8915 SW HAMLET STREET w w F
8915 SW HAMLET STREET
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ADDRESS Z-S J:ts r Q ._ PERMIT NO.- '44
PERM ,T CHARGE none
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OWNER _ CONNECTION FEE
PAID BY
TYPE OF BUILDING A'cj-�- DATE CONNECTED
S'RVICE RATE ;NSPErIION FEE
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CONI RACTOR _ _ PAID BY DANE
SIZE OF CONNECTION � ASSEj5MENT � PAID
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BUILDING PERMIT APPLICATION 1O1F TIGARD DATE.- 19
THE UNDERSIGNED HERLBY APPLIES FOR APERMI- FOR THE WORK HEREIN INDICATED BUILDERPHONr_._
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF-.
LOT NO.—
OWNER tIl LI JOB ADDRESS81�j— SU Hamlet HOME ADDRESS _
ARCHITFcT
ENGINELR
BUILDER_ ADDRESS _ DESIGNER
STRUCTURE ❑NEW ❑R_FM(lD_EL _❑_ADDITION ❑REPAIR ❑RENEWAL ❑FIRE. DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUC.ATIONAL ❑GOV-T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [-]FENCE;
❑BOND-_`❑MOVING ❑CONDITIONAL USE _y– ❑DESIGN REVIEW _ ❑COUNCIL APPROVED ❑SIGNS__
�'�.. �Z–? �N FIRE ZONED PLAN CHECK BY LW 1•:EAT—
OGCUPANC' —.�--LANU USE ZONE _ �..HI.DG.TYPE__ --
Construct siri6l e Family (fwellinyi u/ett:mched �jsrwam 3 Bedroom
,.Bowler Permit 1 ; .5y > 16213.00
9-"-..QAf)___._._..-flQQFLLQAD 40----HEIGHT 20 l�IQ. TORIES x -1► 7�INS�Ei�.(�ttQOMS " VA �I � Q��OI.�
BUILDING DEPARTMENT i SET BACKS FRONT REAR - - LEFT SIDE
W- -_ RIGHT SIDE
Ppimil
-- �0 THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN •H- BUILDING CODE, ZONING
PlanLC-theck • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
� f� di.� WORK WI�_L BE JONF IN ACCORDANCE WITH THE PLANS ANDSPECIFICOTION6 AND IN COMPLIANCE WITH
SUbALL APNLIr1ABLF CODES AND ORDINANCES THF ISSUANCE OF THI' PFRM'T DOES NOT WAIVE
-- RESTRICTIVC COVENANTS. CONTRACTOR AND SUB CONTRACTOnS 'TO HAVE CURRENT CITY BUSINESS
State 1aA, 15,40 �I.CENSE. SEPARAT ff-2WIT�, F.00-IRED FOR SEWER. PLUMBING AND HEATING.
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Total 1,176.40 i {"+1 - '$100*00
By P1
APPLICANT OR AGFN I
Annrnve(i 1 -ilnr) Receipt No.
DATE INSP. TYPE INSPECTION REMARKS V I_ PLUMBING DATE
Contractor J�
Permit No.
^_�_ --
Routh in
Fixture -
Final
N 'ATING
Contractor v
Purrnit No.
Cies or Oil
Rough-in
- —u-�.�- Final
SEWER
-- - `- Final
DRIVEWAY
Final
- Stone Drainage
(Rain Drain)Final
-- Sidevadk
Garb$Street Final
BLDG. DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --
I end kwing
Inning Final