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DRAWING IS LESS CLEAR THAN
THIS NOTICE, 11 15 DUE fU
THF QUALITY OF THE ORIMNAL
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MAY 7 19 92
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Comity of Tigard
INSPECTION REaUES` "
for
INSPECTION TIME 40� PERMI`' N0.: _.._.
DATE: S /XYZ DATE ISSUED:-
OWNERS NAME : 7-0 (7
ADDRESS :
CONTRACTOR
TEST: Air 0, Water � , Visual , Lahorntory
RESULT. Approved, Disapproved 0 Pew, n4
SKETCH.
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INSPECTOR DA-rE.
rNnTE Atlach suF,Piementc7' let4 da+o her !;0-i
City of Tigard
INSPECTION REQUE ,2-`f
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!«c
INSPECTION TIME :,�.S7A-P-- _ PERMI'r �!", : .,. .._... .
I
DATE: 2Z, --T.Z, __ DATE
OWNERS NAME : "ZU C___. .
CONTRACTOR .
1 TEST' Air ❑, Water , Visual j , Loboratory j]
i RESULT. Approved , Disopprroved 0 , 'unding 1-1
I SKETCH: , +.
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IN R TOR DATE
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R O
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BUILDING PERMIT APPLICATION TIGARD DATE 19 N- 0 7 4 U
"THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639.3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIC14T',C�, ffjER PHONE
OWNER "'i`latlri _)euelupment (.O, �. _ , !. . + xt�r��eirc OT.
_ ADDRESS BUILDER PHONE
ENGINEER
clime ;i f1(l1I.:F
=LDER AHC41TECT DESIGNER
STRUCTURE ONEW DREMODEL ❑ADDITION ❑REPAIR DRENEWA! OFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM DEDUCATIONAL DGOV'T DRELIGIOUSDPATIO ❑CARPORT ❑GARAGE DSTORAGEDSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY LAND USE ZONE_ —BLDG.TYPE— FIF =ZONE— PLAN CHECK BYHEAT
—unrstruut tit;. t . frome dwelling with attached gararje.
No basement.
bodroums
Q - — I, 1 h - 1;z _-2404Z7R
QCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUEr
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ,x,111•Rfl —' - _------ - � —.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
•
1 State LICENSE. SEPARATE PEpWIITS REQlJIRF&fOR SEWER, PLUMBING AND HEATING.
,..r`+,UI'
Total
By —
_ APPI_WAN-CR AGENT
Approved Receipt No.
ADDRESS YI'IgN
n
DATE SNSP, TYP 1 SPECTION REMARKS PLUMBING DATE
A , ,
_f Contractor
Permit No. �s
^1
rZN nrFixture
7 vG Final _
6- Z� HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
_ Final
~ SEWERV-?}76 Z
_ Final _
DRIVEWAY LG76
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
_ Curb&Street Final
Approach l+m' S- f-76
BLDG.DEPT.FINAL TEMP09ARY CERTIFICATE OCCUPANCY 1
Final
CERTIFICATE OCCUPANCY
-17- 2- -76 Landscaping
Zoning Final
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