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BUIL_DIN.:, -AMIT APr, : .,%,ATION TIGARD DATr __ ts_'
THE UNDERSIG IED HE'iEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 2r,-1 131
OR AS SHOWN f.N,i 1,r'PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
7963- bi;. LOT NO. 56W), 2f,I�l
OWNER ROBT.it(,4DA?.L C',"JOBADDRESS •••«3333 "r'��nno CTE.�nk L)rivn
-. - _-_ — _ ARCHITECT r Ppiilcen ?!+f.;-936ENGINF
1 1 } 3at'1�12X Five], DESIGNER 11G•r A5, 3921
ER
BUILDER X�DK r-A." ADDS ESS "° %" � r"
STRUCTURE LYNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIREDAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C GARAGE ❑ STORAGE ❑_SLAB❑ FENCE
OCCUPANCY L--!-LAND USE ZONE - 1:' BLDG.TYPE 211 FIRE ZONE__-_.PLAN CHECK BY :ZEN HEAT
COT!-,It uct 4 l'nit apartment all per piFllls ;,-t9t,, 1//111410
SEWER PERMIT N
OCC.LOAD FLOOR LOAD 4 0 HEIGHT NO.STORIES 2 AREA 1` NO.BEDROOMS VALUE t
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
—
Permit �TH,S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
.".rGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1G2.;2 i WORK WILL BE DONE IN ACCORDANCE WIIIH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICAB'-E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES ►1OT `NAIVE
Sub•tota! Q>;C• 75 RESTRICTIVE COVE io;:IS. ':ONTRACTOR AND SUR CONTRACTORS 10 HAVE CURRENT CIT1 BUSINESS
LICENSE.SEPARA' PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax -.1`' 12•11)
SDC-
Total Q 4 9 7:+
PDC# APPLICANT OR AGENT
'�.C�_
By
- —
Approved t.at Receipt No. J .ill ADDRE89 --- PHONE
-t)dTE INSP. TYPEINSP6CTION �REMARt:B PLUMBING DATE
Contracto v Q lof- ldG�
/-•�� �� 1..� r _ Permit No. 17� 'p
r o- �� -��� _ y �_ Rough-in
Fixture -
,jr_ Final — -- -
/4- ` .d�6� _ HEATING __ ------
Contractor
Permit No. -~
Gas or Oil
Rough-in --- ---
Final
SEWER
- - --- - - Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain(Final
Sidewalk
Curb&Street Final
_j__
_ Approach -�
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUP CV -'
CERTIFICATE OCCUPANCY final —
Landscaping
Zoning Final
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