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BUILDING PERMIT APPLICATION TIGARD DATE ,,9 552
THE UNDERSIGNED HFREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN i HE ACCOMPANYING PLANS AND SPECIFICATIOfJS. OWNER PHONE
LOT NO _ I 1
OWNER -- k),j j;titt? - JOB ADDRESS 14280 S!, FALn o Creek Loop (.c}Ian�Gres 6c FI' —
Aloha ARCHITECT
ENGINEER
BUILDER a.�ac.:•:r_ ADDRESS _20945 "W TV Hwy. DESIGNER -
STRUCTURE 13:NEW ❑ REMODEL L] ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
QRESIDENCE CJ COMM L] EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB I7 FENCE
OCCUPANCY K-35N USE tONE _��� BLDG.TYPE 5N —._FIRE ZONE PLAN CHECK BY+`_ HEAL _
Construct ®ingLe faiaily dwelling w.JAttncl,f•d „mage.
Re-Issee of Yerwit 041142
i 2 Yatl,ruann
SEWER PERMIT M 28515 Garage 306 �_—
OCC.LOAD FLOOR LOAU 40 HEIGHT_ 15 NO._S'ORI ES a_ AREA 1677 NO.BEDROOMS 3 VALUEfa.s
BUILDING DEPARTMENT � SETBACKS FRONT � 2UREAR 16 LEFT SIDE III RIGHT SIDE
Permit 315101)!1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.UU _ 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
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btotal 359.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I L.76 YCENSF.SEPARATE )ER0,11S REQUIRED FOR SEWER,PLUMBING AND HEATING
ate Tax '
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Total 371.76 9DC— $5U1).0
Pods 1501U0 APPLIOENT-
By
N By -- --- Receipt No.bch
Appioved -- --- _ ADDRESS � PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUM
1-DINGDATE
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/ J Contrector 1�J6 13 7 2 y-�6
��� Permit No_/I(4 6 L/
i9i -- Rough-in
`'t a1 r - j�- - Final — - --
HEATING --
Contrector
Permit No. 6 ��s6
Gae or OII -
3 ?-Q fp/
1 . Roughdn
Final — -- r
— -- — --- -- —. - SEWER
Final
DRIVEWAY
— --�-----—
Final
Storm Drainage
(Flain Drain)Final
---- __ Sidewalk --- ,�
Curb&Street Final
Appronch
BLDG. DEPT.FINAL TEMPORARY CERTIrICATE OCC,
CERTIFICATE OCCUPANCY
,, Landscaping
Zoning Final
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