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BUILDING PERMIT APPLICATION TIGARD UATE_ _. 1J_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CANNER PHONE
%jn.67 t LBC LOT NO
OWNER 1 l JOBADDRESS '922� .o Creek S,rrlyo
- -����-------- ARCHITECT �,."flS1 I'•')i'i —_
t'.:tic „ 7 ENGINEER
Bpi ILDER ADDRESS ".xht�X' Tilt r'+ DESIGNER t'alcy
STRUCTURE ❑ NEW ❑ REMODr-L Ll ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C.' DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T C, RELI'IIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ S10RAGE ❑ SLAB[]—.FE—NCE
OCCUPANCY _LAND USE ZONE AL-12 BLDG.TYPE FIRE ZONE_PLAN CHECK BY tiul l—HEAT-------
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unit v4o3> x* np aart>-cnt all per plans. snciccxle,
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#3157 f T?1.7rr. 3b{ Farhat Crof�± yri
14 rpdrooms 12 T aths.
SEWER PERMIT#
OCC.LOAD _ FLOOR LOAD __ HEIGHT NO.STORIES : _ AREA P NO.BEDROOMS VALUE_
BUILDING DEPARTMENT_ SETBACKS FRONT 'REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND OLL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGFIE,:D THAT THE
Plen Check WORK WILL BE DON! ;N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS CONTRACTOR IND SUB CONTRACTOJRS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SLWER,PLUMBING AND HEATING.
State Tax i }
SOC—Toial
PDCN APPLICANT OR AGENT
By
Receipt Nr.
Approved I ADDRE98 PHONE
■
DATE INSP. HYPE INSPECTION
_ REMARKa PI.r.IMBING DATE
Contractor
7—"1 Permit No, T 1
Hough-in
pill
Fixture —— —
�=it --------- Final — T---- —,.
/J z ------- HEATING'_._— —
�-:*-7'T ..._�.— Contractor
Permit No. ---
_ Gas or Oil
Rough In - -
-- Final
SEWER
— _ Final
--- fir
_— DRIVEWAY — -- -
- -- Final
Storm Drainage
--- —__—__ (Rain Drain)Final
---------- Sidewalk -
- ---------- —_ Curb&Street Final
_ Approach
BLDG.DEPT.PINAI TEMPORARY T CERTIFICATE OCCUPgNCY
CERTIFICATE OCCUPANCY 3_ � �_ CY ►) Final
6 Up Y Landscaping
7oning Final
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