8935 SW HAMLET STREET 8935 SW HALAL-ET STREET
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1 ADDRESS '�� �'_ ` � PERM'T NO. /6IT., _
_ PERMIT CHARGE none
OWNER _ ` , .� COW CT ION FEE !�� —
PAID UY
TYPE OF BUILDING � �.,�Q . DATE CONNECTED _
SERVICE RATE �� G INSPECTION FEE 02,
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION r ,.-�- 5 �����
ASSES Y PAID � _
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BUILDING PERMIT APPLICATION 11 Y TIGARD DATE i 14 N? A frV'.T
--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1.oE WORK HEREIN INDICATED BUILDER I'HONE—__ —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.—
OWNER J l ,,J Vti. _ JOB ADDRESS —_— _—���— HOME ADDRESS
hFICHITECT
ENGINEER
BUILDER _ff--�� _ ACDRESS DESIGNER
STRUCTURE �JNEW_ 0Rf�.Qf1vEL _ ❑ADDITION �- L.JREPAIR —❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIOENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑SONO ►❑MOVING ❑CONDITIONAL USE 0:SIGN REVIEW ❑COUNCIL. APPROVED ❑SIGNS
OCCUPANCY W LAND USE ZONE._ w BLDG:1 YPE FIRE ZONE_ PLAN CHECK BY_ HEAT__�
QM.LQA.2_-_.. F-lJ9QEi LOAD "'`------. HEIGHT- BMS.-I- APEA1 1' NO,BEDROOMS VALUE--- ...
BUILDING DEPARTMENT
_ _— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit -
-�— —`— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIIIG CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES ANL ORDINANCES, AND IT IS HEREBY AI3REEO THAI' THE
WORK WILL BE DONE IN ACCORDANCE_ WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb tCtal ALL APPLICABLE CCDES AND ORDINANCES. THE ISSUANCE OF THIS DOES NOT WAIVE
RESTRICTIVE COVEN;NTS. CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CIT;' BUSINESS
State Tax LICENSE. SEPARATC PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total ------�- ,r-:,�• �, • .�., �I:)U
------_----- --- APPLICANT OR AGENT
Approved Receipt No,
DATE IMP TYPE INSPECTION REMARKS PLUMBING DATE
Contactor
Permit No. ��p
�✓s7P � /�-- Rough-m _
Fixture
ar
� Final
Coatractor
Phnmlt No.
Ou or Oil
Rough-;n
Final
SEWER
Final
DRIVEWAY
Final
StorM Drainage
(Rain Drs',i)Final
Sidewalk
Curb m Stroat Final
__ Approach
BLDG.DEPT.FINAL TIMPORARY CERTIFICATE OCCUPANCY Final
C6kTIFICAT[OCCUPANCY
Landscaping
Zoning Find
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