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CITY OF TIGARD 639.4171 yak). Gs DATE ruar)
BUILDING PERMIT ---T --19-__
TAX MAP __—.—LOT NO: Cj.._._.—..--SUBDIVISION ,7 M
OWNER 111Gan JOB ADDRES44265 Sli k'1u1L10 Ctl:esek Loop (,reek 3
BUILDER 64;:10a� �'it via_ i;w k .tllOha __ STATE REG.NO. _ ..-kUs ti - EXP.DATEty--
BUILDFR'S PHONE Ji42-.34):arA
ARCHITECT_...___. —.�_ PHONE __--__—.__OTHER
STRUCTURE 12*1 NEW LI REMODEL ❑ ADDITION ❑ REPAIR MOVE L1 OTHER _! DEMOLITION
Pc31DENCE COMM I I EDUCATION IND RELIGIOUS ACCESSORY ['I GARAGE I I OTHER FENCE
1 OCCUPANCY LAND USE ZONE''_ BLDG.TYPj FIRE ZONE PLAN CHECK BY k Lt` HEA1 �—
SEWER P'RMITN Zyul,j, LluuW
OCC LOAD FLOOR LOAD 4(1 :tIGHT NO STORIES AREA 1 S(�l NO.BEDROOMS VALUE y�L1 a4yU
8ACK5 FRONTREAR -- _ _
_ BUILDING DEPARTMEN_f _ TLEFT SIDE lt' RIGHT SIDE
Permit__ —2cS._u(t� HIS PERMIT IS ISSUED SUBJECT f0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plef,,,heck 11 WORK WILL. BE DONF IN .ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTHICTIVE COVENANTj. CONTRACTOR AND SUB CONTAi4CT3A6 TO HAVE CURRENT CITY BUSINESS
State Tax l li � TAX
SDCPERMITS.SEPARATE PERMITS REQUIRED FOR ER,P�. SING AND HEATING.
ayul ..JU.IiL 6 r
--- -- 5UU.u:1
Total aPP�L`�CA1VTOf�Ao—FNS
--- v� — — PDCN
Prepd.�-_-- . 1,,1 'j 15U.OL
Lk.UiLLL__. .< <1 ADDRESS --- PHONE
— I Receipt No.
Bal.Due tt.la —__.__._J
Issued By,—, Approvdd By
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DATE INSP. TYPEINSPECTION_ REMARKS — PLUMBINGDI ATE
cz�� Z - - — r—,-- Contractor 137 2-1f
Permit No. �zs
Rough-in
_ IFS/G Fixture
i Final
IF
.� �� HEATING
0Mri Contractor !
Permit No.
—- — Gas or oll
Rough-In
Final
- --- -- __ - SEWER
—. Final
- — - -�------ DRIVEWAY
—.,—_ Final Y i
-- - Storm Drainage
(Raln Drain)Final
T Sidewalk {
Curb A Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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