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13475 SW 110TH AVENUE r A i BUILDING PERMIT APPLICATION 1OF 1T TIGARD OATS 19 L_ i BUILDER PHONE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE G^ AS SHOWN AND APPROVED IN Thi ACCOMPANYING PLANS AND SPECIFICATIONS LOT NO. �IJG� L I+ HOME ADDRESS ` OWNER QU+:J L❑ 1• Ltt l H ADDRESS l ----- ARCHITECT EEN,INEER _DESIGNER BUILDER ADDRESS �1 ❑FIRE DAMAGE .n ❑DE' uLITION STRUCTURECJ❑NEW REMODEL 0AD21I]ON _QREPAIR ❑RENEWAL. -- 0 RESIDENCE C]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOU.30PATIO [:]CARPORT ❑GARAGE_ E]STORAGE C_SLAB- ❑FEIJCE ❑DESIGN REVIEW LJCO'JNCIL APPROVED ❑SIGNS ❑BOND ❑MOVING ❑CONDITIONAL USE _ Q CUPANCY—_--'•�>ND USE ZONE. mss—BLDG.TYPE. .- _FIRE ZONE PLAN CHECK 14'1 �--- HEAT�•�� Adeitinn to axi©ti;16 ROG — 1�' X 211 all per UHC Lind ity rclinanc w.s f.�ncsHt 20 max NO _IES�___ _. c,� �3lbO AB-EA---N-Q, VALUEU9000 9��L4,-+7 e.F1Q4P_L4A�.------ ---'---�' RIGHT SIDE _BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT 51DE Permit 36.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL''71NG CODE. ZONING Plan Check 16 r 0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFLO THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A14D IN rJMPL IANCE WITH Su17 total _ ALI. AP,'LICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS Date Tax i ' Ib LICENSE SEPARATE PERMITS REQUIRED FOR SEv.ER, PLUMBING AND HEATING Total aV.1G By APPLICANT UR AOt N I_ - - - s• Approved Receipt No A�aN SS - GATE iNSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Al��- D Lc' iS?/�L'lSE`7� �Z7 ,�' t �- Permit No.�---- He;z2 `- �C �, Rou h-in Fixture Final —HEATING Contractor Permit No. Gas or Oil Rough-in ------ -- . - — Final _ _ SEWED -- — - -- --- ---- --- Fina; DRIVEWAY Final f orm Drainage ain Drain) Final --.--._ -- Sidewalk Curb&Street Final Annroarh BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPAN Y CERTIFICATE OCCUPANCY Final I ( 1.andscaping Zoning Final \~ Ar i z W fir=- >- o u � — az V J LLNv 2 CJ < ;\ U, > `\1 w yl w �iW JZH Q m Z ~ D W d N u U y H i < O zO11 u02 N O O1 C� > � < Z W Cl wW W Q O � z o a a mmzt� ,� °z ( �O1 a ¢ < ¢ Q W w a W W 2 n m W O C7 w w Z T W c w LL. O W OOu r0 ° o El a W ¢ zLL0 CL z L7 > < d - 2 a < w < � w1Ell t7 Z Q U U p Z~ VyLLjzli Q ♦ J C) z w in uz '� QQ I azo a 3 Cl 0 () -1 w za � z � O V w u 2 f J 0 0 N - z LL. w Q ❑ Q W .1C05X W Z U C ;°O -� ui J CL cc W a ¢ I� p x Z I CJ w w pFz LL T a Q < O Q N 2 ¢ h U ; z_ FOF w fn 9L �, W < w W O I� G. ZQ W < Z ¢ w O J C Q - 1 N Y UJ ¢ n. - LL ¢ Fm � 00: C G d6's 1 a ❑ Cl w tuAa � ¢ a o n Wd0Qc°i IQ 4 F a z O C) 6 u V • cm z fn W H W W JZOQd ¢ mLU C) O E U O ¢w Ul n OU = H Oy02y... 0. U w a p F w Q N m u ¢ C) Q U a > a p = LL m W IL r _ ar Q '�. 0 o IA JJ > N d O w Y IC �- F z LLQ H ul W Q g iL C1 ui r, \.� -- J 2 1 N_ O a J H W J �� I < 7 I v �, w ,wu u �. 0. N ¢ 5 a¢ J Q > > 144, cn U w u 7 Q F _ O c aLL'- o n U, Q w O u. CAI g O C J ¢ >p OLl ° n<Ci � a LL I [Voa 1 ° rt. LU 3 7 O w 7 a _) Q u u Q t7 Y C) O O at g' W 4 ]I 1 a p O Q U t a I u I �,� � IU Address I1}75 S.kf, 110th Ave. Permit No. Permit charge Owner Edwards Irdus :ries Connection fee 425 Paid by Edwards Industrie T.,pe of building Residence Date connected Service rate 3.00 per month Inspectior. fee 25 _._. Contractor Edwards Industries Paid by same Date Size of connection V Assessment Paid i _ -,now — — -- -- r i