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BUILDING PERMI ; APPLICATION TIGARD DAT'_— '�', r ,9 � 3850
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED DUILDEP PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNFH PHONE
UIX
OWNER ii't. s'.a1lc itll l''.:i40BADDRESS 50 S Cre-0- Driyo
--- _ ARCHITECT Prod Pr.uls n 246-936
ENGINEER
BUILDER KIM.N samm ADDREkS95n0 SW S}t:rhur rilvd, DESIGNER T)mlo P-miler 655-3921
STRUCTURE CC NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 1 FIRE DAMAGE Cl DEMOLITION
RESIDENCE ❑ COMM n EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE J STORAGE ❑ SLAB F1 FENCE
OCCUPANCY "1_LAND USE ZONE r"'12 BLDG.TYPE FIRE ZONE='" PLAN CHECK BYHEAT
(,onstr.uct 3 crit apartmont all pc.,rlplPns and c:cxdlc, I.ltin. f A
7 nedrootrs 6 Ilaths.
SEWERPERMITN
OCC.LOAD FLOOR LOAD 11 t' HEIGHT 2 fl NO.STORIES AREA ;21`-'2 4NO.BEDROOMS 7 VALL"(1,2 P n,
BUILDING DEPARTMENT
SETBACKS FRONT i' P1AIR&R _LEFT SIDE_ RIGHT SIDE
Permite!f?1.Of _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULA rIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 (1,51) 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
Subtotal _ 4"1 +ren RESTRICTIVE COVENANTF. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE P'cF 0!',a RE,.)UIRED FOR SEWE9,PLUMBING AND HEATING.
Ste.e Tax 4 11,24 I
Total t432,74
By
PDCM �AP LICANT OR O
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droll / _ -
Approved Receipt No. ADDRESS -�-- - - PHONE- -- -- -- ---
i'
DATE m9p. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No, &-410, 16-2-Y/
Rough4n
Fixture
Final
HEATIOG
Contractor
Permit No.
(,as or Oil
Rough in
Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Dreln)Final
Sidewalk
Curb&Street Final
Approach
BLDC, DEPT.FINAL CERT,FcATr OCCUPANCY CERTIFICATE OCC Ncy
4, F
Landscaping
Zoning Final