809
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED • 244-3794
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_.
.;ar'uuL1 aU
WNFR ADDRESS BUILDER PHONE
Owner ENGINEER
BUILDERt�iARCHITECT � r _ DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMr—OLITION
0RESIDENCE ❑COMM ❑EDUCATIONAL. CIGOV'T URELIGIOUS❑PATIO ❑CARPORT GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDIT Or:AL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE _BLDG.TYPE FIRE ZONE__ PLAN CHECK BY fl �ia HEAT_
Construct: triple iA--- arjs with laundry rul- ---- — 46; to approved plant..
QCC,_LO ADFLOOR I DAL_ HEIGHT —NO.STORIES AREA _ VALUE
BUILDING DEPARTMENT SET BACKS FRONT HEAR LEFT SIDE RIGHT SIDE
Permit $32000
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODT„ ZONING
Plan Check P.e..GULATIONS AND ALL APPLICABLE CODES A140 ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
-- WORK WIL1 BE DONE IN ACCORDANCE WITH THE.PLANS AND SPECIFICATIONS AND IN COMPLIAN':E WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%Slate LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
---- - APPLICANT On AGFNT
Approved Receipt No.
ADDRESS
AlfWALMUM-14RE
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
7& Contractor
Permit No.
0 Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach_
BLDG.DEPT. FINAL rVAPORARY CERTIFICATE OCCUPANCY
CFnTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DAT F.___Mn y_, _ tg'�N" 0794
THc. UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND
ta ' _ SPECJIFICAI6NS. O
WNa;APHONE gg }
JLtjUll iGLFGf"1� Es . 24
4-.5794OWNER ADDRESS ww6t"k,
BUILCER PHONE
OwnerENGINEER —�
BUILDER ��.}�__tt---11 ARCiiITECT _i _ DESIGNER _
STRIJCTURE r-UNEW 'J REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION
O RESIDENCE C C-1OMM GEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAI, PGRT ❑GARAGE ❑STORAGE CI ❑PENCE
_QBOND OMOVING CI
MOVING CJ DESIGN REVIEW []COUNCIL APPROVED_ ❑SIGNS
,sCUP_/►NCY LANQ USE ZONE P4' BLDG.TYPE FIRE ZONErfe
PLAN CHECK BY HEAT—
Construct 1621 eq. ft« frame trL—plex without baasomr.�rltp asccrarOnta to
approved plans on F11w
U bedroom*
OCC. LOAD FLOOR LOAD _T HEIGHT -� NO.STORIES AREA d VALUE J�4
9UILDING DEPARTMENT
µ•
Permit ill SETBACKS FRONT REAR LEFT SIDE` RIGHT SIDE
Plan Check
THIS PERMIT 1$ ISSUED SUDJECI' TO THE REUULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEF,EBY AGREED THAT THE
WORK WILL BE DONE IN ACCO',DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLACARLE CODES AND 0110INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ,WAIVE
rff+ytete « f J RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT B' .SINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total �
LZU 75B
v ,
APPI fr.nNt OR AGENT ------
--- --
�Aloiproved Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
(��7iG -- --- -- Permit No.
'i' �� _ Rou h-in
Fixture --- —_ --
��fo
----,Final — ---_
HEATING
Contractor
Permit No.
Gas or Oil
Route m ------ __—
Final
SEWER
-- -- ---------------- Final _
DRIVEWAY
Final
I Storm Drainage
_—
(Rain Drain► Final
Sidewalk
Curb&Street Final
Approach —_
BLDG DEPT.FINAL. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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