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11855 SW 113TH PLACE
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CITY OF TIGARD
r OREGON
Owner:. .......�lor. s•setts....................................... .. Permit Nc�. 1250.....
t� �e Building Address......UQO— W..113th...P1........................................................ .
Certificate is hereby given this.......j-.4t Nay of...NPvember tg...7.7. '
j
that said buildingpi
may ed and Y be occupied
that it complies with all re(ioiren:ents of
the Building Code for the City of Tigard, f
as approved by the Tigard City Council.
........... ....... .
I'
I3uildii,g Inspector
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City of Tigard
INSPECTION REQUEST
INSPECTION TIME : r� �"� PERMIT NO. :
DATE: DATE ISSUED:—/
OWNERS NAME : t�r�L;f2 s'Q cZ) i _
I ADDRESS :%1, L,– -S. //3
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CONTRACTOR :�X-TM--
TEST: Ai► p, Water p , Visual , Laboratory p
RESULT: Approved Disapproved pp {� , ❑ , Pending
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S KETCH:
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I INSPEC i OR DATE
rNCTE Attach supplemental test dots hereto,
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City of Tigard
l �� �'ECTIO N REO U E ST
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I _ NSPECTnR DATE
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UNIFIED SEWERAGE AGENCY NO. 1160
WASHMIGTON COUNTY DATE 1 -14-77
CITY OF-----Iiqard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Herb Morissette
OWNER'S ADDRESS:
STREET
-c-1Tv- --------STATE
BUILDING SITE: LOT-.-J.Q-- BLOCK --.- ------ ADDITION —— ...
TAX LOT NO. TYPE OF OCCUPANCY residence
ADDRESS 1i845 -w -113th P1.
DWELLING UNITS 1 FIXTURE UNITS
SU FICHAPIGE IF APPLICABLE
PERMIT FEE INSPECTION FEE TOTAL DEPOSITED 600.
(NEW) (EXISTING) BUILDING SEWER SYSTEM Creek
The Applicant agrees to comply with all rules and regula'tions of the Unified Sewerage Agency.
es
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LIN[ SIZE INSTALLER
RECEIVED BY. -.—J , ' -1
(AGENCY OR ITS AGENT-)
COMMENTS: . Bldg #1250 Pa: d to Leron Heights S1S0. 00
This Application and permit expires in one hundred and twenty (120) days,
The amount paid will be forfeited should expiration occur.
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-.-...�,.,._,..,,.-.-..,..�...�.,....W.,.�,. , .....,V•u CITE Y
BUILDING PERMIT APPLICATION' OF TIGARD DATE 1-14-77
THE UNDERSIGNED HEREBY APPLIES FOR A PtRMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE=
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO..
OWNER ^%1 Ni]141-0 1tt _ JOB ADDRESS i1'45 5�1 113th Ifa. ��
HOME.ADDRESS
ARCHITECT
BUILDER A_Dr)RESS ENGINEER
DESIGNER
STRUCT'1RE _ ❑NEW ---77❑REM7DEL ❑ADDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE ❑OEMOLITION
❑ RESIDENCE ❑COMM L.JEDUCATIONA,. DGOWT ❑RELIGIOUS❑PA;10 ❑CAR PORT LJGARAGE C STORAG;❑SLAB
[]FENCE
=❑BOND ,❑MOVING EICONDITIONAL USE ❑DESIGN REVILW ❑COUNCIL APPROVED ❑SIGNS
C2CCUPANCY t__—LAND USE ZONE —_BLDG. TYPE___ FIRE ZONE—' PLAN CHEC,:BY HEAT 9136
,x srr. I .i eoml L — llil '� �s -lruu!!1 r iintt1 LA4111L tg rc �era�e ty���a:
thIJ I'D 11 10 ; 1.0
I-EIGHT 14 NO_STORIES 11 ARE4.'tJ4 NO aoDROOMS V[��J�Ju'LL—BUILDING DEPARTMENT 11 4 -4 t i
—' — SET BACKS FRONT REAri LEFT SIDE � RIGHT SIDE
Permit 131 1 U0 `
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS ONTAII.FD IN THF: BUILDING CODE, ZONING
Plan Check 10.Ou REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Sub-total
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4. 4(S LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 144.20
By
Ar ICANT ORA NT_..-- —"------
Approved Receipt No
ADDRESS Ft
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._...., .. .. .,+...W...Lu.,.,�yWw.w,;,,l...._....dal.......
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DATE IINSP. TYPE INSPECTION REMARKS PLUMBING DATE
C! m,LY, I 1 S Contractor
J �
,() Permit No.._ .c`!
Roth in _
Fixtur-
;2 �i"`- .� Final ---.. -- - —
L HEATING
to`19 Contractor
Permit No.
Gas or Oil
Rough ,n
Final ----_ — —
_ SEWER
Final
^rIVEWAY —.-. ti G y3•I J-77
_. Storm Drainage
(Rain Drain) Final
Sidewalk 77
Curb&Street Final _
_
Approach L L 3-/ .i-7 7
BLDG DEPT', FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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I APPROVED FOR CONSTRUCTION I
CITY OF TIGARD
Ff_-RMIT NO.-I"--- SITE ADDRESS.
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--.—...L �--{ Permit N o.
Permit charge2j�2�
Owner 1,Cc* � _ _ _ Connection fee 2S
Paid by
Type of building
_ Date connected
Service rate !y
Inspection fee ;
Contractor Paid by date
Size of connection Assessment `—
Paid
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