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12256 SW MILLVIEW COURT JEW NIT ll 12256 3W MILLVIEW G:)URT ai �.a in LI ri �`J I • 1 1I 00 i 00 C d' 1 r r 1-4 I ON o u ., 4.O 4-t a N N E Cd b ; tea o O 3 214 ) V M a t6) Ln •0 .� O N O + N of b0 ani V) y M•*1 '� p, oo d U te 04 t., `n W '49 °' (r I .r / Y{��1u� ' ' L'%Y'C,eYG1G1GY4� iY.Y.Yft..Sf:��'�G'�'II' .Yd1I'�1 ':Wl',�`Ei'-.-"��.s,•T'.�-' ..Y:;S .iL1JY'AYui.�Ylf�.i� .� z �� a r, ��,� � �,',�r%s� , ��ra�� 'hr'��+'��{��y,(.;.h., Ate'' �,A� �1}�',"7'�-•' \�. '�M�\�yM� Z�1 '• _.` y�,'Y�^��'i�� .rte \.r- '•:,;'"`,. INSPE.;TION NOTICE City ' Tigard Building Department �� RO. Pc,x 23397 _,. Tigard, Oregon 97223 Phone. 639-4175 'ype of Inspection --- �, 7 Time-A.M.-P.M. A.M. P.M. Date Requested _ _ c Permit *A�qz ?Z: Owner_.. - - —— - 4 l -e' Lot * BuilderThe following Puilding Code deficiencies are required to be corrected: Presented to -_ I Approved Inspector _ter —_ —_ [_� Disapproved M cats --r--...__ CALL FOR REINSPECTION YES ❑ NO CITYOFTIFARD ` clttor Mlii-i'CHANIGAL PEPMIT ` 716�ARD PEPMIT NO . : ME138057A COMMUNITY DEVELOPMENT DEPARTMENT ORI 13125 1-W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 DA I V,. 1:Si 1.11:0 3/29/HE! JOB ADDRIH-StS : 1.2256 SoW MILLVIEW CT "TAX MAP/1 OT I.S1 3-11318 12600 SUCH: M11 I VIEW ILA' : P6 EiiK : LANU USE: 1-0,11, SITZE: ITEM: N('.) . NO : WORK U-AtisS : NEW FURNALA" 0.00K 1. A114 1-10NDL.P <10 USE TYPE: SINGLE FAMILY F-"tJRNA(:.'I"- 100K4, A1.11:1, VIANDLP 1.0K CONS T . TYPE: VN 1:1 DOR F;'tJ;4NACF- r.:'VAP, C,001 E P OCCUP.GAP. : R3 1-IiiiIATER VENT FAN 41 VF,NT VENT . SYSTEM BLR/COMP <31-IP HOOD 1, NO . STORIES : P HLA/COMP 3 15HP TNC.TNEPATOP(DOM DWELL.UNITS : I RLR/('.,(:)MP 1.5-301-1r) INGINERATOP11(-.10M FUEL TYPE-*. GAS B11 A/COMP *30 50FIP PEPATR UNIT5 MAX , INPUT 14L..R/COMP) 50+1-11113 OTHEI-1 P FINE.,, DMPr1S1? GAS 14--T S 1. Hlr,.'VH I M REMAOKb . F Er--,:S W N M11-1 C-11:4 TOM PEI141'. 1' *10 . 00 E 1rl78 N !-.iHC:.'PWOOD BLVD. PLAN PEV11i.1611 10.10 8 6 R fil h ivil I,W Ll 43(1 nr 971.410 F"' X,T 1.1 A E I.-i'l $33 50 P11-11014F (503) esF?5-6167 STA'TE TAX $2 . 1.0 C OTHE'A 06-4�kl A e T R FT)t.J A 5 F.:-'A S D N 1-. 14F.-ATTING AIR CONE). A PO Box 664 9 0 T P r)r t I Ilt 11 Cl 0r 97F'66 0 PHONE. (303) 77 ...5919 41144283 TOTAL: $3 el . 515 Thl-s permit is qt-d subject to the regulations contained In Title 14 PECEIPT NO. _ZY")--7 of the TMC, E, -i of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and I. Is hereby 1:)F-,'QLJIPED INSPErIJONS agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and GAS LINE:.: ordinances The issuance of this permit does not waive restrictive F)OqT & BEAM covenants Contractor and subcontractors shall have current city n(:)k.)GH---I N business tax permits This permit voll)expire and become null and F 1.NAI void it work is not started within 180 days,or If work I,,suspended or nbandoned for R period of 180 days any tin-, after wo,k has commenced It shall be the responsibility of the permittee to 88SUle All required inspections are requested and approved I A-&- ,Irf )f I Issued By tj ("At I FOP INSPFICTION 6*.1.!19-4J.*75 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C'7Y OF TWA' RD C rnMrY(OWMA IRt D COMMUNITY DEVELOPMENT DEPARTMENT onto*" PLUMBING PEPMIT 13125 S V, I jail fjlv(t.P o Box 23397,Tigard.Oregon 97223.(5031639-41 75 PERMIT NO. : PL880573 DmTE. ISSUED: 3/e9/98 PRIM. PMT'.NO. 880572 0013 ADDPESS : IL!e5di "jW MJA L V1 E W 'TAX MAP/LUT 1.511. 34DO 1.2600 SOD: MIL-1 VT Ew L.T :2A) HK . LAND UWE" : L01 :UT EM NO: NO: WORK CLASS : NEW WATF-.:P CLAMAKT USE 'TYPE: !:i'[N(l F FAMILY URINAL_ 14KI" L_OW PPVN'T'P CONST .'TYPL : VN LAVORATURY 1 TRAP PPI:MF-:P OCCUP. GAP . TUB SHOWErl TRAPS DISIAWASHF`34 GAPSACA.: DISPOSAL I NO, STORIES : 2 WASHING MAC'HINE. :1. 13WE1...1_, ,UNITS : I LAUNDPY 'T'RAY 1. 91-DG. DPATN (DTA FL.001:4 DPAXN SEWLA (FT) 54-0114M PA*14-44- 0,11-4EW REMARKS W N E Tum f"IF-JIMIT 00 1.478 N 5I-*::RWOOD 1~1LVD . ---9+ i6-rZW—A,rj-CT---DTI FIXTUPES C $7 . 7.5 PHONE (503) 6e3 6:l.d,'7 S'I*A'TF' TAX O N UTHEA T R C A PEARSON T PIC.,11) PLAMBING, 0 r,t .3 P('.)X 1.440A-1. R cir. S171149 PHONE (!503) 357-6897 This periRILS(9.61if-Wl*a1`C1t4thNftLjin#WotAttained In Title 14 115 of the TMC. state of Oregon Specia!ty Codes,zoning regulations ,s and ordinances, and it is hereby and all other applicable cocia IIECEIPT NO -)) agreed that the work will be done in accordance with the plans and ...................... ... specifications and in compliance wish all applicable codes and ordinances The issuance of this permit does not waive restrictive 11EQUIRED INSPECTIONS �ovenants Contractor and suhcontraclors shall have current city PI...9.UNFAEASLAH liusiness tax permits.Th;s permit will expire and become null and POST & BIFAM void 11 work is not started within 180 days,or I#.work I$Suspended or WA-1 EP I TNE abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure TOPOUT all required inspections are reqWested nd approved. PAIN D14AINS FINAI P rmitt a Signal e Issued By SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE TNISill-IfiJ.,I TON 639--ell.7,05 t. CITY OF TIG cm�tm \ 1ooh ep COMMUNITY DEVELOPMENT DEPAR'',fMENT \\ BUILDINGPERMIT S W.Hell Blvd-P.O.Box 23397,Tigard,Oregon q7223.(503)639-4175 of I PERMT T NO . : B(J(318057E _.j DATE TSSLI-M: :3/29/88 PRIM M. PMT .NO. 880572 /L.ANU J(:IF3 AI: DRESS : 1c'.i?"1cS 41W M:;:I...I...V:i:I:W CT LT :R^+.,,6 !3K : 'TAX MAP/L.OT :1.S3. ;3AME) :t.'r'.'.e5()U SLUE): M:I LI.-VTF_'W (JSH:: VALUATION: fi "l:l. ��i':3ti1 SETBACKS L.(YT 5:1:ZE, I:.PONT : 20 REAP. °I WORK CLASS : NEW DWEI_.L. .UNITS : 1 LEFT: 9 RTGHT : 70 USE 'T'YI�E : STNCJL..h F'Ar' ,._ NL). BEDROOM,; : 1 EXT .WALL. CONST : CONST . TYPE: VN NO. RA'THS : :i N: I-- : E: W OCCUP.'-;RP . : P3 PRO'T' .OPk NTNGS N; �; . 1_. , W: CJCCtJP .I_.C)AIJ TOTAL. ACTH:A: 1.599 N(1 .STOPIES : 2 :L'E'T : (43 3 POOF CONST• : f T1'tM' C7 IM: '7'/Ih ARF-:A SE:PAFi'7 1TA'T'E::TS c_'U FIND : (:)l..(::1.1P. SEPACL'7 WAT'k%U Fll�,SEMlc".NT'7 :r.F3A!aAS MEZZAN T NF*'7 FW M''T' --- _ �� r�=_---=:.:�i---�-1�11�-�'y-F'T:?6G1-.�----_—AI„A►PM=I'------- — I::I.OW(('"M) DE;T'E::(:"Tr YES 1-IF.A•r 'rYPF„: GAS WUCP P.ACCESS17 COP 17 V-11-AN CHF.-.:CK BY: r'1 t 6847--- LAST PE"TSSUE W r� FEES : I r1 : 'TOM PERMIT $3ZI9 . 00 MaL1...1:::CZ I-Ei N SHE RWOOL) Cal._VU. PLAN I EVTEW VM . 00 r wr�taJ— � ter I S'T'TGA O PHOT L�F'P'T C ST) ± 'Tk 'T rax 1111.7 '(1115'(1115NE: (1503) hrr?:`.i•-61.h7 N (:1T I-IEF.1.1 T I: EVEN-CJi• "ISN'T CHARGES : A M11..,L.1'-P 'TOM SM..t S'T(,t2M) C STJC.:t S'1'CTF:F''T ) $600 . 00 T 10M MILLER F31-Dr-11 . PL)(..(*:L ) O I. *T r(a N SWE CIWOOIn BI 1610. PRE'PATE) < *39 . 13> r-'1•4(3NE' (503) 625-61-67 TOTAL : •1 ,A6 r.3>T~+ This perrMEIK)L i@M"tt*lhMflulatlltfygotsalned In Title 14 of the TMC. State of Oregon Specialty Codes,zoning rag, lations �1U7 G and all other applicable codes and ordinances. and It is h:reby RECEIPT NO. b agreed that the work will be done in accordance with the plans Lnd specifications and in compliance with all applicable codes and ordinances. The Issuance of this permit does not waive restrictive C2E'(�l.1TC2E Ca TN!aPEt:T T(1NS covenants. Contractor end subcontractors shall have current city FOOT T T NC SEWr FT business tax permits. This permit will expire and become null and FOUNDAT'UIN WALL_ RAIN DDATNS void if work is riot started within 180 days.or it work is suspended or POST A k?E AM WAIT.31 LANE T NE abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assurr' PL..B .UNDE RSLAF3 (,TTY APPRCH/SW all required Inspec on are requested and approved SLAB F 1NAL. PLB."T OPMYT F":IAMT.NCS F T qr--':PI...AC:E.. Ptr ee Signa r L...T.NU- Issued By _ -__�._._ ---- WOAAD -- _ -- SEPARATE PERMITS REQUIRED FOR WORK OTHEP THAN DESCRIBED ABOVE r:'00 J N'.:iPF-C TION 639Al T5 CITY OF TIGA RD COMMUNITY DEVELOPMENT DFPAPTMENT SEWER PERMIT 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 54223.(503)639-4115 PERMIT NO. : SE800575 DATE ISSUED: 311129/88 PRIM. FSM T .Nth. 880572 JOB ADDqF . 'S W M:I:I L..V]'E'W USA NUMBFP: 35116 5 : IE!P-56 SS ' TAX MAP/L.07 ISI 3AHb 12-60, SUB; MILLVIEW L.T :26 RK : LAND LIGE : ii...ar Fa z ili.' 5 rn".C.,T I f,N 34 TWP: I st 14ING : J.w WONK (.LAS5 : NEW USK 'TYPE: 5 tNGLE F'AMILY 1 e fill:)1)).1 czat I.%I, "ItIr*Vv�111 tLI ccli,%ply with iRIA. fr,i,i.ks;�ta xknd rc9gii1inti.ril-ilt. 11-F the Urii.,Ftmcl 'Somworutgo Aget-icy r)ar,mit oxvJr-eiR 1.20 (Im-ow from the (IlIttor JARFAI.IOLI . The totat*11. a 04)oms not ►gi.trAll rAinticint ii:)aicl W-JI-1-3. h#A 4?fll`-f`fPJ-tVC1 i'll thm P atit"" the rif the of tfit.y., %:LcIcA mww"i, Jlateral w . If the aftwim"' J.'s I nat in(-nattaul in.t the me.m.scirememt givev , tlimr J.iimta1J**v mhall pri:i%j.-)ecZt 3 -fo�1, t 111 all diractiunin fi--(jm the (Ji-istmAl ." given . r# 113t so laeated , the installer flihal.1 -laurenmkmPA AL aa- -A7GW-41111, Lj I INSTALL . TYPE : BUILDING S:iElW[A` TMPEPV10LJS ARE_: F IXTUl."O' LJNTTS : '1'1;-.:Nf)N'l IMPPOVEMENT : N10. 0 W Iv EFT:ES R MILLER TOM I PERMIT *35 . 0o 1.'4'70 N SHERWOOD BLVD. CONVECTIUN CHAIGE rll1. 1.00 .00 1-.INE: TAP INSTALL . r 0 OTHER PHONE (503) 6P.3 616*1 *J560 . 00 N T R 'A MIL.L.ER TOM C T TOM MILI E'R "L.DA . 0 14714 N SHERWOOD 41 VD . R rifle rwalad PHONE (303) '-'This perjRh:Q;&444it TOTAL: 00 ,% 0E;hPbhhNW0aWAA"ainPd in Title 14 of the TIVIC. State of Oregon Specie"y Codes, zoning regulations and all other applicable codes and ordinances, and it is hereby PECU I PT 4o. -7 Agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and INSPEtITIONS ordinances The issuance of this p, •mit does not waive restrictive REQU 1 Pit Covenants. Contractor and subcontractors shall have Current nity ROUGH IN -business tax permits Thif permit will expire and become null and Void it work is not started within 180 days.or It work is suspended or -iibandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure -'all required inspections r a raq led and approved Perm tee Slgn(.qr 'Issued By SEPARATE PFP"PS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE F"On IN5PEC'TION 639-41'r5 l\ 1 �RD 1-9g� PLAN CHECK APPLICAT CITYOFTIOA GtiYOFT14ARD PLAN CHECK �- GUM Ml➢NnY DEVELOPMENT DUPAR MENT ostoo" PERHIT #_ - Z- 1a1zsS%v►4aH►.a v.0.&.2XW.yVg d.0.9 V.M(M)OW4176 _ - DATL ISSUEll ' / e TAX hkP/LOT JOB ADi'AESr'• SUB: t 1 --1d LOT:_ ---_ i.AND USE: SETBACKS: JFRONT:_.___ RFAR. i' LEFT: RIGHT: WORK CLIASS: HEIGI'T: 2 c' TOM REA: / USE TYPE: ,�F FLOOR LOAD: .114:1 1ST: $ 5 � CONSTR TYPE: HEAT TYPE: ��/_� 2ND: _ 7 !Ke 6 OCCUP GROUP: DWELL./UNITSS ' '�� 3RD: 0033(x1P LOAD: _ NO BEDROOMS:�- 11ASE,MENT: N) STORIES: -�� NO BATHS: _y� _ GARAGE! G o 114P SURFACE: APPROVALS REQ'D SPECIAL NOm4c; ITF.i1S REQUIFBD PLANNING: UE Oe-. LIST SUBCONTRACTi1RS:_ R8IS5 ENGINEERINC: LAST RR.ISSU'di BUS TAX: FIRE DBP.':.: FLOOD PA..A.IN/ CALCUTATIONS: OTHER: SEN IND.: - TRUSS DETAILS PARKING PLAN: LANDSCAPE PIAN: 'PLAN CHECK BY: OTHER: COMMENTS: DRSCRIPTION -� AMOUNT OWNER 10-43200 Building Permit 7eea NAME'. I �,��.; I f 10-431 OU Plumy Inst Permit Fees ADDR1'Sg: 10•-431 01 Mechanical Permit Fees �d ut]0-•230 01 State Building Tex (5X) 10-•433 00 Plana Check F,-te PROM, 30-443 00 Seiner Connection (20x) i 30•-202 00 Sever Connectiou (80X) $_ ,s ey CONTIACTO11 30-444 00 Sever Inspection N14B: .51-448 00 Street Sg stem Dev. Charge (SDC) ADDRESS=Z' :�_� 52--449 01 Parka I System Dev. C%arge (PDC) 52--449 02 Parks It System Dev. Charge (PDC) $ 31-450 0 0 Storm Drainage Sgst D�+v Cterq(S3DC) $ s PHONE: _ 10-230 09 TRFD (95;L) --�- �� 10-435 00 TR7D (5X) ARCH/ENGINEER 10-230 06 Wn6hi.ngton County Fire 11 (95X) _ NAME: _ 10-435 00 Washington County Fire #I. (52) t ADDRESS: 10-220 00 Amar.•t/Wedgewood ---'-- TOTAL $ PHGNE: _gyp PREPAID ,. _r„ RFC ✓0^� n/c .Z. ) �� BALANCE DUE i; CAN S ,N MIRF. Received By : Date Received: ^'1 UUUU UUUU IL-1 IL (1-1-Y OF TI(AR D PLUMBING 1}ud at T223 Applicants must twW Oregon Registration to condud a Plumbing PLIR M IT Ca.) 1175 business or must be property ownerlop- .valor not hiring tuttitir help. None of Development PlumbunµPermit No _ Addrsas Descriplion ORS 811.21-610 WAN PRK E AIAT Job Tax Lot - Map.No. - Ad freaa FIXTURES _r- -- Lot gk)(* SutxjMslon Sink - / _ 7.50 0 as Or name atrAlS�j uVltory 7.50 m ?i Cl. Tub or Tub/Shower Comb. 7.50 /Sr/ i.rr1-Tiip ess Shower Onty - 7.50 Water Closet -� - J 7.50 Owner LIP ale - -- -r� - - 7.50 z?� Di3hwasher Garbage Disposal -- -- -- - -" Washing Machine-_____,_ - -�. - 7.50 y 7v Nome - Floor Dram 7.50 _ fMhone- - Wolof 7.50 % ?w Mailing rets _ / -----�.._ - _ Laundry Room Tray 7.50 Occu antC8y/Stale Urinal 7.50 ' / ame -- Other Fixtures(Specify) 7.511 C'orttrscfor /St+wti lQ- ��- �7.50 i MISCELLANEOUS 6�Bus TO;No Sewer I M 100' 90.00 Sewerel.AddA.100' 15.00 tats s.-13oarr-TNo�--� ua rte+isrs Esus t:Tc�o (R(.6rdentiai) Water Seee 131 100' 20.00 7 fi n� Water Service al.AAdil.�h 15.00 I I hereby ar.*rlmdpe that 1 have r6W#%W WVWAbM the the Mslor-jon pawn is oorred.#W I am reovOorod with t»Stats Buildefa L'1004,and also Storm&Rain Drain 1 N.100' 90.00 have a Stats Pkent*ig scan"that 9w nur"tws Vv"we aorreM li-1 all Storrs i -Jn Drain Addh.100' 15.00 9 _ Mvmtw work will be done to hord wxanoa whh940"WilW Pv'%r-M C?r e - - - gon Revised SIPAAes CtWWS N7 and ML'and 1pp6MtA9 codes-0 that Mobile Horns SPK* 25.00 no hop will be ernpbrvd unimm kw*W under ORS tila1_(11 sxerrgt fm(n Back Flow Preverkbn -- Sots regletratlon,pNaaa W"reason behw). 7.50 t•10MEOWNERS-I hereby aarWy Md l lm the trwrhar oC the progeny do- (Hvios Ot Anil i"oiltAlOn Oevioe _ sorried above,al wltltfi Iocalion I propos to maks a pkrtA 0 1001+111*dan kx Any Tw4p or Weew Not my oom tree arxf WM pl Moly M not bskV aonabu M l for Mlu.Nage tar rens Carwaawd io a Fwwm 7.50 C►,ich Basin 7.50 kw.of Ehdst Pkanbin0 - IO.00 Per Hr - _._ -._ -- Spadally Requoirtad Inepectlo is - 40.00 Per Hr ANN of PlumbirV within Eaialks0 0160. 15.00 mim Al/THORIZEU SIt3NATUHE New Oft.or Build.Ad~ r 25.00 min, � th'1" i Describe work new LJ aticlition❑ afferetfon o reptsir( 1 c#rl.linl _ 15.0) tq be done retidentlel Fl nun•ree!der�hal -) _ E-xistiry use of tyAk ln0 of Gxopony __.___ `_ -- _ �(►� M1�TOTnL MOTME TAM pw imp 00ogrtsaa lVA and trofb M wak or 0WOVu01on lotto Uod r not w- 01M M hoot 100 dayewr N owwbucaw or ttworlt a eumpwow or dsanc arwl kv a ped A of 180 OArtO all any lira a%w work M ow wrAnead uyht N /CITY OF -TIGARD MECHANICAL PERMIT HIheroli N ---- Tahle 3A Mechanical Code 07V 141101 AMI City of Tigard 1) Permit Fee "0• 0 104,K) 13125 S.W. Hall Blvd. - - --- - P.O. Box 23397 2) Supplemental Permit y1 00 Tigard, OR 97223 639-4175 Furnace to 100.000 B1 U 1) incl.ducts&vents r'.00 (� 2) Furnace 100,000 BTU 4 7.50 Incl.ducts&vents Name of 0"volopment --- 3) Floor Furnace — — 8.00 incl,vent_ ---- —"--- Suspended heater,wall heater Job Address 4) 6.00 Address or floor mounted heater Tax Lot N4 Map No 5) Vent not incl.in 3.00 appliance permit _ Lot ©lock subdivision -- Name(or name of business) 6) Repair of healing,raft ig., ti 00 cooling,absorption unit Mailing Address7) Boiler or comp to 3 HP`— 600 Owner absorp.unit to'100,000 BTU _ Cry/Stale zip 8) Boiler or comp to 3 HP-15 HP 111.00 absorp,unit to 500,00u BTU —�- Name - 9) Boiler or comp 15-30 HP 15.00 absorp.unit 1/2-1 million Melling Address Pthore 10) Boiler or comp to 30-50 HP 22.50 absorp.unit t-1.75 million i _ - Gontractor -- - Boiler or comp to 50 HP ct �p y'Stale 11) 50 absorp.unit 1,750,000 BTU _- 31 State neglstrelion No _ City Bus Tex No 12) Air handling unit to 4.50lo,OOoCFM_________ _- 1eb sckrhor Air handling unit 750 Y Xdge that I have read this application that the information given is 13) 10,000CFM + coned,that I am the owner or authorized agent of the owner,that plans submitted are in --- rxwn,pi,ence with State laws,that I am registered with the Stale Bulkier S'Board.that the t 4) Non portable 4.50 number given is o,rroo (If exempt from State registration please give reason belvwl evapoo ate coolel Vent fan connected --- ____ - ------- 15) to a single duct 3.00 /2 ---- Ventilation system not 4.50 �) included in appliance permit - - -- Hood served by 50 1 r) mechanical exhaust ! Signature towner or agent)---�_�- Data t8) Domestic type -- � i ti(1 Describe work U addition C1 alleralion ❑ repair C1 incinerator to be done residential O non-residential-I-I _ _ 191 Commercial or industrial 30(k1 - type incinfa,ntor i Existing use of Other i.e.,wocxlstove,watt, building or proparly 20) heater,solar,clothes dryor �,c) Proposed use of building or property-�- 21) Lits pli m,)(lilt,At four outlet; / 00 Type of fuel- oil L7 natural gas I I LPG I I electric l t 1 22) Morethall4•lieloutiel N_QTI E SUR-TOTAL �✓ .3'D THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5 /O 416 SURCHA'1i:E c� DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAI ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL 1NORK IS COMMENCED. i(,ra u11('nrnf,tnur.