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f onnection fee
Paid by
Type of huilding � t� Date connected
Service rata _ ;�Q Inspoction rno
Contractor _ Paid by date
Size of ciinnection --- ___ AssessmenL Paid
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Owner:_ T.D.C Y .........Permit No...... .. 4
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1. 703 SW Highland .t
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'4; Btcilding Address.... s
• October .� 76 <'
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)v�l t`' Certificate is hereby given this .......clay uf.. ..... ...... ..
. that said building may be occupied and c .
that it complies with all requirements of
r �the Building Code for the City of Tigard,. y
ss approved by the Tigard City Council
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IONN L RERUM NUMBING, INC. BUILDING DE:PAHI MENT, TIGARD �
P. Q Fry 119 PLUMBING PERMIT NO.
— ---- holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing c.)dr of
Tigan.. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City c' Tigard Business License required
for all contractors and sub-contractors.
Owner{c.' �'t � � / LSC' Addressl ._..L_� UateY�/ _
NUMBER OF �'OIAL PERMIT NO.'S
TYPF OF PERMIT ITEMS FEE ON EACH AMOUNT (Office '1%a Only)
Single Fami1v-1 both—ench ~—
_ D pex—Each 1 bath uni: __ _25.00
Ac;ditlonnl bathrooms—oach _ 10.00
_Mobile Home Space—each 1133 00
INDIVIDUAL FIXTURE. FEES —�-
_t to 60 Fixtures In 1 buildlnjC_tach 3.00 _� -
51 to 100 Fixtures In 1 building-trach 2.50 —""'-
101 to 200Fxtttres In_1 building—each 2.00 —�
201 or more Fixtures in 1 building—each
MISCELLANEOUS
BulldhgSawar-1st 10.00_ ~M
Sawnr—each additional 100 ft, 10.00
Water Service to buildina6.00
Private Water Systems—ench 100 ft. _ 1000
Other (5prtcify); ---r-_
PERMIT For Plumbing lnc�ter[inn Phone .5'334f91
1% State /0� Plu,rlbing Contracto• By -�(/ ( e,
Tl?TAL I ti RECE IPT NO. Issued iry _ - —'
'1"MY Tr
CITY OF
BUILDING PERMIT APPLICATION TIG�ARD E.____='_ -.19'�'.N-A
0853
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT ONS. OWNERPHONE _
�.OL atuawrtield
NER 'Na,latin `'loy• LO' , Inc. ADDRESS "705 S.W'. Ihl. h1&V1 Ct. BUILDER PHONE
--- ---
ENGINEER
BUILD-.A ARCHITECT — - DESICNER
STRUCTURE ❑NEW ❑REMODEL q❑ADDITION_ El REPAIR ❑RENEWAL [:]-IRE DAMAGE ❑DEMOLITION
0 gFSIDENCF-L]COMM 0EDUCATwNAL ❑GOV'T L. RELIGIOUS❑PAT:O ❑CAR PORT ❑GARAGE ❑SIORAGF.❑SL.AB ❑FENC'E
❑BOND ❑MOVING ❑CONDI-riONAL USE _v LIDESIGN REVIEW ❑COUNCIL APPROVED ` _ ❑SIGNS
OCCUPANCY- LAND USE ZONE__..__�.__ BLDG.TYPE-----FIRE ZONE_.. PLAN CHECK BY—._,._-- HEAT_,._.
.Mww ft . kraw dw I l ins W a t tactwd garage ew�baod, ,.ext 2 bodrems
reissue _
28,RM
OCL,.LQAD17LOOR LOAD HEIGHT AR NO.STORIES AREA � VALUE
!j�-� LO
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit " M'�1 ri{' —_ _— •- --
-- .1)?'"'-�� THIS PERMIT IS 13SUED SU8JFCT '110 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 APPLICAEILE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NU. WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State »* Z LILLNSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATINt,.
Total 136.02
By r a
APPLICANT OR AGENT
Approved Receipt No.
ADr)R SS NHS WF
PLUMBING --- DATE
DATE IfiJP. TYPE INS ECTION REMARKS
�•-�; • --- --- - Contractor
Permit No. 06-.97-
11_'"��!_ —�-- Fixture
t
Final - - - --
_ — HEATING
�p Contractor _
7
Permit No. `1 3
,_ -?
—___ - — - ------- - Gas or Oil z
_, . . ---
Rough•in --
IF
Final _
-- - -- -_ _ SEWER
- - -_ — - DRIVEWAY `7 -
Final _
Storm Drainage
(Rain Drain) Final
sidewalk
—i - Curb&Street Final
Ap roach _--
BLL'u.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --
Landscaping
7.oning Final
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