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INSPECTION rIME '. PERMIT t3. .�-
DAT F : ` _L�Z_1�~� HATE ISS G? .._ ._r"
OWNERS NAME : — _
AD0RE'SS. ft '/.5-74, 4)
CONTRACTOR ' __ _—
! EST : Air C.], WoterO , Visual El , Lla ' .._
_TMPESULT: Apprc4ved rlisopprovod '' .
SKETCH: �
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PER!1IT NO.: ._._.
DATE: DATE !SSUED:.r.�
OWNERS NAME: —
I ADDRESS :
CONTRACTOR :--:- � " c
TEST* Air O, water Q , Visual ff, Laboratory C
IRESULT: Approved W,approved 0 , pending
I SXETCH:
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I INSPECTOR DATE
1 NOTE' Attach supplemental f, st data heret�
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City of Tigard
I
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO.. .,_,_.
I DATE: 1V-Z/ 12!ij DATE ISSUED:._..1
OWNERS NAME : 7- c_
ADDRESS : ",. / d
CONTRACTOR :-.
ITEST: Air O, Water b , Visual (9 Laboratory ❑
RESULT. Approved 0" , Disapproved O Pending ❑
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I SKETCH:
F14
I IN PECTOR DATt
ICOTE: Attach supplemental test data hereto,
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BUILDING PERMIT APPLICATION TIGARD DATE__ 7 N° 0589
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Tualatin Dev. Co. p InCAbDRESS 15760 S*W• Highland CteBUILDER PHO IE
19#i11R11 ENGINEER
BUILDER �( ARCHITECT DESIGNER
STRUCTURE LJIVEW ❑REMODEL ❑ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORI ❑GARAGE [:ISTORAGE❑SLAB []FENCEOBOND ❑MOVING ❑CONDITIONAL USE ❑DEBIGM REVIEW []COUNCIL APPROVED ❑SIGNS r
OCCUPANCY LAND USE ZONE p+0—BLDG.TYPE: FIRE ZONE' PLAN CHECK BY ; I HEAT yfi B
c instruct mark frT+SMU UIlullitcm aL.,:ordlu, , t *ppr-; jva d plans
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA ;10 7
107 3 VALUE 33 11.200
BUILDING DEPARTMENT 10 17 , { t
SET BACKS FRONT REAR LEFT 810E RIGHT SIDE
permit 135,00
THIS PERMIT IS ISSUED SUBJECT TO 'THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 113.00 REGULATIONS AND ALL APPLICABLE CODE^ AND ORDINANCES, AND IT 19 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 4.17 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
total 153.11 newel Lowe ac;tir✓Ii
By -- --
-- APPLICANT OR AGENT
Approved Receipt No.
ADDRESS -- — ---'PFic�--
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
��! � Contractor 7
1,431 1��
Permit IJo.
ad 7G Fixture _
Finalo i,s f
-2 l4f�TING
_ Contractor
Permit No.
-- Gas or Oil 77
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Rough-in
Final
SEWER
Final
DRIVEWAY v
Final
Storm Drainage
(Rain Drain) Final
— - �— ---' Sidewalk 13 '74
_ Curb&Street Final
-- — — — __
Approach
BLDG.Di-PT.FINAL TEh1PORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final _
,/-4
Landscaping
v Zoning Final
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