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DRAWING IS LESS CLEAR THAN
THIS NOTICE, IT IS DUE TU
THF QUALITY OF THE ORIGINAL
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MAY 7 1992
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: `/��' PERMIT NO. :
DATE: ZZ-V-21--, DATE ISSUED :
OWNERS NAME . T. t),
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ADDRESS: 10 3-7I
CONTRACTOR : 5L-4, r i se_ 0 C L,_c ,
TEST : Air ❑, Water[] , Visual, Laboratory ❑
RESULT: Approved , , Disapproved L , Pending O `
SKETCH; _/ /
00,10 JT` 7 /NNS' e �
INSPECTOR DATE
[NOTE: Attach supplement-1 teat data beret]
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City of -1 lgc]4
" NT`*`U-Ion ! ES
for
WtPECTION TIME: PERMI'r
DATE .' -47ZA1-24 DATE fSSUr.-[) ,. j
OWNERS NAME : ..._._..T
ADDRESS: ------for J77L
CONTRACTOR .
T'E ST : Air 0, Watqr
L�ir.Visual
Apprcvd Disapprover
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SKET,CH,
OKE aJf
))DATE
ANO '..'�1
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CITY OP May 3 76 Wo ' 0782
CkIILDING PERMIT APPLICATION TIGARD DATE_,. ,19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAERS170WNER PHONE
OWNER Tualatin Oousllaa}meat rUADDRESS 10375 5.11. Highland i.%r" BBUILDERPHONE
t liner ENGINEER
BUILDER ARCHITECT_ DESIGNER
STRUCTURE CINEW ❑REMODEL ❑ADDITION ❑REPAIR GRENEWAL ❑FIRE DAMAGE []DEMOLITION_
QRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOU£❑PATIO ❑CARPORT ❑;"oARAGE ❑STORAGE❑SLAB ❑FENCE
MONO ❑MOVING ❑CONDITIONAL USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
ra 1 PI-) it
OCCUPANCY LAND USE ZONE _BLDG.TYPE. FIRE ZONE - PLAN CHECK BY HEAT ®�
Lanstruct 1,272 sq. t't. frame duelling Ir1.th attsctlecl gar9gs.
-- No basement.
OCC. LOAD FLOOR LOAD HEIGHT_ NO.STORIES AREA 772 VALUE
BUILDING DEPARTMENT
SET BACKS FRONT REAR L.EFT SIDE RIGHT SIDE
Perini t 11U4.Ilea — —' — -- —
TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I Plan Check l Q i70 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCr.WITH THE PLANS AND SPECIFx.%TIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T41S PERMIT DOES NOT WApVE
4*444 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
1%State I(CENSE. SEPARATE PEqqMITS II QUI >I? FOR SEWER, PLUMBING AND HEATING,
ewe 1f' spect1tJn +M�.a,
Total ri117,di
By :J
APPLICANT OR AGENT
Approved 1 Receipt No. ��
ADDRESS PHONE
—DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
0'/3'7r ✓L Contractor
�` •/ •7 rQ Permit No. 4o�{b 3L,l�S G�/L�7G
Rough-in
Fixture
Final _
HEATING
-7b ti i/ _ Contractor
Permit No. '717-17t,
Gas or Oil J
Rou h-in
Final
SEWER3•2S-7
Final
DRIVEWAY J 74
Final
Storm Drina e
(Rain Drain) Final
Sidewalk J N
Curb&Street Final
_
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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